Development of a Nursing Guideline for Improving Skin Integrity in High-Risk Infants

Abstract

Background: High-risk infants are highly susceptible to skin impairment caused by invasive procedures, radiant warmers, and phototherapy, in addition to their intrinsic vulnerability. This leads to a vicious cycle that aggravates the risk of skin infections. Concerns have been raised that neonatal nurses may lack knowledge regarding feasible guidelines to improve skin integrity of high-risk newborns. Method: A clinical guideline was developed for neonatal skin care practices based on skin physiology, and its educational effects on the knowledge and confidence of neonatal nurses was evaluated. A booklet was developed on skin care practice guidelines divided into topics determined through a nationwide survey. Results: Using a quasi-experimental design with 46 neonatal nurses, education with this booklet improved nurses' knowledge of skin care practices but not their confidence. Conclusion: These findings highlight the importance of implementing a tailored systematic program rather than a single educational session on skin care in high-risk infants for neonatal nurses. [ J Contin Educ Nurs . 2020;51(5):238–244.]

What is the evidence on skin care for maintaining skin integrity and prevention of wounds? An integrative review

“…58 The pre/post studies evaluated implementation of local guidelines and education, multi-component 'bundles' or programs, or structured skin care protocols. Studies on guideline and/or education interventions found improved nurses' or care staff knowledge, 59,60 in addition to improvement of dry skin and decreased TEWL. 60 Evaluations of multicomponent 'bundles' or program implementations reported:…”

Intervenção educativa para melhorar o manejo do dispositivo de acesso vascular totalmente implantado

“…(6)(7)(8) A construção, a validação e a utilização de manuais educativos têm sido relevantes para a formação de enfermeiros em diversas áreas. (8)(9)(10) Os manuais também consistem em uma importante ferramenta para melhorar o cumprimento das ações implementadas para manter o DAVTI. (11) Para tanto, foi desenvolvido um manual de procedimentos sobre a gestão do DAVTI.…”