Effect of Skincare Bundle Protocol on nurses’ Performance Regarding Prevention of Skin Breakdown

Document Type : Original Article

Authors

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

Abstract

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 tool I: Nurses’ knowledge toward skin care bundle for
prevention of skin breakdown. Tool II: 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.

Keywords