{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T03:59:52Z","timestamp":1784260792833,"version":"3.55.0"},"reference-count":22,"publisher":"Mark Allen Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2024,6,20]]},"abstract":"<jats:sec><jats:title>Aims:<\/jats:title><jats:p> Skin breakdown is common in the intensive care unit (ICU). This pilot evaluation aimed to determine whether a nurse-constructed urinary catheter securement device using a silicone adhesive could reduce the complications of blistering and other skin breakdowns in a high-risk ICU population with Foley catheters. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design:<\/jats:title><jats:p> A prospective, non-randomised performance improvement study using a convenience sample was carried out. <\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and setting:<\/jats:title><jats:p> The study sample consisted of 29 patients with urethral Foley catheters and any degree of thigh oedema in a surgical ICU at an academic quarternary medical center. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Patients were fitted with a standard acrylic-adhesive catheter securement device on one thigh and a nurse-constructed device on the contralateral thigh. At the beginning of each 12-hour shift, the nurse moved the Foley catheter from one securement device to the other; the nurse recorded the assessment findings at the end of the shift. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> The average age of the 29 patients was 61\u00b116 (range 20\u201387) years. Visible skin compromise occurred in 21% of the time with the standard acrylic securement device; an equal percentage of men and women developed skin breakdown. Oedema status was a significant factor related to skin breakdown. There was no visible damage to the skin associated with the nurse-constructed silicone-adhesive device. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> A silicone adhesive urinary catheter securement device causes less skin damage than one with acrylic adhesive. One-step application, pain-free and atraumatic removal, and reliable securement are essential considerations in product development. <\/jats:p><\/jats:sec>","DOI":"10.12968\/bjon.2024.0157","type":"journal-article","created":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T16:43:54Z","timestamp":1718901834000},"page":"S20-S28","source":"Crossref","is-referenced-by-count":1,"title":["Skin integrity preservation using a nurse-constructed silicone adhesive Foley catheter"],"prefix":"10.12968","volume":"33","author":[{"given":"Cathleen T","family":"Van Houten","sequence":"first","affiliation":[{"name":"Program Manager, Inpatient Wound, Ostomy, and Continence Nursing, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie L","family":"Mann","sequence":"additional","affiliation":[{"name":"Nurse, Surgical Intensive Care Unit, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalya","family":"Misiti","sequence":"additional","affiliation":[{"name":"Nurse, Surgical Intensive Care Unit, Strong Memorial Hospital, University of Rochester Medical Center, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon W","family":"Qualls","sequence":"additional","affiliation":[{"name":"Research Scientist, Clinical Nursing Research Center, Strong Memorial Hospital, University of Rochester Medical Center; Research Associate, University of Rochester School of Nursing, Rochester, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-019-1678-2"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3389\/fcimb.2022.1010625"},{"issue":"12","key":"B4","first-page":"36","volume":"56","author":"Bell MA","year":"2010","journal-title":"Ostomy Wound Manage"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2022.31.Sup3a.S1"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1086\/651091"},{"issue":"3","key":"B9","first-page":"247","volume":"21","author":"Gray M","year":"2010","journal-title":"AACN Adv Crit Care"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e318276f2a4"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1054\/joon.2000.0074"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2013158"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03168.x"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2011.12.113"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1186\/cc2874"},{"key":"B16","doi-asserted-by":"publisher","DOI":"10.1177\/2051415817707156"},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000444646.43044.df"},{"key":"B18","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3182995516"},{"key":"B19","unstructured":"Nelson L, Carignan M. 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Indwelling urinary catheter securement: best practice for clinicians. 2012"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2024.0157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T16:44:38Z","timestamp":1718901878000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2024.0157"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,20]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,6,20]]}},"alternative-id":["10.12968\/bjon.2024.0157"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2024.0157","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,20]]}}}