Skin assessments and interventions for maintaining skin integrity in nursing practice: An umbrella review

Ref ID 1010
First Author A. Fastner
Journal INTERNATIONAL JOURNAL OF NURSING STUDIES
Year Of Publishing 2023
URL https://www-sciencedirect-com.sheffield.idm.oclc.org/science/article/pii/S0020748923000603?via%3Dihub
Keywords • Dermatology
• Low methodological quality
• Risk of bias
• Nursing
• Non-Cochrane reviews
Problem(s) • No registered or published protocol
• High risk of bias (ROBIS)
• Low methodological (AMSTAR) quality
• Reasons for excluding potentially eligible studies not provided
• Undocumented or unjustified deviations to the review protocol
Article Type Empirical
Article Subtype Cross-sectional survey/Methodological systematic review
First Author Country Germany
Checklists • AMSTAR 2
• ROBIS
Aim This umbrella review aims to synthesise the current evidence regarding skin risks, skin assessment, skin cleansing and care interventions in general and in relation to xerosis cutis, incontinence-associated dermatitis, diaper dermatitis, intertrigo and skin tears.
Level of Investigation Descriptive
Summary of Findings Of 26 systematic reviews assessed with AMSTAR 2, nine reviews were rated with a critically low overall confidence due to having at least two critical weaknesses. 19 systematic reviews did not have an explicit statement protocol availability or deviation. 16 reviews did not provide a list of excluded studies with their reasons. Three of the five systematic reviews assessed with ROBIS were excluded due to ‘high’ or ‘unclear’ risk of bias in all domains and thus, high overall risk of bias. Of the reviews assessed with AMSTAR 2 seven had low overall confidence.
Number of systematic reviews included 26
Number of eligible systematic reviews assessed 2811