Implementing best available evidence into practice for incontinence-associated dermatitis in Australia: A multisite multimethod study protocol.
Adolescent
Adult
Australia
Clinical Protocols
Dermatitis, Contact
/ etiology
Fecal Incontinence
/ complications
Female
Focus Groups
/ methods
Humans
Male
Middle Aged
Prevalence
Qualitative Research
Quality of Life
/ psychology
Surveys and Questionnaires
Translational Research, Biomedical
/ methods
Urinary Incontinence
/ complications
GLOBIAD tool
Guidelines
Implementation science
Incontinence-associated dermatitis
Pressure injury
Journal
Journal of tissue viability
ISSN: 0965-206X
Titre abrégé: J Tissue Viability
Pays: England
ID NLM: 9306822
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
04
06
2020
revised:
13
09
2020
accepted:
15
10
2020
pubmed:
8
11
2020
medline:
26
8
2021
entrez:
7
11
2020
Statut:
ppublish
Résumé
Incontinence-associated dermatitis (IAD) is an insidious and under-reported hospital-acquired complication which substantially impacts on patients' quality of life. A published international guideline and the Ghent Global IAD Categorisation Tool (GLOBIAD) outline the best available evidence for the optimal management of IAD. This study aims to implement theguideline and the GLOBIAD tool and evaluate the effect on IAD occurrences and sacral pressure injuries as well as patient, clinician and cost-effectiveness outcomes. The study will employ a multi-method design across six hospitals in five health districts in Australia, and will be conducted in three phases (pre-implementation, implementation and post-implementation) over 19 months. Data collection will involve IAD and pressure injury prevalence audits for patient hospital admissions, focus groups with, and surveys of, clinicians, patient interviews, and collection of the cost of IAD hospital care and patient-related outcomes including quality of life. Eligible participants will be hospitalised adults over 18 years of age experiencing incontinence, and clinicians working in the study wards will be invited to participate in focus groups and surveys. The implementation of health district-wide evidence-based practices for IAD using a translational research approach that engages key stakeholders will allow the standardisation of IAD care that can potentially be applicable to a range of settings. Knowledge gained will inform future practice change in patient care and health service delivery and improve the quality of care for patients with IAD. Support at the hospital, state and national levels, coupled with a refined stakeholder-inclusive strategy, will enhance this project's success, sustainability and scalability beyond this existing project.
Identifiants
pubmed: 33158742
pii: S0965-206X(20)30122-4
doi: 10.1016/j.jtv.2020.10.002
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Pagination
67-77Commentaires et corrections
Type : ErratumIn
Informations de copyright
Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.