Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries

Faria, Maíla Fidalgo de; Tibola, Talita Silva Alves; Raponi, Maria Beatriz Guimarães; Pires, Patrícia da Silva; Cantarino, Maria Sagrario Gómez; Barbosa, Maria Helena

doi:10.1590/1518-8345.7891.4710

person Maíla Fidalgo de Faria

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation

schoolUniversidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0002-7923-8497

person Talita Silva Alves Tibola

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation

schoolUniversidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.schoolScholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

0000-0002-1591-2542

person Maria Beatriz Guimarães Raponi

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal de Uberlândia, Faculdade de Medicina, Escola de Enfermagem, Uberlândia, MG, Brazil.

0000-0003-4487-9232

person Patrícia da Silva Pires

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade Federal da Bahia, Escola de Enfermagem, Vitória da Conquista, BA, Brazil.

0000-0002-2537-3909

person Maria Sagrario Gómez Cantarino

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved

schoolUniversidade de Castilla-La Mancha, Escola de Fisioterapia e Enfermagem, Toledo, Castilla-La Mancha, Spain.

0000-0002-9640-0409

person Maria Helena Barbosa

Substantial contributions to the conception or design of the work · or the acquisition, analysis, or interpretation of data for the work · drafting the work or reviewing it critically for important intellectual content · final approval of the version to be published and agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved · Data curation · Project supervision and management

schoolUniversidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.schoolScholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil.

0000-0003-2749-2802

personCorresponding author: Maria Helena Barbosa E-mail:
maria.barbosa@uftm.edu.br https://orcid.org/0000-0003-2749-2802

Conflict of interest:

the authors have declared that there is no conflict of interest.

Associate Editor:

Rosana Aparecida Spadoti Dantas

Item (% agreement among judges)	Suggested modification	Final version of the item
First round of face validation (7 judges)
Cancer patient (57.1%)	Patient undergoing radiation and/or chemotherapy	Cancer patient*
Cancer patient (57.1%)	Cancer patient	Cancer patient*
Postoperative hip surgery (57.1%)	Postoperative care for major surgery	Postoperative care for major surgery
Second round of face validation (5 judges)
Postoperative care for major surgery (60%)	Some major surgeries, such as orthopedic surgery, do not use adhesives to secure dressings.	Post-operative care for major surgery*
Adhesives in recurrent sites (60%)	Frequent removal	Adhesives in recurrent sites*
Third round of face validation (3 judges)
Body temperature ≥ 37.5°C (66.6%)	In a feverish state, it is probably more difficult.	Body temperature ≥ 37.5°C*
Enteral/nasogastric tube (66.6%)	Replace the term catheter with probe.	Enteral/nasogastric tube*
Indwelling urinary catheter (66.6%)	Replace the term catheter with probe.	Indwelling urinary catheter*
Acrylate tape (66.6%)	Add an example to the item.	Acrylate adhesive tape (e.g., Medipore ^® , Durapore ^® )
Upper limb (66.6%)	Subdivide the upper limb into parts, as some areas are more vulnerable to injury than others.	Upper limb*

Occurrence of MARSI*	n ^† (%)	Min.-max.	Mean	Standard deviation	Median	OR ^‡	95%CI ^§
Yes	143 (43.5)	4 - 24	15.07	4.11	15.00
						1.27	1.19 -1.35
No	186 (56.5)	4 - 27	10.90	4.10	10.00

	ERLAM*
Presence of MARSI ^†	High risk for MARSI ^† n ^‡ (%)	Low risk for MARSI ^† n ^‡ (%)	Total n ^‡ (%)
Yes	123 (86.00%)	20 (14.00%)	143 (100.00%)
No	80 (43.00%)	106 (57.00%)	186 (100.00%)
Total n (%)	203 (61.70%)	126 (38.30%)	329 (100.00%)

Observer	Min.	Max.	Mean	Median	Standard Deviation	ICC*	p ^†
Obs. 1	9	22	14.38	14.0	3.36	0.92	< 0.05
Obs. 2	9	22	13.81	14.0	3.22

[1] *After contacting the judges, it was agreed that the term would be maintained

Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries^*

Highlights:

Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries*

Highlights:

Risk Assessment Scale for the Development of Medical Adhesive-related Skin Injuries^*