Akademik Veri Yönetim Sistemi
Nursing in Critical Care, cilt.30, sa.e70226, ss.1-8, 2025 (Hakemli Dergi)
Background: Medical adhesive-related skin injuries (MARSI) are a common complication in paediatric critical care, especiallyin patients with central venous catheters (CVCs). Despite the frequent use of medical adhesives, they are often underrecognisedbut are a preventable complication.Aim: The aim of this study is to assess the effectiveness of the SECURE Care Bundle in preventing MARSI associated with CVCfixation in paediatric patients and its impact on the time to MARSI onset.Study Design: This study is designed as a quasi-experimental, pre-test and post-test control group study conducted in aPaediatric Cardiac Intensive Care Unit. A total of 92 neonatal and paediatric patients will be included. After obtaining consentfrom parents or legal guardians and assent from the children aged 7 years and older when applicable, patients will be assigned tothe pre-test (control) group (n = 46) and the post-test (intervention) group (n = 46). During the pre-test phase, standard care willbe provided according to the clinic's routine CVC procedures. In the post-test phase, the SECURE Care Bundle will be imple-mented in addition to standard care. The bundle includes skin assessment, ensuring secure fixation without causing skin injury,adhesive selection, correct application and removal techniques, use of a silicone-based adhesive remover and documentation ofMARSI. Data will be collected using the descriptive information form, Braden QD Scale, skin observation form and SECURECare Bundle checklist.Results: The study will report the incidence of MARSI associated with CVC fixation and the time to onset of MARSI in paedi-atric patients by comparing the pre-test (control) and post-test (intervention) groups.Conclusions: The study is designed to evaluate the effectiveness of the SECURE Care Bundle in preventing MARSI in paediatriccritical care. The proposed research may contribute to the development of a standardised approach to CVC fixation and protec-tion of skin integrity.Relevance to Clinical Practice: This planned study will explore a structured approach to MARSI prevention in paediatriccritical care units (PCCUs). The findings are intended to inform the development of standardised practices that support patientcare and reduce the risk of MARSI. The SECURE Care Bundle may provide a framework to guide future efforts to protect skinintegrity and minimise complications.