Abstract

Purpose: Describe the prevalence of diaper dermatitis (DD) and clinical characteristics of the infants in the Neonatal Intensive Care Unit (NICU) that develop DD. Explore the relationships between clinical characteristics and the development of DD.

Design: Retrospective, exploratory, descriptive study

Setting: Level IV NICU in an urban community in Southeast Wisconsin.

Participants: A convenience sample of 611 infants who were born and admitted to the NICU within 12 hours of life and discharged from the same NICU. A final total of 537 infants remained after exclusion criteria were met.

Methods: Data were collected from the participant's electronic health records from birth until the infant was discharged to home.

Results: The prevalence of DD among the 537 infants was 34% (n = 180). A logistic regression demonstrated length of stay was significant, (B = 0.02, OR = 1.02, p = .002), indicating the odds of developing DD increased by ~2% for each additional day in the NICU. Days from birth to full feedings was also significant (B = −0.03, OR = 0.97, p = .023), indicating the odds of developing DD decreased by ~3% for each additional day to full feedings.

Conclusions: Increased preventative measures among preterm infants at risk for an extended length of stay can potentially decrease the prevalence of DD.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27664398; ProQuest document ID: 2336242027. The author still retains copyright.

Author Details

Media S. Esser, PhD, MSN, RN, NNP-BC, CWN

Sigma Membership

Delta Gamma at-Large

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Descriptive/Correlational

Research Approach

Pilot/Exploratory Study

Keywords:

Diaper Dermatitis, Diaper Rash, Infants, Neonatal, Neonatal Intensive Care Unit (NICU), Skin Safety Model

Advisor

Teresa S. Johnson

Second Advisor

Emmanuel Ngui

Third Advisor

Michele L. Polfus

Fourth Advisor

Sandeep Gopalakrishnan

Degree

PhD

Degree Grantor

University of Wisconsin-Milwaukee

Degree Year

2019

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-08-16

Full Text of Presentation

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