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Entwicklung valider Anwendungshinweise und pflegerischer Interventionsvorschläge für das deutschsprachige Inkontinenzassoziierte Dermatitis Intervention Tool

Identifikation externer Evidenz und Bestimmung der Inhaltsvalidität

Development of valid utilization advice and nursing intervention suggestions for the German incontinent-associated dermatitis intervention tool

Identification of external evidence and determination of content validity

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ProCare Aims and scope

Zusammenfassung

Hintergrund

Die Inkontinenz-assoziierte Dermatitis (IAD) wird als oberflächliche Entzündung und Schwellung der Haut definiert und kann durch das deutsche Inkontinenzassoziierte Dermatitis Intervention Tool (IADIT-D) eingeschätzt werden. Bis dato liegen keine literaturgestützten Anwendungshinweise und pflegerischen Interventionsvorschläge für die deutsche Skala vor.

Ziel der Arbeit

Die Zielsetzung war die Bestimmung der Inhaltsvalidität der literaturbasierten Anwendungshinweise und pflegerischen Interventionsvorschläge für das IADIT-D.

Methode

Nach einer iterativen Literaturreche in den Datenbanken CINAHL, Academic Search Premier, PubMed und Cochrane Library durch zwei unabhängige Personen erfolgte die Bestimmung der Inhaltsvalidität durch 3 Expertengremien (n = 80) in unabhängigen Gruppeninterviews.

Ergebnisse

Die auf externer Evidenz basierten Anwendungshinweise sowie pflegerischen Interventionsvorschläge für das IADIT-D beinhalten einen strukturierten Hautpflegeplan für pflegebedürftige Personen mit einer Harn- und/oder Stuhlinkontinenz. In allen Gruppeninterviews konnte eine subjektive Übereinstimmung festgestellt werden.

Schlussfolgerung

Die Resultate der Inhaltsvalidität lassen vermuten, dass es sich bei den literaturgestützten Anwendungshinweisen und pflegerischen Interventionen zu Prävention und Behandlung einer IAD im IADIT-D um inhaltlich valide Anweisungen handelt.

Abstract

Background

Incontinence-associated dermatitis (IAD) is defined as superficial inflammation and swelling of the skin. An assessment can be carried out with the German IAD intervention tool (IADIT-D). Until now, no literature-based utilization advice or nursing intervention suggestions for the German scale are available.

Aim

The target was to determine the content validity of the literature-based utilization advice and nursing intervention suggestions for the IADIT-D.

Method

Two independent persons conducted a literature search in the databases CINAHL, Academic Search Premier, PubMed and Cochrane Library. The content validity determination was done by three expert committees (n = 80) in independent group interviews.

Results

The IADIT-D utilization advice and nursing intervention suggestions based on external evidence, include a structured skin care regime for people requiring nursing care with urinary and/or fecal incontinence. A subjective agreement was determined in all group interviews.

Conclusion

The results of the content validity determination suggest that the literature-based utilization advice and nursing intervention suggestions for prevention and treatment of IAD are valid in content.

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Literatur

  1. Bardsley A. Incontinence-associated dermatitis: looking after skin. Nurs Resid Care. 2012;14:338–43.

    Article  Google Scholar 

  2. Bardsley A. Prevention and management of incontinenceassociated dermatitis. Nurs Stand. 2013;27:41–6.

    Article  PubMed  Google Scholar 

  3. Bates M. The design of browsing and berrypicking techniques for the online search interface. Online Inf Rev. 1989;13:407–24.

    Article  Google Scholar 

  4. Beeckman D, et al. Proceedings of the Global IAD Expert Panel. Incontinence- associated dermatitis: moving prevention forward. Wounds International. www.woundsinternational.com (2015).

    Google Scholar 

  5. Beeckman D, Schoonhoven L, Verhaeghe S, Heyneman A, Defloor T. Prevention and treatment of incontinence-associated dermatitis: literature review. J Adv Nurs. 2009;65:1141–54.

    Article  PubMed  Google Scholar 

  6. Beeckman D, Defloor T, Schoonhoven L, Vanderwee K. A 3-in-1 perineal care washcloth impregnated with dimethicone 3 % vs. water and pH neutral soap to prevent and treat incontinenceassociated dermatitis: a randomized controlled clinical trial. J Wound Ostomy Continence Nurs. 2011;38:627–34.

    Article  PubMed  Google Scholar 

  7. Behrens J, Langer G. Evidence-based Nursing and Caring. Methoden und Ethik der Pflegepraxis und Versorgungsforschung. Bern: Hans Huber Verlag; 2010.

    Google Scholar 

  8. Beldon P. Incontinence-associated dermatitis: protecting the older person. Br J Nurs. 2012;21:402–7.

    Article  PubMed  Google Scholar 

  9. Benbow M. Skin care of the incontinent patient. J Community Nurs. 2012;26:31–5.

    Google Scholar 

  10. Bianchi J. Causes and strategies for moisture lesions. Nurs Times. 2011;108:20–2.

    Google Scholar 

  11. Bianchi J. The use of faecal management systems to combat skin damage; 2012. Wounds UK 8:11–6.

  12. Bortz J, Döring N. Forschungsmethoden und Evaluation für Human- und Sozialwissenschaftler. Berlin: Springer; 2006.

    Book  Google Scholar 

  13. Braunschmidt B, Mueller G, Jukic-Puntigam M, Steininger A. The inter- rater reliability of the Incontinence-Associated-Dermatitis Intervention Tool-D (IADIT-D) between two independent registered nurses of nursing home residents in long-term care facilities. J Nurs Meas. 2013;21:284–95.

    Article  PubMed  Google Scholar 

  14. Brunner M, Droegemueller C, Rivers S, Deuser WE. Prevention of incontinence- related skin breakdown for acute and critical care patients: comparison of two products. Urol Nurs. 2012;32:214–9.

    PubMed  Google Scholar 

  15. Corcoran E, Woodward S. Incontinence-associated dermatitis in the elderly: treatment options. Br J Nurs. 2013;22:450–7.

    Article  PubMed  Google Scholar 

  16. Deutsches Netzwerk für Qualitätsentwicklung in der Pflege (DNQP), Herausgeber. Expertenstandard Förderung der Harnkontinenz in der Pflege, Hochschule Osnabrück; 2014.

  17. Doughty D, Junkin J, Kurz P, Selekof J, Gray M, Fader M, Bliss DZ, Beeckman D, Logan S. Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. J Wound Ostomy Continence Nurs. 2012;39:303–15.

    Article  PubMed  Google Scholar 

  18. Gillibrand W. Faecal incontinence in the elderly: issues and interventions in the home. Br J Community Nurs. 2012;17:364–368.

    Article  PubMed  Google Scholar 

  19. Gray M, Black JM, Baharestani MM, Bliss DZ, Colwell JC, Goldberg M, Kennedy-Evans KL, Logan S, Ratliff CR. Moistureassociated skin damage: overview and pathophysiology. J Wound Ostomy Continence Nurs. 2011;38:233–41.

    Article  PubMed  Google Scholar 

  20. Gray M, Beeckman D, Bliss DZ, Fader M, Logan S, Junkin J, Selekof J, Doughty D, Kurz P. Incontinence-associated dermatitis: a comprehensive review and update. J Wound Ostomy Continence Nurs. 2012;39:61–74.

    Article  PubMed  Google Scholar 

  21. Jones M. L. Choosing the appropriate barrier product. Nursing & Residential Care. 2012;14:184–188.

    Article  Google Scholar 

  22. Junkin J. Targeting incontinence-associated dermatitis — a leading risk factor for pressure ulcer. US hospitals no longer paid for pressure ulcer — fecal incontinence increases pressure ulcer risk by 22x! 3. Congress of the World Union of Wound Healing Societies. Toronto, Ontario Canada; 2008. June 4–8.

  23. Junkin J, Selekof JL. Prevalence of incontinence and associated skin injury in the acute care inpatient. J Wound Ostomy Continence Nurs. 2007;34:260–9.

    Article  PubMed  Google Scholar 

  24. Junkin J, Selekof JL. (2008) Beyond „diaper rash“: incontinenceassociated dermatitis: does it have you seeing RED? Nursing 38:56hn1–10.

    Article  PubMed  Google Scholar 

  25. Kottner J, Blume-Peytavi U. Inkontinenz erfordert besondere Hautpflege: Die Inkontinenz-assoziierte Dermatits. Schwester, Pfleger: Fachzeitschrift für Pflegeberufe. 2014;53:344–8.

    Google Scholar 

  26. Kottner J, Lichterfeld A, Blume-Peytavi U. Maintaining skin integrity in the aged: a systematic review. Br J Dermatol. 2013;169:528–42.

    Article  CAS  PubMed  Google Scholar 

  27. Kunz R, Khan KS, Kleijnen J, Antes G. Systematische Übersichtsarbeiten und Meta-Analysen. Einführung in Instrumente der evidenzbasierten Medizin für Ärzte, klinische Forscher und Experten im Gesundheitswesen. Bern: Hans Huber Verlag; 2009.

    Google Scholar 

  28. Lambert D. Prevention of incontinence-associated dermatitis in nursing home residents. Ann Longterm Care. 2012;20:25–9.

    Google Scholar 

  29. Merton RK. The focused interview and focus groups. Public Opin Q. 1987;51:550–66.

    Article  Google Scholar 

  30. Moosbrugger H, Kelava A. Testtheorie und Fragebogenkonstruktion. Heidelberg: Springer; 2008.

    Book  Google Scholar 

  31. Notter M. Prüfung der Interrater-Reliabilität und Praktikabilität des deutschen Inkontinenz-assoziierten Dermatitis Interventions Tools (IADIT-D) im akutstationären Bereich. Wien: Diplomarbeit vorgelegt an der Universität Wien; 2014.

    Google Scholar 

  32. Park KH, Kim KS. Effect of a structured skin care regimen on patients with fecal incontinence: a comparison cohort study. J Wound Ostomy Continence Nurs. 2014;41:161–7.

    Article  PubMed  Google Scholar 

  33. Powers J, Bliss DZ. Product options for faecal incontinence management in acute care. World Counc Enteros Ther J. 2012;32:20–3.

    Google Scholar 

  34. Steininger A, Jukic-Puntigam M, Urban W, Müller G. Eine Delphi-Studie zur Inhaltsvaliditätsprüfung des deutschen Inkontinenz-assoziierten Dermatitis Interventions Tools (IADIT-D). Pflegewissenschaft. 2012;12:85–92.

    Google Scholar 

  35. Voegeli D. Moisture-associated skin damage: aetiology, prevention and treatment. Br J Nurs. 2012;21:517–21.

    Article  PubMed  Google Scholar 

  36. Voegeli D. Moisture-associated skin damage: an overview for community nurses. Br J Community Nurs. 2013;18:6–12.

    Article  PubMed  Google Scholar 

  37. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P. Principles of good practice for the translation and cultural adaptation process for Patient-Reported Outcomes (PRO) measures. Report of the ISPOR Task Force for translation and cultural adaption. Value Health. 2005;8:94–104.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department für Pflegewissenschaft und Gerontologie, Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik (UMIT), Institut für Pflegewissenschaft, Eduard-Wallnöfer Zentrum 1, 6060, Hall in Tirol, Österreich

    Gerhard Müller

  2. Deutschland

    Petra Schumacher, Margareta Jukic-Puntigam & Alfred Steininger

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  1. Gerhard Müller
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  2. Petra Schumacher
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  3. Margareta Jukic-Puntigam
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  4. Alfred Steininger
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Correspondence to Gerhard Müller.

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Müller, G., Schumacher, P., Jukic-Puntigam, M. et al. Entwicklung valider Anwendungshinweise und pflegerischer Interventionsvorschläge für das deutschsprachige Inkontinenzassoziierte Dermatitis Intervention Tool. ProCare 21, 5–14 (2016). https://doi.org/10.1007/s00735-016-0611-1

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