{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T14:03:00Z","timestamp":1788357780497,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The study aimed to evaluate the effect of an intervention on the prevalence and severity of incontinence\u2010associated dermatitis (IAD) in six hospitals in one state in Australia. This quasi\u2010experimental pre\u2010and post\u2010study,\u00a0conducted in 18 wards, was part of a larger implementation science study on incontinence\u2010associated dermatitis. Skin and incontinence assessments were conducted on patients during February and March 2020 (pre\u2010intervention) and July and August 2021 (post\u2010intervention). The intervention comprised continence assessment and management, an education brochure for patients, family and caregivers on IAD, the Ghent Global IAD Categorisation Tool (GLOBIAD) and a skin care regime with patient skin protection measures (three\u2010in\u2010one barrier cream cloths, minimisation of bed protection layers, use of appropriate continence aid). A total of 1897 patients were assessed (pre\u2010intervention\u2009=\u2009964, post\u2010intervention\u2009=\u2009933). A total of 343 (35.6%) pre\u2010intervention patients and 351 (37.6%) post\u2010intervention patients had incontinence. The prevalence of hospital\u2010acquired IAD was 6.71% in the pre\u2010intervention group and 4.27% in the post\u2010intervention group; a reduction of 36.3% (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.159) despite higher patient acuity, prevalence of double incontinence and the COVID\u201019 pandemic in the post\u2010intervention group compared with the pre\u2010intervention group. Our multisite best practice IAD prevention and treatment intervention was able to reduce the prevalence and severity of hospital\u2010acquired IAD, suggesting enduring effectiveness of the intervention.\n                  <\/jats:p>","DOI":"10.1111\/iwj.14936","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T06:50:37Z","timestamp":1718866237000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Impact of an evidence\u2010based bundle on incontinence\u2010associated dermatitis prevalence in hospital patients: A quasi\u2010experimental translational study"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7764-4515","authenticated-orcid":false,"given":"Michelle","family":"Barakat\u2010Johnson","sequence":"first","affiliation":[{"name":"Executive Nursing and Midwifery Services Sydney Local Health District  Sydney Australia"},{"name":"Susan Wakil 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Sutherland Hospital, Nursing and Midwifery Services South Eastern Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayne","family":"Campbell","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Services Hunter New England Local Health District  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Cunich","sequence":"additional","affiliation":[{"name":"Charles Perkins Centre, Sydney School of Medicine (Central Clinical School), Faculty of Medicine and Health The University of Sydney  Sydney Australia"},{"name":"Sydney Health Economics Collaborative Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Disher","sequence":"additional","affiliation":[{"name":"Strategic Reform and Planning Branch New South Wales Ministry of Health  Sydney 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Royal Prince Alfred Hospital Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"McClure","sequence":"additional","affiliation":[{"name":"Aged and Chronic Care and Rehabilitation Services Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"O'Grady","sequence":"additional","affiliation":[{"name":"Nursing and Midwifery Services, Concord Repatriation General Hospital Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Walsh","sequence":"additional","affiliation":[{"name":"The Sutherland Hospital, Nursing and Midwifery Services South Eastern Sydney Local Health District  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"White","sequence":"additional","affiliation":[{"name":"Executive Nursing and Midwifery Services Sydney Local Health District  Sydney Australia"},{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health The University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Coyer","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Social Work The University of Queensland  Brisbane Australia"},{"name":"Institute of Skin Integrity and Infection Prevention The University of Huddersfield  Huddersfield 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