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Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD) in adults: Design and pilot study in nursing home residents
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium.
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium.
Örebro University, School of Health Sciences. Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Ireland.ORCID iD: 0000-0003-3080-8716
2018 (English)In: Journal of Tissue Viability, ISSN 0965-206X, Vol. 27, no 4, p. 191-198Article in journal (Refereed) Published
Abstract [en]

Study aim: The aim of this study was to develop a Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD), to psychometrically evaluate and pilot test the instrument in nursing homes. Comparable to the MDS for pressure ulcers, the MDS-IAD aims to collect epidemiological data and evaluate the quality of care.

Materials and methods: After designing and content/face validation by experts and clinicians, staff nurses assessed 108 residents (75.9% female, 77.8% double incontinent) in a convenience sample of five wards. A second nurse independently assessed fifteen residents to calculate inter-rater agreement (p0) and reliability [Cohen's Kappa (ĸ)].

Results: The ĸ-value for ‘urinary incontinence’ was 0.68 [95% confidence interval (CI) 0.37–0.99] and 0.55 (95% CI 0.27–0.82) for ‘faecal incontinence’. The p0 for severity categorisation according to the Ghent Global IAD Categorisation Tool (GLOBIAD) was 0.60. IAD was diagnosed in 21.3% of the residents. IAD management mainly involved the application of a leave-on product (66.7%), no-rinse foams (49.1%), toilet paper (47.9%), and water and soap (38.8%). Fully adequate prevention or treatment was provided to respectively 3.6% and 8.7% of the residents.

Conclusion: This instrument provides valuable insights in IAD prevalence at organisational level, will allow benchmarking between organisations, and will support policy makers. Future testing in other healthcare settings is recommended.

Place, publisher, year, edition, pages
Elsevier, 2018. Vol. 27, no 4, p. 191-198
Keywords [en]
Incontinence-associated dermatitis, Minimum data set, Nursing home, Prevalence, Reliability
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-69963DOI: 10.1016/j.jtv.2018.10.004ISI: 000454965800001PubMedID: 30389338Scopus ID: 2-s2.0-85055719972OAI: oai:DiVA.org:oru-69963DiVA, id: diva2:1260034
Available from: 2018-10-31 Created: 2018-10-31 Last updated: 2019-01-23Bibliographically approved

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