The objective was to investigate the result of using facial medical device in nursing unit and the cause of Medical Device Related Pressure Injury(MDRPIs). By flipped thinking to stimulate brainstorming of nursing staffs on the MDRPIs, in contrast to the traditional to the traditional medical care model, the new preventive design against skin contusion and an innovative interactive education to improve personnel's awareness of behaviors leading to MDRPIs from facial, in order to improve patient comfort and satisfaction.
Methods:
In this study, the intensive care unit of an internal medicine department of a medical center in Southern Taiwan was selected as a small research subject to retrospectively analyze a total of 13 incidents of MDRPIs of faical from January 1 to August 31, 2018. The counter-strategy would be drafted as follows: (1) Innovative design of pressure-proof material from facial; (2) Drafting of manual and schematic illustration for prevention of MDRPIs from facial; (3) Organization of interactive operational education course based on flipped thinking; and (4) Drafting and revising the standard and checklist against.
Results:
The follow-up on the result of this study from June 1 to September 30, 2018, showed two incidents of MDRPIs from facial. The cognitive capability of the professional nursing staff had increased from 54 points to 89 points. The patient's satisfaction toward nursing staff was increased from 58% to 98%. The patients showed 100% satisfaction to the comfort of wearing medical device.
Conclusion:
From the perspective of a nursing professionalism, along with Innovative design of pressure-proof material and interactive experience education for facial, the strategy could effectively improve the personnel's recognition and awarenss of preventive care for MDRPIs, to significantly improve the rate of occurrence and gain positive feedback from patients in terms of comfort and satisfaction, from which such practice would be worthy of promotion to clinical practices in various medical units .