Prevent Medical Device-Related Pressure Injury

NCT06563830 | Not Yet Recruiting

• 1 other identifier: Dokuz Eylul University NURSING
• Study Type: interventional
• Target: 35
• Locations: 0 countries
• Sites: N/A

Brief Summary

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.

Conditions

Medical Device Site Injury; Pressure Injury

Outcome Measures

Primary Outcomes (4)

• The Incidence of Medical Device-Related Pressure Injury

  The incidence of patients hospitalized in intensive care will be determined first in the study. For this purpose, patients will be observed at the same time every day during their stay in intensive care. The researcher will fill out the "MDRPI Daily Follow-up Form" for each patient who meets the inclusion criteria during hospitalization. This form has been created by the researchers in accordance with the literature information. 10 Expert opinions will be submitted before the study is carried out.

  Three months before the training was conducted

• The Incidence of Medical Device-Related Pressure Injury

  The incidence of patients hospitalized in intensive care will be determined first in the study. For this purpose, patients will be observed at the same time every day during their stay in intensive care. If the resulting injury develops, the "Medical Device-Related Pressure Injury Registration Form" will be used and patient monitoring will be continued for wound monitoring and other injuries. Medical Device-Related Pressure Injury Registration Form: It has been created by the researchers in accordance with the literature information. 10 Expert opinions will be submitted before the study is carried out.

  Three months before the training was conducted

• Nurse's Knowledge About Medical Device-Related Pressure Injury

  Pre-test application will be made with the "MDRPI Knowledge Scale" to determine the level of knowledge and attitude of nurses related to medical device pressure injury before training. Medical Device-related Pressure Injury Information Scale: The Confirmatory Factor Analysis (CFA) fit indices of the scale consisting of five sub-dimensions with Exploratory Factor Analysis (EFA) were determined as x2= 1.84; RMSEA= 0.05; CFI= 0.91; GFI= 0.92; AGFI= 0.90; RFI= 0.89. In addition, the total Cronbach alpha coefficient of the scale was found to be 0.798 and the test-retest score was 0.94. The lowest score that can be taken from the scale is 0 and the highest score is 25. The increase in the score indicates that the level of knowledge of TCIBY of nurses has increased.

  within three months prior to the implementation of training

• Nurse's Attitude About Medical Device-Related Pressure Injury

  Pre-test application will be made with "The Attidute Towards Medical Device Related Pressure Injuries" to determine the level of attitude of nurses related to medical device pressure injury before training. Preventing Medical Device-Related Pressure Injury: The Scope Validity Index of the questionnaire was found to be 98.03%, the Cronbach α value was 0.92 and the test-retest score was 0.874. The lowest score that can be obtained is 11, the highest score is 55, and the high score indicates a positive attitude towards the care and prevention of pressure injuries associated with a medical vehicle. 11 to 25 points, indicates a negative attitude towards the care and prevention of medical vehicle-related pressure injuries, a neutral attitude of 26 to 40 points, and a positive attitude of 41 to 55 points.

  within three months prior to the implementation of training

Secondary Outcomes (2)

• Decrease in the Incidence of Medical Device-Related Pressure Injury

  The first three months after the training application

• Decrease in the Incidence of Medical Device-Related Pressure Injury

  The first three months after the training application

Other Outcomes (2)

• Nurse's Knowledge About Medical Device-Related Pressure Injury

  In the second and thirteenth weeks after the training

• Nurse's Attitude About Medical Device-Related Pressure Injury

  In the second and thirteenth weeks after the training

Study Arms (1)

Evaluation of MRRPI knowledge and attitude levels of nurses

OTHER

Before the training application, the effectiveness of the training application will be evaluated by applying pre-test and training application followed by two patients and intermittent post-test after three months.

Other: educational application

Interventions

educational application OTHER

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.

Evaluation of MRRPI knowledge and attitude levels of nurses

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Sponsors & Collaborators

• Tepecik Training and Research Hospital: lead

Related Publications (3)

• 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 BACKGROUND

• 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 RESULT

• 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

  RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Central Study Contacts

Zilan Baran, PhD

CONTACT

05061378002; zilan.baran@outlook.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: The three months incidence of medical device-related pressure injuries of patients admitted to intensive care before and after the training will be examined. At this stage, it will be conducted by two independent observers. Simultaneous monitoring will be carried out during the first week, and the harmony between the observers will be evaluated by a third party, and it will be ensured that the observations are measured Decently with the same standard. However, the bias will be reduced by having different people enter the data of the research and analyze the data.
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nurse

Model Details: It is planned to conduct the study as a semi-experimental, single-group pre-test-post-test.

Study Record Dates

• First Submitted: August 8, 2024
• First Posted: August 21, 2024
• Study Start: November 1, 2024
• Primary Completion: March 30, 2026
• Study Completion (Estimated): December 30, 2026
• Last Updated: October 16, 2024

Record last verified: 2024-10