Prevent Medical Device-Related Pressure Injury

NCT ID: NCT06563830

Last Updated: 2024-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-11-01

Study Completion Date

2026-12-30

Brief Summary

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Medical Device-Related Pressure Injury (MDRPI) is a localized skin and/or subcutaneous tissue injury that occurs due to the pressure exerted by devices used for diagnostic or therapeutic purposes, taking the form of the medical device used. Medical device-related pressure injuries are an important adverse event with a high incidence and prevalence both in our country and in the world, accounting for more than 30% of hospital-related injuries. Medical device-related pressure injury significantly affects the quality of life of patients, but also negatively affects the cost of care for both the patient and providers. Although the most important task in preventing medical device-related pressure injuries falls on nurses, it is quite noticeable that nurses' knowledge levels of MDRPI are low in the studies conducted. MDRPI is an important issue that is ignored in nursing education and work areas in our country. In order to prevent pressure injuries associated with medical devices, it is necessary to invest more in early detection of MDRPI and improving the quality of care, studies including MDRPI risk assessment and reporting strategies are needed. In the project to be carried out in this context, it is aimed to evaluate the impact of training applied to nurses to prevent MDRPI.

Detailed Description

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Medical Device-Related Pressure Injury account for more than 30% of hospital-related injuries and their incidence has been increasing steadily in recent years. According to the meta-analysis studies (n:126.150 ) the pooled incidence of MDRPI was found to be 12% (95% Cl 8-18) and the pooled prevalence of MDRPIwas found to be 10% (95% Cl 6-16). As can be seen, MDRPI is an important adverse event with a high incidence and prevalence in the world. Despite this, it is known that the MDRPI risk assessment and reporting system is used only in developed countries such as the United Kingdom, the USA and Canada on a limited basis. Medical device-related pressure injury significantly affects the quality of life of patients, but also negatively affects the cost of care for both the patient and providers. Although the incidence rate of MDRPI is high, the fact that nurses have a low level of MDRPI knowledge draws attention to the importance that should be shown to this issue. In the studies conducted, it is emphasized that in order to prevent MDRPI, more investments should be made in early detection of MDRPI and improvement of the quality of care, and studies including MDRPI risk assessment and reporting strategies are needed.

MDRPI is an important issue that is ignored in nursing education and work areas. The most important task in preventing The most important task in preventing TCIBI falls on nurses. Because patients who are at risk for the development of MDRPI need to be closely monitored continuously and prevention initiatives are needed. In this context, it is extremely important for nurses to have knowledge about the subject and to have up-to-date and evidence-based information in order to prevent MDRPI. However, when the literature is examined, it is seen that the studies measuring nurses' MDRPI knowledge are limited. In the studies conducted, it was found that nurses' knowledge levels about MDRPI were low falls on nurses. Because patients who are at risk for the development of MDRPI need to be closely monitored continuously and prevention initiatives are needed. In this context, it is extremely important for nurses to have knowledge about the subject and to have up-to-date and evidence-based information in order to prevent MDRPI. However, when the literature is examined, it is seen that the studies measuring nurses' MDRPI knowledge are limited. In the studies conducted, it was found that nurses' knowledge levels about MDRPI were low. Although its prevalence is high, education, risk assessment, reporting, prevention strategies about MDRPI are very inadequate and evidence-based studies are needed.

In this study, it was aimed to evaluate the effect of training applied to nurses to prevent MDRPI The hypotheses of the study:

H1: The MDRPI knowledge level of nurses is low before the training application.

H2: The incidence of MDRPI is high before the training application.

H03: There is no Deciency between the knowledge levels of nurses before and after the training application.

H4: Training application increases the knowledge level of nurses about MDRPI.

H5: Training application reduces the incidence of MDRPI.

H6: As the level of knowledge of MDRPI of nurses increases, the incidence of MDRPI also increases.

Conditions

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Medical Device Site Injury Pressure Injury

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

It is planned to conduct the study as a semi-experimental, single-group pre-test-post-test.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

The three months incidence of medical device-related pressure injuries of patients admitted to intensive care before and after the training will be examined. At this stage, it will be conducted by two independent observers. Simultaneous monitoring will be carried out during the first week, and the harmony between the observers will be evaluated by a third party, and it will be ensured that the observations are measured Decently with the same standard. However, the bias will be reduced by having different people enter the data of the research and analyze the data.

Study Groups

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Evaluation of MRRPI knowledge and attitude levels of nurses

Before the training application, the effectiveness of the training application will be evaluated by applying pre-test and training application followed by two patients and intermittent post-test after three months.

Group Type OTHER

educational application

Intervention Type OTHER

The content of the training to be applied to nurses will include: definition of MDRPI, etiology, prevalence and cost, staging, risk factors, nursing initiatives to be implemented to prevent MDRPI.

Interventions

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educational application

The content of the training to be applied to nurses will include: definition of MDRPI, etiology, prevalence and cost, staging, risk factors, nursing initiatives to be implemented to prevent MDRPI.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Criteria for inclusion of nurses:

-Volunteer

Criteria for inclusion of patients:

* Volunteer
* Who has been hospitalized in intensive care for at least 24 hours
* Do not have a pressure injury during admission to intensive care

Exclusion Criteria

-Do not volunteer

Criteria for inclusion of patients:

* Do not volunteer
* Was admitted to intensive care in less than 24 hours and transferred
* Patients with pressure injuries during admission to intensive care
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tepecik Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zilan BARAN

Nurse

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Zilan Baran, PhD

Role: CONTACT

05061378002

References

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Kucukkelepce GE, Karaca T, Ozkan SA. The attitude towards Medical Device-Related Pressure Injuries Questionnaire: a Turkish validity and reliability study. Wound Manag Prev. 2023 Nov;69(4):10-17. doi: 10.25270/wmp.22099.

Reference Type BACKGROUND
PMID: 38090951 (View on PubMed)

Baran Z, Ozden D. Retrospective investigation of pressure injury in COVID-19 patients followed on invasive mechanical ventilator support. J Tissue Viability. 2024 Feb;33(1):144-149. doi: 10.1016/j.jtv.2023.10.001. Epub 2023 Oct 11.

Reference Type RESULT
PMID: 38184472 (View on PubMed)

Baran, Z., & Özden, D. (2024). Tıbbi Cihaz İlişkili Basınç Yaralanması Bilgi Ölçeği'nin Türkçe Geçerlik ve Güvenirlik Çalışması. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 9(1), 73-80. https://doi.org/10.61399/ikcusbfd.1356400

Reference Type RESULT

Related Links

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Other Identifiers

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Dokuz Eylul University NURSING

Identifier Type: -

Identifier Source: org_study_id

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