Prevent Medical Device-Related Pressure Injury

Official title

Evaluation of the Training Applied to Nurses Prevent Medical Device-Related Pressure Injury

Overview

Medical Device-Related Pressure Injury (MDRPI) is a localized skin and/or subcutaneous tissue injury that occurs due to the pressure exerted by devices used for diagnostic or therapeutic purposes, taking the form of the medical device used. Medical device-related pressure injuries are an important adverse event with a high incidence and prevalence both in our country and in the world, accounting for more than 30% of hospital-related injuries. Medical device-related pressure injury significantly affects the quality of life of patients, but also negatively affects the cost of care for both the patient and providers. Although the most important task in preventing medical device-related pressure injuries falls on nurses, it is quite noticeable that nurses' knowledge levels of MDRPI are low in the studies conducted. MDRPI is an important issue that is ignored in nursing education and work areas in our country. In order to prevent pressure injuries associated with medical devices, it is necessary to invest more in early detection of MDRPI and improving the quality of care, studies including MDRPI risk assessment and reporting strategies are needed. In the project to be carried out in this context, it is aimed to evaluate the impact of training applied to nurses to prevent MDRPI.

Detailed description

Medical Device-Related Pressure Injury account for more than 30% of hospital-related injuries and their incidence has been increasing steadily in recent years. According to the meta-analysis studies (n:126.150 ) the pooled incidence of MDRPI was found to be 12% (95% Cl 8-18) and the pooled prevalence of MDRPIwas found to be 10% (95% Cl 6-16). As can be seen, MDRPI is an important adverse event with a high incidence and prevalence in the world. Despite this, it is known that the MDRPI risk assessment and reporting system is used only in developed countries such as the United Kingdom, the USA and Canada on a limited basis. Medical device-related pressure injury significantly affects the quality of life of patients, but also negatively affects the cost of care for both the patient and providers. Although the incidence rate of MDRPI is high, the fact that nurses have a low level of MDRPI knowledge draws attention to the importance that should be shown to this issue. In the studies conducted, it is emphasized that in order to prevent MDRPI, more investments should be made in early detection of MDRPI and improvement of the quality of care, and studies including MDRPI risk assessment and reporting strategies are needed.

MDRPI is an important issue that is ignored in nursing education and work areas. The most important task in preventing The most important task in preventing TCIBI falls on nurses. Because patients who are at risk for the development of MDRPI need to be closely monitored continuously and prevention initiatives are needed. In this context, it is extremely important for nurses to have knowledge about the subject and to have up-to-date and evidence-based information in order to prevent MDRPI. However, when the literature is examined, it is seen that the studies measuring nurses' MDRPI knowledge are limited. In the studies conducted, it was found that nurses' knowledge levels about MDRPI were low falls on nurses. Because patients who are at risk for the development of MDRPI need to be closely monitored continuously and prevention initiatives are needed. In this context, it is extremely important for nurses to have knowledge about the subject and to have up-to-date and evidence-based information in order to prevent MDRPI. However, when the literature is examined, it is seen that the studies measuring nurses' MDRPI knowledge are limited. In the studies conducted, it was found that nurses' knowledge levels about MDRPI were low. Although its prevalence is high, education, risk assessment, reporting, prevention strategies about MDRPI are very inadequate and evidence-based studies are needed.

In this study, it was aimed to evaluate the effect of training applied to nurses to prevent MDRPI The hypotheses of the study:

H1: The MDRPI knowledge level of nurses is low before the training application.

H2: The incidence of MDRPI is high before the training application.

H03: There is no Deciency between the knowledge levels of nurses before and after the training application.

H4: Training application increases the knowledge level of nurses about MDRPI.

H5: Training application reduces the incidence of MDRPI.

H6: As the level of knowledge of MDRPI of nurses increases, the incidence of MDRPI also increases.

Interventions

• Other educational application
  The content of the training to be applied to nurses will include: definition of MDRPI, etiology, prevalence and cost, staging, risk factors, nursing initiatives to be implemented to prevent MDRPI.

Primary outcome measures

• The Incidence of Medical Device-Related Pressure Injury [Time frame: Three months before the training was conducted]
• The Incidence of Medical Device-Related Pressure Injury [Time frame: Three months before the training was conducted]
• Nurse's Knowledge About Medical Device-Related Pressure Injury [Time frame: within three months prior to the implementation of training]
• Nurse's Attitude About Medical Device-Related Pressure Injury [Time frame: within three months prior to the implementation of training]

Secondary outcome measures (2)

• Decrease in the Incidence of Medical Device-Related Pressure Injury [Time frame: The first three months after the training application]
• Decrease in the Incidence of Medical Device-Related Pressure Injury [Time frame: The first three months after the training application]

Eligibility criteria

Although the web-based training to be given within the scope of the study is applied to nurses, the results will be evaluated on both nurses and patient care results. For this reason, both nurses and intensive care inpatients constitute the sample group.

Inclusion criteria

Criteria for inclusion of nurses:

-Volunteer

Criteria for inclusion of patients:

• Volunteer
• Who has been hospitalized in intensive care for at least 24 hours
• Do not have a pressure injury during admission to intensive care

Exclusion criteria

Exclusion criteria for nurses:

-Do not volunteer

Criteria for inclusion of patients:

• Do not volunteer
• Was admitted to intensive care in less than 24 hours and transferred
• Patients with pressure injuries during admission to intensive care

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

N/A

Model

Single group

Masking

Open label

Primary purpose

Prevention

Study locations

Center list to be confirmed — check the primary protocol.

Publications

• Kucukkelepce GE, Karaca T, Ozkan SA. The attitude towards Medical Device-Related Pressure Injuries Questionnaire: a Turkish validity and reliability study. Wound Manag Prev. 2023 Nov;69(4):10-17. doi: 10.25270/wmp.22099. PMID 38090951
• Baran Z, Ozden D. Retrospective investigation of pressure injury in COVID-19 patients followed on invasive mechanical ventilator support. J Tissue Viability. 2024 Feb;33(1):144-149. doi: 10.1016/j.jtv.2023.10.001. Epub 2023 Oct 11. PMID 38184472
• Baran, Z., & Özden, D. (2024). Tıbbi Cihaz İlişkili Basınç Yaralanması Bilgi Ölçeği'nin Türkçe Geçerlik ve Güvenirlik Çalışması. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 73-80. https://doi.org/10.61399/ikcusbfd.1356400

Identifiers

NCT: NCT06563830 · Dokuz Eylul University NURSING

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗