{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T07:17:45Z","timestamp":1764314265709,"version":"3.46.0"},"reference-count":27,"publisher":"Korean Society of Biological Nursing Science","issue":"4","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["jkbns.org"],"crossmark-restriction":true},"short-container-title":["J Korean Biol Nurs Sci"],"published-print":{"date-parts":[[2025,11,30]]},"abstract":"<jats:p>Purpose: This descriptive survey aimed to identify factors influencing home health care advanced practice nurses\u2019 ability to visually differentiate between pressure injuries (PIs) and incontinence-associated dermatitis (IAD). Methods: The study included 157 home health care advanced practice nurses currently employed at medical institutions nationwide. Data were collected from July 20 to November 5, 2024. Instruments consisted of a PI-IAD knowledge assessment tool (19 items) and a PI-IAD visual differentiation evaluation tool (21 images and related information). Results: Participants achieved an average score of 14.86 \u00b1 2.06 out of 19 on the PI-IAD knowledge scale. The mean score for visual differentiation ability was 13.20 \u00b1 4.15 out of 21. A significant positive correlation was found between PI-IAD knowledge and visual differentiation ability (r = .52, p &lt; .001). Multiple regression analysis identified PI-IAD knowledge, age under 40 years, clinical experience of 10~20, 20~30, or over 30 years, and employment in clinics or general hospitals as significant predictors of visual differentiation ability. These variables explained 39% of the variance (F = 8.81, p &lt; .001). Conclusion: Home health care advanced practice nurses demonstrated difficulty visually distinguishing between pressure injury stages and IAD. Therefore, practice-based educational programs are needed to improve anatomical understanding and visual discrimination skills.<\/jats:p>","DOI":"10.7586\/jkbns.25.058","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T07:33:22Z","timestamp":1763451202000},"page":"640-649","update-policy":"https:\/\/doi.org\/10.7586\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Home health care advanced practice nurses\u2019 ability to visually differentiate pressure injuries and incontinence-associated dermatitis in Korea: a cross-sectional 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