{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:34:57Z","timestamp":1791311697688,"version":"4.3.1"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:label\/>\n                    <jats:p>Incontinence\u2010associated dermatitis poses a significant risk for sacral pressure injuries, infection and morbidity in healthcare settings. Despite the availability of best practice guidelines, implementation remains a challenge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To outline the implementation of a hospital\u2010wide programme using the Integrated Promoting Action on Research Implementation in Health Services framework to prevent and manage incontinence\u2010associated dermatitis and improve hospital\u2010acquired pressure injuries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This is an empirical research study using mixed methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The study, conducted across surgical, medical and critical care wards between June and October 2023, aimed to address knowledge gaps, enhance clinical practice and evaluate the effectiveness of interventions. The implementation strategy included education modules, engagement of staff through focus groups and targeted interventions such as individualised toileting plans and structured skin care regimens. Data collection involved audits, incident reporting and clinician knowledge surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Findings indicate a reduction in hospital\u2010acquired incontinence\u2010associated dermatitis and pressure injuries postimplementation, with observed improvements in clinician knowledge. However, challenges including workload, skill mix and resource limitations were identified as barriers to implementation. The sustainability and scalability of the programme were emphasised, with ongoing monitoring and evaluation essential for long\u2010term success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study underscores the importance of evidence\u2010based interventions, interdisciplinary collaboration and leadership support in improving patient outcomes and reducing healthcare costs associated with preventable skin injuries. Further research is needed to assess implementation in community settings and scale up interventions across healthcare networks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Analysing a hospital\u2010wide programme using the Integrated Promoting Action on Research Implementation in Health Service framework to prevent and manage incontinence\u2010associated dermatitis and improve hospital\u2010acquired pressure injuries, could help identify the challenges for delivering patient\u2010centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>To describe the implementation study, we referred to the StaRI Guideline.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      This intervention study was applied to the whole population and was therefore not a trial and did not require trial registration. The study was considered low risk and the Human Research Ethics Application (HREA) was approved\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16465","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T06:34:53Z","timestamp":1729751693000},"page":"7968-7977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Implementing a Hospital\u2010Wide Programme Using iPARiHS to Prevent and Manage Incontinence\u2010Associated Dermatitis and Improve Hospital\u2010Acquired Pressure Injuries"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9214-6642","authenticated-orcid":false,"given":"Samara","family":"Geering","sequence":"first","affiliation":[{"name":"South Western Sydney Nursing and Midwifery Research Alliance  Liverpool New South Wales Australia"},{"name":"South Western Sydney Local Health District (SWSLHD)  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research (Ingham Institute)  Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7138-5591","authenticated-orcid":false,"given":"Valerie","family":"Wilson","sequence":"additional","affiliation":[{"name":"South Western Sydney Nursing and Midwifery Research Alliance  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research (Ingham Institute)  Liverpool New South Wales Australia"},{"name":"University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leena","family":"Jacob","sequence":"additional","affiliation":[{"name":"South Western Sydney Local Health District (SWSLHD)  Liverpool New South Wales Australia"},{"name":"Bankstown\u2010Lidcombe Hospital  Bankstown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Macpherson","sequence":"additional","affiliation":[{"name":"South Western Sydney Local Health District (SWSLHD)  Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Melbourne","sequence":"additional","affiliation":[{"name":"South Western Sydney Nursing and Midwifery Research Alliance  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research (Ingham Institute)  Liverpool New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedbert","family":"Kohler","sequence":"additional","affiliation":[{"name":"South Western Sydney Local Health District (SWSLHD)  Liverpool New South Wales Australia"},{"name":"HammondCare  St Leonards New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8911-6856","authenticated-orcid":false,"given":"Josephine S. F.","family":"Chow","sequence":"additional","affiliation":[{"name":"South Western Sydney Nursing and Midwifery Research Alliance  Liverpool New South Wales Australia"},{"name":"South Western Sydney Local Health District (SWSLHD)  Liverpool New South Wales Australia"},{"name":"Ingham Institute for Applied Medical Research (Ingham Institute)  Liverpool New South Wales Australia"},{"name":"University of New South Wales  Sydney New South Wales Australia"},{"name":"Faculty of Medicine University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2020.10.002"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000837"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCQ.0000000000000395"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000846"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.21593"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD011627.pub2"},{"key":"e_1_2_13_8_1","volume-title":"The Ghent Global IAD Categorisation Tool","author":"Beeckman D.","year":"2017"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_13_10_1","first-page":"1742","article-title":"Incontinence\u2010Associated Dermatitis: A Cross\u2010Sectional Prevalence Study in the Australian Acute Care Hospital Setting","volume":"13","author":"Campbell J.","year":"2014","journal-title":"International Wound Journal"},{"key":"e_1_2_13_11_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. 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