Knowledge, Attitudes, and Practices regarding Incontinence-Associated Dermatitis among Intensive Care Unit Nurses: a Cross-Sectional Study

Purpose : This study aimed to determine the knowledge, attitudes, and practices related to incontinence-associated dermatitis among intensive care unit nurses in South Korea to identify factors associated with nursing practice for incontinence-associated dermatitis. Methods : This cross-sectional correlational study included 134 nurses working in intensive care units at a tertiary hospital in Gyeonggi Province, South Korea. Data were collected using a structured self-administered online questionnaire. The data were analyzed using independent t-tests, ANOVA, Pearson correlation coefficients, and multiple regression analysis. Results : The mean correct response rate for knowledge of incontinence-associated dermatitis was 61% and the mean attitude score was 43.91 out of 56 points. The mean score for nursing practice was 114.54 out of 140 points. Multiple regression analysis identified attitude toward incontinence-associated dermatitis (β=.43, p ＜.001) and clinical experience (β=.24, p =.047) as significant predictors of nursing practice related to incontinence-associated dermatitis. These variables explained 25.3% of the variance in nursing practice (F=8.52, p ＜.001). Conclusion : The findings highlight the importance of developing educational interventions on incontinence-associated dermatitis that are tailored to nurses’ clinical experience and attitudes. Furthermore, implementing problem-based simulation programs may foster more positive attitudes toward the management of incontinence-associated dermatitis and enhance the application of evidence-based nursing practices in intensive care settings.