Effect of Skincare Bundle Protocol on Nursing Performance Regarding Prevention of Skin Breakdown

Document Type : Original Article


1 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Beni Suef University

2 Assistant Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University

3 Lecturer of Pediatric Nursing, Faculty of Nursing, Alexandria University

4 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, South Valley University

5 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Alexandria University


Background: Skin breakdown includes non-blanchable erythema without underlying tissue
loss, abrasion, and deep and extensive pressure ulcers. Hospitalization can cause skin breakdown
due to medication, food, and mobility changes. Aim: To assess the effect of skincare bundle
protocol on nursing performance regarding prevention of skin breakdown. Research Design: A
quasi-experimental design was used. Setting: This study was conducted in Orthopedic Surgery
Departments and traumatology Departments at El Hadara Orthopedic and Traumatology University
Hospital, adult intensive care units at Main University Hospital and pediatric intensive care units at
El-Shatby University Hospital of Alexandria Sample: composed of 120 nurses working in the
previous mentioned settings Tools: A self-administered questionnaire, which includes the
following: part I Socio-demographic characteristics of the nurses. Part II: Nurses’ knowledge
toward skin care bundle for prevention of skin breakdown. Skin care bundle observational
checklist to assess nurses’ practices toward skin care bundle application. Results: A statistically
significant difference in nurses' knowledge and practices about the skin care bundle between pre and
post-protocol implementation was found. Conclusion: The study proved that; skincare bundle
protocol improved nurses’ practices toward prevention of skin breakdown. Recommendations:
Publication and dissemination of the skincare bundle protocol to improve nurses’ performance
toward skincare to prevent skin breakdown and decrease its complications.