Facilitating neonatal MARSI evidence into practice: investigating multimedia resources with Australian neonatal nurses – a participatory action research project

August, Deanne and Chapple, Lynette and Flint, Andrea and Macey, Judith and Ng, Linda ORCID: https://orcid.org/0000-0002-6155-7625 and New, Karen (2021) Facilitating neonatal MARSI evidence into practice: investigating multimedia resources with Australian neonatal nurses – a participatory action research project. Journal of Neonatal Nursing, 27. pp. 291-297. ISSN 1355-1841


Abstract

Background
Medical adhesive-related skin injuries (MARSI) are common in hospitalised neonates.

Aims
To (i) identify adhesives and removal techniques, (ii) develop and distribute neonatal MARSI resources, and (iii) evaluate the resources.

Methods
A participatory action research cycle was conducted from 2017 to 2019 to identify practices and recommendations, establish MARSI elements, develop and evaluate resources with Australian Neonatal Nurses.

Results
Twenty-three different adhesives, six peer-reviewed publications and 18 product information sources were reviewed. A poster with adhesive base and top layers, application and removal recommendations outlined, and 10 video tutorials were produced. Survey responses from 223 nurses revealed the definition of MARSI and risks were poorly known. Resource awareness was limited despite widespread promotion but were reported as useful.

Conclusions
To address neonatal MARSI, nursing clinicians need to understand adhesive base layers. Quick reference resources are now available but further evaluation is needed on MARSI and evidence utilisation in neonatal practice.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version, in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery (1 Jan 2015 -)
Date Deposited: 08 Jun 2021 06:26
Last Modified: 12 Jul 2021 01:28
Uncontrolled Keywords: medical adhesive-related skin injuries, MARSI, epidermal stripping, adhesives, tape, securement, multimedia, neonates Nursing
Fields of Research (2008): 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Fields of Research (2020): 42 HEALTH SCIENCES > 4205 Nursing > 420501 Acute care
Identification Number or DOI: https://doi.org/10.1016/j.jnn.2020.12.001
URI: http://eprints.usq.edu.au/id/eprint/42167

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