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.

Prevent Medical Device-Related Pressure Injury

Medical Device Site Injury

Pressure Injury

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.

educational application

Evaluation of the Training Applied to Nurses Prevent Medical Device-Related Pressure Injury

The incidence of patients hospitalized in intensive care will be determined first in the
study. For this purpose, patients will be observed at the same time every day during
their stay in intensive care. The researcher will fill out the "MDRPI Daily Follow-up
Form" for each patient who meets the inclusion criteria during hospitalization. This form
has been created by the researchers in accordance with the literature information. 10
Expert opinions will be submitted before the study is carried out.

The incidence of patients hospitalized in intensive care will be determined first in the
study. For this purpose, patients will be observed at the same time every day during
their stay in intensive care. If the resulting injury develops, the "Medical
Device-Related Pressure Injury Registration Form" will be used and patient monitoring
will be continued for wound monitoring and other injuries. Medical Device-Related
Pressure Injury Registration Form: It has been created by the researchers in accordance
with the literature information. 10 Expert opinions will be submitted before the study is
carried out.

Pre-test application will be made with the "MDRPI Knowledge Scale" to determine the level
of knowledge and attitude of nurses related to medical device pressure injury before
training. Medical Device-related Pressure Injury Information Scale: The Confirmatory
Factor Analysis (CFA) fit indices of the scale consisting of five sub-dimensions with
Exploratory Factor Analysis (EFA) were determined as x2= 1.84; RMSEA= 0.05; CFI= 0.91;
GFI= 0.92; AGFI= 0.90; RFI= 0.89. In addition, the total Cronbach alpha coefficient of
the scale was found to be 0.798 and the test-retest score was 0.94. The lowest score that
can be taken from the scale is 0 and the highest score is 25. The increase in the score
indicates that the level of knowledge of TCIBY of nurses has increased.

Pre-test application will be made with "The Attidute Towards Medical Device Related
Pressure Injuries" to determine the level of attitude of nurses related to medical device
pressure injury before training. Preventing Medical Device-Related Pressure Injury: The
Scope Validity Index of the questionnaire was found to be 98.03%, the Cronbach α value
was 0.92 and the test-retest score was 0.874. The lowest score that can be obtained is
11, the highest score is 55, and the high score indicates a positive attitude towards the
care and prevention of pressure injuries associated with a medical vehicle. 11 to 25
points, indicates a negative attitude towards the care and prevention of medical
vehicle-related pressure injuries, a neutral attitude of 26 to 40 points, and a positive
attitude of 41 to 55 points.

Nurse

In order to determine the effectiveness of the training applied to nurses, the MDRPI
incidence of the patients will be determined after the training and compared with the
first trimester incidence. For this purpose, patients will be observed at the same time
every day during their stay in intensive care. If the resulting injury develops, the
"Medical Device-Related Pressure Injury Registration Form" will be used and patient
monitoring will be continued for wound monitoring and other injuries.

Medical Device-Related Pressure Injury Registration Form: It has been created by the
researchers in accordance with the literature information. 10 Expert opinions will be
submitted before the study is carried out.

In order to determine the effectiveness of the training applied to nurses, the MDRPI
incidence of the patients will be determined after the training and compared with the
first trimester incidence. For this purpose, patients will be observed at the same time
every day during their stay in intensive care. The researcher will fill out the "Medical
Device-Related Pressure Injury Daily Follow-up Form" for each patient who meets the
inclusion criteria during hospitalization.

Medical Device-Related Pressure Injury Follow-up Form It has been created by the
researchers in accordance with the literature information. 10 Expert opinions will be
submitted before the study is carried out.

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.

Prevent Medical Device-Related Pressure Injury

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Trial Timing

What is this trial about?

What are the participation requirements?