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

Article

August, Deanne, Chapple, Lynette, Flint, Andrea, Macey, Judith, Ng, Linda 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. https://doi.org/10.1016/j.jnn.2020.12.001
Article Title

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

ERA Journal ID36447
Article CategoryArticle
AuthorsAugust, Deanne (Author), Chapple, Lynette (Author), Flint, Andrea (Author), Macey, Judith (Author), Ng, Linda (Author) and New, Karen (Author)
Journal TitleJournal of Neonatal Nursing
Journal Citation27, pp. 291-297
Number of Pages7
Year2021
Place of PublicationUnited Kingdom
ISSN1355-1841
1878-089X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jnn.2020.12.001
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.

Keywordsmedical adhesive-related skin injuries, MARSI, epidermal stripping, adhesives, tape, securement, multimedia, neonates Nursing
ANZSRC Field of Research 2020420501. Acute care
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Byline AffiliationsGriffith University
Department of Health, Queensland
Mater Group, Australia
School of Nursing and Midwifery
University of Queensland
Institution of OriginUniversity of Southern Queensland
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