TABLE 3.
Knowledge of ICU nurses about MDRPI
| Items | Accuracy (%) |
|---|---|
| Concept and staging | |
| 1. MDRPIs are pressure injuries caused by medical devices instead of non‐medical devices (eg, mobile phones, pens, etc.). a | 35.2 |
| 2. International pressure injury classification stages (eg, Stage I, Stage II) are used to categorise MDRPI that develop on the mucous membranes. a | 20.3 |
| Risk assessment | |
| 3. All patients using medical devices are at risk of developing MDRPIs. | 88.5 |
| 4. Critical patients, newborns, and the elderly are the high‐risk groups for MDRPIs. | 98.1 |
| 5. Risk assessment for MDRPIs should be completed for each patient within 12 hours of admission. a | 32.6 |
| Selection and suitability of medical devices | |
| 6. The selection of medical devices should follow the manufacturer's recommendations. | 37.2 |
| 7. The appropriate medical device with the right size should be chosen for the patient to avoid MDRPIs. | 97.3 |
| 8. Medical device should be tightly fixed to avoid displacement. a | 9.6 |
| 9. For patients requiring mechanical ventilation, a softer tracheal tube may reduce the incidence of MDRPIs. | 87.7 |
| 10. For patients with cervical spine injuries, a neck brace needs to be worn until healing occurs. a | 60.2 |
| 11. Alternating oxygen administration with a face mask and nasal plugs, while ensuring safety, can reduce nasal and facial pressure injuries during oxygen therapy in neonates, children, and adults. | 88.9 |
| 12. The bridging method or elevated platform bridging method is used to fix the pipeline to reduce the occurrence of pressure damage. | 98.9 |
| 13. The indwelling urinary catheter should be placed under the patient's leg. a | 69.7 |
| Application of dressings | |
| 14. A foam dressing placed between the non‐invasive ventilation mask and the skin can reduce pressure. | 93.1 |
| 15. The device needs to be moved daily to assess the skin, and prophylactic dressings are selected that can be moved repeatedly and removed without damaging the skin. | 83.5 |
| 16. If the prophylactic dressing is broken, displaced, loose, or too wet, the dressing should be replaced and the skin reassessed. | 76.2 |
| 17. Multi‐layer prophylactic dressings are more effective in reducing pressure and should be placed under medical‐device to prevent the occurrence of MDRPIs. a | 53.3 |
| 18. Prophylactic placement of a hydrocolloid dressing on the skin at the site of pressure caused by the tracheotomy tube fixation belt reduces the incidence of MDRPIs. | 89.7 |
| 19. Hydrosol dressings are superior to foam dressings in the prevention of MDRPIs. a | 11.1 |
| Skin assessment | |
| 20. A comprehensive skin assessment should be performed and documented for each patient within 12 hours of admission. a | 25.7 |
| 21. Patients at risk for skin injury should be evaluated daily and closely monitored for skin or mucosal compression, especially skin at the bony augmentation site, and skin or mucosa in contact with and around medical devices. | 96.9 |
| 22. To avoid the occurrence of MDRPIs, the skin under and around the medical device should be checked at least once a day. a | 14.9 |
| 23. For patients with generalised edema, the skin under and around the medical device should be checked twice daily to avoid MDRPIs. a | 19.2 |
| Skin care | |
| 24. The skin under the medical device should be maintained clean and dry. | 89.7 |
| 25. Alkaline skin cleanser can be used to wash the skin. a | 57.5 |
| 26. It is important that skin at risk of pressure damage should not be massaged or vigorously scrubbed. | 92.0 |
a
Shows incorrect statement.