Title: The effect of implementation of skin care guidelines on nurses knowledge regarding skin care and incidence of skin injuries among neonates at a private tertiary care hospital
Background: In newborn skin care is important because skin act as barrier to prevent neonates from infections which may lead to neonatal morbidity and mortality. Highly technological environment of neonatal intensive care unit (NICU) make this population vulnerable for loss of skin integrity. In acute care setting maintenance of skin integrity is considered an established quality indicator representing nursing care. Nurses knowledge and practice based on standard guidelines related to skin care will help to reduce the skin injuries and related infections.
Purpose of the study: The purpose of study was to determine the effect of skin care guidelines on nurse’s knowledge regarding skin care in neonates and incidence of skin injuries among neonates.
Method and Setting: Pre Post quasi-experimental study was conducted in NICU of a private tertiary care hospital. The sample size was 32 nurses for pre and post group and 39 neonates in pre while 41 in post intervention group. The intervention comprised of the educational sessions and demonstration of skin care practices based on content from AWHONN skin care guidelines. The data on knowledge of nurses were collected through self-developed and self-administered questionnaire. Risk and incidence of skin injuries were measured through observation and Braden QD score. Data for incidence of skin injuries was collected for one month before and after intervention. Data was analyzed by using SPSS version 21.0. Ethical approval and written informed consent were obtained.
Results: There was a statistically significant improvement in the nurses’ knowledge on skin care from pre (mean 15.06± 5.16) to post (mean19.40± 5.17) measurement with p-value 0.001. There was marked reduction in incidence density rate of skin injuries from 19% to 3% after implementation of skin care guidelines.