A resource for the prevention and management of incontinence-associated dermatitis

Background: Incontinence-associated dermatitis (IAD) is skin damage that occurs from repeated exposure to urine and/or feces. Research has shown that this condition can have significant implications for clients and the healthcare system (Beeckman, 2016). Informal discussions with a wound care consultant identified that the Central Health Authority in Newfoundland and Labrador does not have a dedicated educational resource for nursing staff related to the prevention and management of IAD. Purpose: To develop a resource for all nursing staff to help with the prevention and management of IAD across all settings of Central Health. Methods: A literature review was conducted to: determine if evidence existed to support the need for an IAD resource to inform nursing staff; determine the level of knowledge nurses have related to IAD; identify content for the resource, such as risk factors, IAD implications and best practice guidelines around IAD; and examine effective methods for knowledge mobilization to nursing staff. An environmental scan was conducted to identify existing educational resources related to IAD across the country. Finally, consultations included surveying nursing staff who provide direct client care in the long-term care and acute care settings and interviewing wound care consultants within Central Health. Results: The evidence supported the need for an educational resource related to IAD knowledge for nursing staff. Findings from the environmental scan and consultations informed the content and method of delivery of the IAD resource developed for the project. A comprehensive toolkit was developed to assist in meeting the identified educational needs of nursing staff when caring for clients who are at risk for or have developed IAD. Conclusion: The creation of the toolkit is expected to enhance the knowledge of nursing staff regarding IAD. With the eventual implementation of the toolkit, it is expected that there will be improved care client outcomes related to IAD