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Assessing Knowledge Among Endoscopy Nurses With Implementation of a Skin Tear Prevention Intervention.

Bethany Biardi1,2,3, Kari Johnson1,2,3, Ricketta Clark1,2,3

  • 1About the authors: Bethany Biardi, MSN, RN, CPN, CPAN, is a Perioperative Education Coordinator, HonorHealth Scottsdale Shea Medical Center Scottsdale, Arizona.

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Summary
This summary is machine-generated.

This study implemented a skin tear prevention protocol for elderly endoscopy patients, significantly improving nursing knowledge and reducing skin tears. The intervention demonstrated high effectiveness in a real-world clinical setting.

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Area of Science:

  • Geriatric Medicine
  • Nursing Practice
  • Quality Improvement

Background:

  • Elderly endoscopy patients (≥65 years) have high risk factors for skin tears.
  • Existing protocols for skin tear prevention in endoscopy are limited.
  • A need exists to improve nursing knowledge and practices for skin tear prevention in this demographic.

Purpose of the Study:

  • To design and implement an evidence-based skin tear prevention protocol for the endoscopy setting.
  • To evaluate the usability and effectiveness of the new protocol.
  • To assess the impact on endoscopy nurses' knowledge regarding skin tear prevention.

Main Methods:

  • A multidisciplinary team identified evidence-based skin tear prevention measures.
  • A pre/post-timed series survey design was employed.
  • A feasibility study measured nursing knowledge and satisfaction with the protocol over three months.

Main Results:

  • 537 at-risk elderly patients were identified over three months.
  • 911 skin tear prevention interventions were implemented by nurses.
  • An 88% increase in nursing knowledge and a 66% reduction in skin tears were observed.

Conclusions:

  • The developed protocol is effective in reducing skin tears among elderly endoscopy patients.
  • The intervention significantly enhanced nurses' knowledge and satisfaction with skin tear prevention.
  • This study supports the optimistic outlook for skin tear prevention in endoscopy settings.