Understanding the Relationship Between Chinese Nurses' Attitudes Toward Incontinence-Related Dermatitis and...

Area of Science:

• Nursing Research
• Dermatology
• Healthcare Management

Background:

• Incontinence-associated dermatitis (IAD) presents a significant clinical challenge for nurses.
• Nurses' preventive attitudes towards IAD are crucial for its management.
• Previous research has overlooked the heterogeneity in nurses' attitudes towards IAD prevention.

Purpose of the Study:

• To investigate heterogeneity in clinical nurses' preventive attitudes towards IAD using a person-centered approach.
• To identify factors influencing these attitudes across different subgroups.
• To explore the relationship between attitude profiles and achievement motivation using Self-Determination Theory (SDT).

Main Methods:

• A study involving 1058 clinical nurses from a tertiary hospital in Fujian, China.
• Utilized general information questionnaire, Attitude Toward the Prevention of Incontinence-Associated Dermatitis Instrument, and Achievement Motivation Scale.
• Employed latent profile analysis (LPA) to identify attitude profiles, with t-tests, chi-square, and logistic regression for factor analysis.

Main Results:

• Two distinct subgroups of nurses' attitudes towards IAD prevention were identified: low-level (63.42%) and high-level, low-personal-responsibility (36.57%).
• A significant correlation was found between preventive attitudes and achievement motivation (success vs. failure avoidance).
• Influencing factors included position, department, training, work atmosphere satisfaction, and achievement motivation scores.

Conclusions:

• Significant heterogeneity exists in nurses' attitudes towards IAD prevention.
• Positive attitudes correlate with success-driven motivation, while negative attitudes correlate with failure-avoidance.
• Targeted management strategies addressing individual motivational profiles are recommended to enhance preventive attitudes and reduce IAD incidence.