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Updated: Feb 11, 2026
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Recognition of Epidermal Transglutaminase by IgA and Tissue Transglutaminase 2 Antibodies in a Rare Case of Rhesus Dermatitis
Published on: December 15, 2011
25.1K
Incontinence-Associated Dermatitis and Intertriginous Dermatitis as Nurse-Sensitive Quality Indicators: A Delphi
Mary Arnold-Long1, Kevin Emmons, John D Chovan
1Mary Arnold-Long, DNP, APRN, CRRN, CWOCN-AP, ACNS-BC, Roper Hospital, Charleston, South Carolina. Kevin Emmons, DrNP, APN, AGPCNP-BC, CWCN, Rutgers Camden University, Camden, New Jersey. John D. Chovan, PhD, DNP, RN, CNP, CNS, PMHNP-BC, PMHCNS-BC/Adult, ACHPN, Otterbein University, Westerville, Ohio.
Summary
Experts agreed on collecting incontinence-associated dermatitis (IAD) data but not intertriginous dermatitis (ITD) data. Neither IAD nor ITD data were agreed upon for inclusion in the National Database of Nursing Quality Indicators (NDNQI).
Area of Science:
- Nursing Quality Indicators
- Epidemiology
- Dermatology
Background:
- Moisture-associated skin damage (MASD) includes incontinence-associated dermatitis (IAD) and intertriginous dermatitis (ITD).
- Standardized data collection is crucial for quality care assessment.
- The National Database of Nursing Quality Indicators (NDNQI) aims to track nursing-sensitive quality indicators.
Purpose of the Study:
- To determine expert consensus on collecting epidemiologic data for IAD and ITD.
- To assess expert agreement on incorporating IAD and ITD data into the NDNQI.
Main Methods:
- Modified Delphi technique with three rounds of questionnaires.
- Involved 50 identified experts, with 11-17 participants completing the final rounds.
- Consensus defined as 80% or more agreement; data analyzed using descriptive and content analysis.
Main Results:
- Consensus was reached that facilities should regularly collect IAD prevalence or incidence data.
- Consensus was not achieved for regularly collecting ITD prevalence or incidence data.
- Panelists did not reach consensus on incorporating IAD or ITD data into the NDNQI.
Conclusions:
- Expert consensus supports routine IAD data collection but not ITD data collection.
- There is no expert consensus to include IAD or ITD data in the NDNQI.
- Further research on ITD is needed to establish benchmarks for quality care indicators.
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