The epidemiology of skin care provided by nurses at home: a multicentre prevalence study

Kottner, Jan; Boronat, Xavier; Blume-Peytavi, Ulrike; Lahmann, Nils; Suhr, Ralf

doi:10.1111/jan.12517

Cited by 30 publications

(15 citation statements)

References 58 publications

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“…Results of a systematic review indicate that skin cleansing practice in nursing is currently rather based on “custom and practice” than on an evidence‐based approach (Cowdell & Steventon, ). This finding is supported by health service research results from German institutional long‐term and home care settings indicating that there is a huge unexplained heterogeneity in product selection and frequencies of applications (Kottner, Boronat, Blume‐Peytavi, Lahmann, & Suhr, ; Kottner, Rahn, et al, ; Rahn, Lahmann, Blume‐Peytavi, & Kottner, ). Whether specifically dry skin is appropriately treated with leave‐on products in daily nursing practice is unknown.…”

Section: Introductionmentioning

confidence: 56%

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

et al. 2018

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AimsTo describe the prevalence of dry skin in nursing homes and hospitals and to describe relationships between topical skincare interventions and dry skin.DesignTwo multicentre descriptive cross‐sectional prevalence studies.MethodsThe studies were performed in German nursing homes and hospitals in 2015 and 2016. Data were collected by trained nurses based on a standardized data collection form. The severity of dry skin was measured using the Overall Dry Skin Score.ResultsIn total, 1,662 nursing home residents and 1,486 hospital patients participated. The prevalence of dry skin was 41.2% in nursing homes and 55.2% in hospitals. In case of skincare dependency, the proportions of participants with dry skin were higher, particularly in hospitals (70.2%). In both institutions, the application of leave‐on products increased when dry skin was present but remained lower in hospitals. Considering the high amount of skin dryness in skincare‐dependent participants, interventions seem not to be successful. Results indicate a need for skincare improvement in future.

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Section: Introductionmentioning

confidence: 56%

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

et al. 2018

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“…Furthermore, if the retention of an applied substance in the SC is different between dry and normal skin, its effects can be predicted to be different as well. In clinical settings, the selection of skin care interventions and skin care products is not evidence‐based . Altogether, there is no evidence available regarding the frequency of moisturization and amount of moisturizer to be applied daily.…”

Section: Introductionmentioning

confidence: 99%

“…In clinical settings, the selection of skin care interventions and skin care products is not evidence-based. 17 Altogether, there is no evidence available regarding the frequency of moisturization and amount of moisturizer to be applied daily. Therefore, the focus of this study was the retention of moisturizers.…”

Section: Introductionmentioning

confidence: 99%

Comparison of ceramide retention in the stratum corneum between dry skin and normal skin using animal model with fluorescent imaging method

Aoki

Ogai

Kobayashi

et al. 2018

Skin Research and Technology

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Background/Purpose Skin care via moisturization compensates for the lack of skin barrier function. However, moisturizer application methods are not clearly decided. Here, we focused on and examined the retention of externally applied ceramide in the stratum corneum (SC) using fluorescent imaging method. This study aimed to compare ceramide retention in the SC between normal skin and dry skin using an animal model. Methods Nine‐week‐old Sprague‐Dawley rats were divided into two groups: normal skin and dry skin model. The dry skin model group was treated with acetone‐diethyl ether solution. A fluorescently labeled ceramide solution was prepared and applied to rats’ back skin. Skin samples were taken at 0 minute and 12 hours after ceramide application. Fluorescently labeled ceramide was evaluated and observed under a microscope. Results The intensity of externally applied ceramide in the normal skin group showed no significant change from 0 minute to 12 hours after application. In contrast, in the dry skin model group, the intensity of externally applied ceramide increased significantly from 0 minute to 12 hours after application. Conclusion Our findings demonstrate that the externally applied ceramide penetrated the SC of dry skin more than that of normal skin.

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“…Kottner et al . () go some way towards addressing one aspect of this complex issue. This study provides a valuable insight into the frequencies and patterns of skin care regimes provided by nurses for community dwelling older people in Germany; as the authors note there are currently no empirical data on such practices.…”

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confidence: 99%

“…From their extensive study Kottner et al . () conclude that approximately 60% of patients receiving care in their home required a skin care intervention and that there is considerable heterogeneity in regime with product use being haphazard. The authors attest to the importance of evidence based interventions while recognising the confusing choice of available products.…”

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confidence: 99%

Commentary on Kottner et al. (2015) The epidemiology of skin care provided by nurses at home: a multicentre prevalence study. Journal of Advanced Nursing71(3), 570–580. doi: 10.1111/jan.12517

Cowdell

2015

Journal of Advanced Nursing

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This paper adds a valuable contribution to the body of knowledge about skin hygiene care for older people, a cornerstone of nursing practice, which is significantly under-researched.Maintenance of skin hygiene is an essential nursing intervention. In general attending to personal hygiene is an activity that is undertaken by an individual in privacy and is central to physical and psychosocial health and well-being and preservation of the 'look good, feel good' factor (Ong & Ryan 1998).As people age they may require assistance with personal hygiene and such care should be delivered with skill and sensitivity and using the best available evidence.Globally, the population is expanding and ageing. The Maintenance of skin health and hygiene is critical to health and well-being in older people and understanding nursing practice in relation to this is undoubtedly essential. Equally, there is a need to consider other viewpoints. Evidence about optimal products and usage regimes will be enhanced by a forthcoming Cochrane review on hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings.While generating 'hard' knowledge about products and practices is important, it is also vital that we include older people in future studies and seek their views about what they would like and find acceptable about skin care. Allied to this, we need to begin to educate staff to promote skin health in older people. We need to shift the current emphasis on disease management to a wider health promotion approach which although advocated over the years show little evidence of having been applied in practice.

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The epidemiology of skin care provided by nurses at home: a multicentre prevalence study

Cited by 30 publications

References 58 publications

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

Dry skin and the use of leave‐on products in nursing care: A prevalence study in nursing homes and hospitals

Comparison of ceramide retention in the stratum corneum between dry skin and normal skin using animal model with fluorescent imaging method

Commentary on Kottner et al. (2015) The epidemiology of skin care provided by nurses at home: a multicentre prevalence study. Journal of Advanced Nursing71(3), 570–580. doi: 10.1111/jan.12517

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