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J Tissue Viability. 2018 Nov;27(4):191-198. doi: 10.1016/j.jtv.2018.10.004. Epub 2018 Oct 25.

Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD) in adults: Design and pilot study in nursing home residents.

Author information

1
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium. Electronic address: Karen.VandenBussche@UGent.be.
2
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; Department Health Care, VIVES University College, Roeselare, Belgium. Electronic address: Sofie.Verhaeghe@UGent.be.
3
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; Nursing Department, Ghent University Hospital, Ghent, Belgium. Electronic address: Ann.VanHecke@UGent.be.
4
Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Belgium; School of Health Sciences, Örebro University, Sweden; School of Nursing and Midwifery, Royal College of Surgeons in Ireland, Ireland. Electronic address: Dimitri.Beeckman@UGent.be.

Abstract

STUDY AIM:

The aim of this study was to develop a Minimum Data Set for Incontinence-Associated Dermatitis (MDS-IAD), to psychometrically evaluate and pilot test the instrument in nursing homes. Comparable to the MDS for pressure ulcers, the MDS-IAD aims to collect epidemiological data and evaluate the quality of care.

MATERIALS AND METHODS:

After designing and content/face validation by experts and clinicians, staff nurses assessed 108 residents (75.9% female, 77.8% double incontinent) in a convenience sample of five wards. A second nurse independently assessed fifteen residents to calculate inter-rater agreement (p0) and reliability [Cohen's Kappa (ĸ)].

RESULTS:

The ĸ-value for 'urinary incontinence' was 0.68 [95% confidence interval (CI) 0.37-0.99] and 0.55 (95% CI 0.27-0.82) for 'faecal incontinence'. The p0 for severity categorisation according to the Ghent Global IAD Categorisation Tool (GLOBIAD) was 0.60. IAD was diagnosed in 21.3% of the residents. IAD management mainly involved the application of a leave-on product (66.7%), no-rinse foams (49.1%), toilet paper (47.9%), and water and soap (38.8%). Fully adequate prevention or treatment was provided to respectively 3.6% and 8.7% of the residents.

CONCLUSION:

This instrument provides valuable insights in IAD prevalence at organisational level, will allow benchmarking between organisations, and will support policy makers. Future testing in other healthcare settings is recommended.

KEYWORDS:

Incontinence-associated dermatitis; Minimum data set; Nursing home; Prevalence; Reliability

PMID:
30389338
DOI:
10.1016/j.jtv.2018.10.004
[Indexed for MEDLINE]

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