Espirito Santo A, Choquette A, et al.
International journal of evidence-based healthcare. Date of publication 2013 Jun 1;volume 11(2):121-7.
1. Int J Evid Based Healthc. 2013 Jun;11(2):121-7. doi: 10.1111/1744-1609.12019.
Experience of adapting and implementing an evidence-based nursing guideline for
prevention of diaper dermatitis in a paediatric oncology setting.
Espirito Santo A(1), Choquette A.
Author information:
(1)Department of Hematology-Oncology, The Montreal Children's Hospital of the
MUHC, Montreal, Quebec, Canada. anelise.espiritosanto@muhc.mcgill.ca
BACKGROUND: Diaper dermatitis is one of the most common skin problems in
children often caused by irritants that promote skin breakdown, such as moisture
and faecal enzymes. It has been estimated that the incidence of diaper
dermatitis is as high as 50% in children receiving chemotherapy. The scientific
literature suggests a variety of preventative measures, but only a minority are
systematically tested and supported by clinical evidence.
AIM: The purpose of this paper is to adapt and implement a skincare guideline to
better prevent diaper dermatitis in the paediatric oncology population.
METHODS: The Knowledge to Action process was used to guide the adaptation and
implementation of the new guideline. As part of this process, different tools
were used to identify and review selected knowledge (Appraisal of Guidelines
Research Evaluation instrument), to tailor and adapt knowledge to the local
context (ADAPTE process), to implement interventions (Registered Nurses'
Association of Ontario toolkit) and to evaluate outcomes (qualitative analysis).
The main outcomes measured included implementation of the guideline and nursing
practice change.
RESULTS: The guideline was successfully implemented as reported by nurses in
focus group sessions and as measured by changes in nursing documentation.
CONCLUSION: The implementation of the guideline was successful on the account of
the interplay of three core elements: The level and nature of the evidence; the
context in which the research was placed; the method in which the process was
facilitated.
© 2013 The Authors. International Journal of Evidence-Based Healthcare © 2013
The Joanna Briggs Institute.
DOI: 10.1111/1744-1609.12019
PMID: 23750575 [Indexed for MEDLINE]
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