Facilitating neonatal MARSI evidence into practice: Investigating multimedia resources with Australian Neonatal Nurses – A participatory action research project. Issue 4 (August 2021) - August, Deanne
Abstract: Background: Medical adhesive-related skin injuries (MARSI) are common in hospitalised neonates. Aims: To (i) identify adhesives and removal techniques, (ii) develop and distribute neonatal MARSI resources, and (iii) evaluate the resources. Methods: A participatory action research cycle was conducted from 2017 to 2019 to identify practices and recommendations, establish MARSI elements, develop and evaluate resources with Australian Neonatal Nurses. Results: Twenty-three different adhesives, six peer-reviewed publications and 18 product information sources were reviewed. A poster with adhesive base and top layers, application and removal recommendations outlined, and 10 video tutorials were produced. Survey responses from 223 nurses revealed the definition of MARSI and risks were poorly known. Resource awareness was limited despite widespread promotion but were reported as useful. Conclusions: To address neonatal MARSI, nursing clinicians need to understand adhesive base layers. Quick reference resources are now available but further evaluation is needed on MARSI and evidence utilisation in neonatal practice.