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Beginning at the bottom: evidence-based care of diaper dermatitis

Lauren M Heimall1, Beth Storey, Judith J Stellar

  • 1Newborn/Infant Intensive Care Unit, The Children's Hospital of Philadelphia, Philadelphia, PA, USA. heimalll@email.chop.edu

MCN. the American Journal of Maternal Child Nursing
|November 11, 2011
PubMed

Insights

Diaper dermatitis (DD) affects many children. This study established an evidence-based approach for consistent prevention and treatment of diaper dermatitis, improving nursing care and patient outcomes.

Area of Science:

  • Pediatric Nursing
  • Dermatology
  • Evidence-Based Practice

Background:

  • Diaper dermatitis (DD) is a prevalent pediatric skin condition.
  • Inconsistent and non-evidence-based nursing practices contribute to high DD prevalence.
  • A 2008 study found 24% of inpatients had DD, highlighting the need for improvement.

Purpose of the Study:

  • To develop a consistent, evidence-based approach for preventing and treating diaper dermatitis.
  • To update nursing standards and product availability for perineal skin care.
  • To improve nursing practices and patient outcomes related to DD.

Main Methods:

  • Conducted a comprehensive literature review.
  • Benchmarked practices with other pediatric hospitals.
  • Consulted topic experts and evaluated current nursing practices.
  • Revised the existing perineal skin care nursing standard.

Main Results:

  • Evidence supports frequent diaper changes, super absorbent diapers, and skin protectants (petrolatum/zinc oxide).
  • Revised standard incorporated evidence-based practices and updated product recommendations.
  • Hospital-wide implementation included training "Skin Care Champions".

Conclusions:

  • A revised, evidence-based nursing standard can improve diaper dermatitis prevention and treatment.
  • Ongoing education and monitoring by "Skin Care Champions" are crucial for sustained improvement.
  • Consistent application of best practices leads to better patient outcomes in pediatric skin care.

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