THE NEWBORN SKIN ASSESSMENT ATTITUDE SCALE

November 11, 2021 updated by: Adnan Batuhan Coskun, Hasan Kalyoncu University

DEVELOPMENT OF THE NEWBORN SKIN ASSESSMENT ATTITUDE SCALE FOR NURSES

The protection of the body integrity of the newborn is very important in terms of the development of physical and mental health and social health. Failure to protect the skin integrity of newborns and not paying attention to the clinical findings on the skin may cause morbidity/mortality. Attitudes of nurses can affect the evaluation of newborn skin negatively and/or positively.

It was determined as the development of an attitude scale for newborn nurses to evaluate newborn skin and examining the factors affecting their attitudes. In line with this purpose, an attitude scale for newborn nurses regarding the evaluation of newborn skin will be developed and nurses' attitude levels, sociodemographic variables that are related to attitude and cause significant difference can be determined.

Study Overview

Status

Enrolling by invitation

Conditions

Intervention / Treatment

Detailed Description

One of the indicators of the level of development of the countries is the newborn's life and death rates. The increase in the neonatal survival rate is primarily related to the care provided in the delivery room. Adaptation to the outside world is important because of the physiological and psychosocial changes experienced by the newborn after birth. For this reason, the adaptation process is monitored by monitoring the physiological and behavioral changes in the newborn.

The skin is an important organ that "protects the organism against environmental factors and also regulates temperature and water loss in the organism". Newborn skin begins to act as a barrier in the womb, matures gradually, and continues for up to 1 year after birth.

The immaturity of the skin of the newborn causes it to be the most open organ to external factors, and it has a very sensitive and fragile structure until it reaches the required maturity. Newborn skin can be damaged as a result of daily applications, and failure to follow up the skin regularly and unsuitable interventions for the skin cause morbidity/mortality.

Differences in skin maturation of preterm infants vary according to gestational age. The stratum corneum, the outer layer of the epidermis, continues to mature until the 24th - 34th week of pregnancy. In preterm infants born before the stratum corneum is mature; Risks of infection, transepidermal water loss, temperature irregularity, absorption of topical agents, or physical trauma are encountered.

In order for neonatal nurses to fulfill their duties and responsibilities; They should have knowledge and skills such as evaluating the newborn, using the equipment and technologies in the unit, training/counseling parents, communicating effectively and collaborating. While providing appropriate care by neonatal nurses increases the effect of the treatment, it also minimizes the side effects that may occur. It is also very important for the early diagnosis and treatment of the problems that have occurred and/or may occur with the clinical findings determined as a result of the skin evaluation of the newborn by the nurses.

Attitude is one of the processes in which the individual is involved and has an important place in explaining the reason for the behavior of the individual. Attitude is a preparatory tendency for behavior and is the result of the interaction of emotion, thought and behavior elements. The fact that the individual has order, harmony and continuity between his feelings, thoughts and behaviors regarding a situation/event shows that a positive attitude towards that situation/event is developed.

When the national and international literature on nurses, who have an important role in the evaluation of newborn skin, is examined, there are studies examining the knowledge and skills of skin evaluation and care of both healthy and risky newborns. However, nowadays, it is observed that instead of using an objective assessment tool, whose validity and reliability has been ensured, in the evaluation of the skin condition of especially healthy/risky newborns, the definitions of 'impaired skin integrity' or 'complete skin integrity' are still made with the evaluations made with a subjective approach, and the newborn skin is not considered as a whole. Regular evaluation of newborn skin is part of good care and allows for early diagnosis and treatment of skin problems. In the evaluations made with a subjective approach, the definitions of 'impaired skin integrity' or 'skin integrity' are made, and the skin is not considered as a whole.

In the national and international literature review, assumptions and opinions regarding newborn nurses' evaluation of newborn skin with a subjective approach rather than an objective approach have been put forward, but no research has been encountered that examines their attitudes towards the subject. It is known that nurses' attitudes towards evaluating newborn skin are important for the early prevention of skin problems of newborns and other problems that may develop due to these problems, as an indicator of their tendencies towards the evaluation process.

Study Type

Observational

Enrollment (Anticipated)

300

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
    • Şahinbey
      • Gaziantep, Şahinbey, Turkey, 27010
        • Hasan Kalyoncu University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 60 years (Adult)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Sampling Method

Probability Sample

Study Population

The nurses who work in Newborn intensive care unit

Description

Inclusion Criteria:

●After obtaining written consent and informed consent form from neonatal nurses who agreed to participate in the study, they will be included in the study.

Exclusion Criteria:

  • Written permission cannot be obtained,
  • Nurses who do not work with newborns,
  • Participants included in the sample in the development of the attitude scale will be excluded from the study in the final form application.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Newborn Nurses
Other: Attitude Scale
26-item related to scale will construct and apply to nurses for creating scale

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Scale Development Process
Time Frame: 3 months
94 questions will prepare as "Nurse Opinion Determination Form for "Newborn Skin Attitude" and 16 newborn nurses' opinions will collect.
3 months
Scale creation
Time Frame: 1 month
Measuring instrument consisting items will create. In order to determine the comprehensibility and content validity of the scale, it was presented to at least 20 experienced nurses
1 month
Validity and reliability of scale
Time Frame: 6 months
After final agreement of scale items, it will apply to at least 300 nurses for construction and psychometric analysis
6 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Hasan Kalyoncu University

Investigators

  • Study Director: Güven Hoş, Hasan Kalyoncu University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 30, 2021

Primary Completion (Anticipated)

June 30, 2022

Study Completion (Anticipated)

July 20, 2022

Study Registration Dates

First Submitted

June 14, 2021

First Submitted That Met QC Criteria

June 14, 2021

First Posted (Actual)

June 22, 2021

Study Record Updates

Last Update Posted (Actual)

November 19, 2021

Last Update Submitted That Met QC Criteria

November 11, 2021

Last Verified

November 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2021-031

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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