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Evidence-based practice in the use of incontinence-associated dermatitis in ICU / 中国实用护理杂志
Article en Zh | WPRIM | ID: wpr-497841
Biblioteca responsable: WPRO
ABSTRACT
Objective To formulate standardized procedure of incontinence-associated dermatitis (IAD) in ICU and evaluate the outcomes.Methods The standardized procedure of IAD,including training program,risk assessment workflow,grading intervention process and physician-nurse communication style,was formulated based on the best evidences combined with the experience of clinical team and patients needs.Then,IAD standardized procedure was applied to the quality improvement project of ICU,and the incidence and severity degrees of IAD were evaluated.Results The total incidence of IAD was on the decline before,during and after improvement,22.43%(96/428),16.06%(71/442),13.90%(51/367),the difference was statistically significant (x2=11.06,P< 0.01).The incidence of severe IAD was 2.57% (11/428),0.45% (2/442),0.27%(1/367) before,during and after improvement,the difference was statistically significant (x2=11.67,P<0.01).The incidence of fungal infection was 5.14% (22/428),2.04% (9/442),1.63% (6/367) before,during and after improvement,the difference was statistically significant (x2=10.53,P < 0.01).Conclusions Application of evidence-based practice with specification of IAD,can improve nursing quality and promote patient safety.
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Texto completo: 1 Base de datos: WPRIM Tipo de estudio: Risk_factors_studies Aspecto: Implementation_research Idioma: Zh Revista: Chinese Journal of Practical Nursing Año: 2016 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Tipo de estudio: Risk_factors_studies Aspecto: Implementation_research Idioma: Zh Revista: Chinese Journal of Practical Nursing Año: 2016 Tipo del documento: Article