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Implementing best available evidence into practice for incontinence-associated dermatitis in Australia: A multisite
Michelle Barakat-Johnson1, Shifa Basjarahil2, Jayne Campbell3
1Executive Nursing and Midwifery Services, Sydney Local Health District, Level 11, King George V Building, Royal Prince Alfred Hospital, Missenden Road, Camperdown, New South Wales, 2050, Australia; Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, 88 Mallett Street, Camperdown, New South Wales, 2050, Australia; School of Nursing, Faculty of Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, 4059, Australia.
This study implements evidence-based guidelines for incontinence-associated dermatitis (IAD) care. The aim is to reduce IAD occurrences and improve patient outcomes through standardized care across multiple hospitals.
Area of Science:
- Healthcare Management
- Nursing Research
- Translational Science
Background:
- Incontinence-associated dermatitis (IAD) is a common, under-reported hospital complication impacting patient quality of life.
- Existing international guidelines and the Ghent Global IAD Categorisation Tool (GLOBIAD) offer evidence-based management strategies for IAD.
- Optimal management of IAD is crucial for preventing patient suffering and reducing healthcare costs.
Purpose of the Study:
- To implement the international IAD guideline and GLOBIAD tool across six Australian hospitals.
- To evaluate the impact of this implementation on IAD and sacral pressure injury prevalence.
- To assess patient, clinician, and cost-effectiveness outcomes associated with standardized IAD care.
Main Methods:
- A multi-method, three-phase (pre-implementation, implementation, post-implementation) study design over 19 months.
- Data collection includes IAD and pressure injury prevalence audits, clinician focus groups and surveys, patient interviews, and cost-of-care analysis.
- Involves hospitalised adults with incontinence and healthcare clinicians across five health districts.
Main Results:
- (Study ongoing - results to be determined upon completion of data collection and analysis.)
- The implementation of evidence-based practices aims to standardize IAD care.
- Anticipated outcomes include reduced IAD incidence and improved patient quality of life.
Conclusions:
- Implementing district-wide, evidence-based IAD practices using a translational approach standardizes care.
- This approach can be adapted to various healthcare settings, improving patient care quality.
- Stakeholder engagement and multi-level support are vital for project success, sustainability, and scalability.
