We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Skin integrity preservation using a nurse-constructed silicone adhesive Foley catheter.
- Authors
Van Houten, Cathleen T; Mann, Carrie L; Misiti, Natalya; Qualls, Brandon W
- Abstract
Aims: Skin breakdown is common in the intensive care unit (ICU). This pilot evaluation aimed to determine whether a nurse-constructed urinary catheter securement device using a silicone adhesive could reduce the complications of blistering and other skin breakdowns in a high-risk ICU population with Foley catheters. Design: A prospective, non-randomised performance improvement study using a convenience sample was carried out. Subjects and setting: The study sample consisted of 29 patients with urethral Foley catheters and any degree of thigh oedema in a surgical ICU at an academic quarternary medical center. Methods: Patients were fitted with a standard acrylic-adhesive catheter securement device on one thigh and a nurse-constructed device on the contralateral thigh. At the beginning of each 12-hour shift, the nurse moved the Foley catheter from one securement device to the other; the nurse recorded the assessment findings at the end of the shift. Results: The average age of the 29 patients was 61±16 (range 20–87) years. Visible skin compromise occurred in 21% of the time with the standard acrylic securement device; an equal percentage of men and women developed skin breakdown. Oedema status was a significant factor related to skin breakdown. There was no visible damage to the skin associated with the nurse-constructed silicone-adhesive device. Conclusions: A silicone adhesive urinary catheter securement device causes less skin damage than one with acrylic adhesive. One-step application, pain-free and atraumatic removal, and reliable securement are essential considerations in product development.
- Subjects
BLISTERS; NURSES; RISK assessment; SILICONES; CRITICALLY ill; PATIENTS; ACADEMIC medical centers; T-test (Statistics); SKIN care; PILOT projects; STATISTICAL sampling; EDEMA; BLOOD vessels; SAMPLE size (Statistics); PRESERVATION of organs, tissues, etc.; URINARY catheters; NEW product development; CHI-squared test; DESCRIPTIVE statistics; LONGITUDINAL method; ADHESIVES; INTENSIVE care units; MEDICAL equipment; THIGH; COMPARATIVE studies; QUALITY assurance; DATA analysis software; PRESSURE ulcers; DISEASE risk factors
- Publication
British Journal of Nursing, 2024, Vol 33, Issue 12, pS20
- ISSN
0966-0461
- Publication type
Article
- DOI
10.12968/bjon.2024.0157