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Evaluation of Nurses' Knowledge of Incontinence‐Associated Dermatitis Among Acute Care Nurses: A Multi‐Center Cross‐Sectional Study

Year: 2025
Type: article
Study design: Observational Study
Abstract: Aim: This study examined how well nurses across various acute care hospitals in Saudi Arabia understand and manage incontinence-associated dermatitis (IAD), shedding light on existing knowledge gaps and clinical practices. Methods: A descriptive, cross-sectional design was employed, with a total of 169 nurses recruited between January and July 2024. A psychometrically validated instrument, the Know-IAD tool was used in a self-administered online format to collect data and assess nurses' knowledge across three key dimensions: (i) causes and external contributing factors, (ii) classification and diagnosis, and (iii) prevention and management of IAD. Results: Overall, participants demonstrated a low level of understanding, with total scores falling below 70% in all domains. A considerable proportion of participants answered incorrectly on key factors such as skin inspection identifiers and the appropriate use of all-in-one large pads. An image depicting IAD Category 1B was correctly identified by 89 participants (52.6%), while 119 participants (70.4%) correctly identified Category 2/Stage 2 pressure injury. Furthermore, only about 50% of nurses responded correctly to the item on conducting skin inspections every 48 h for incontinent patients. Knowledge domain scores were significantly associated with qualification and area of work, and moderately correlated with age. Conclusion: The study recommends an urgent need for enhanced education, standardized protocols, and improved clinical practices to support accurate diagnosis, prevention, and optimal management of IAD in Saudi healthcare settings.
DOI: 10.1002/hsr2.71213
Language: English
Open Access status: gold
Estimated APC paid: $3,280
OpenAlex ID: W4413957178
FWCI:
Cites: 31
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Related to: 10