Healing rate of hospital-acquired skin tears using adhesive silicone foam versus meshed silicone interface dressings : A prospective, randomized, non-inferiority pilot study

Journal article

Fulbrook, Paul, Miles, Sandra J. and Williams, Damian M.. (2024). Healing rate of hospital-acquired skin tears using adhesive silicone foam versus meshed silicone interface dressings : A prospective, randomized, non-inferiority pilot study. International Journal of Nursing Practice. 30(3), p. Article e13229. https://doi.org/10.1111/ijn.13229

Publication dates
Authors	Fulbrook, Paul, Miles, Sandra J. and Williams, Damian M.
Abstract	Background A skin tear is a traumatic wound that occurs in up to one in five hospitalized patients. Nursing care includes application of a dressing to create a moist wound healing environment. Aim To compare the effectiveness of two standard dressings (adhesive silicone foam vs. meshed silicone interface) to heal hospital-acquired skin tear. Methods An intention-to-treat pilot study was designed using a randomized, non-inferiority trial in an Australian tertiary hospital setting. Consenting participants (n = 52) had acquired a skin tear within the previous 24 h and had agreed to a 3-week follow-up. Data were collected between 2014 and 2020. The primary outcome measure was wound healing at 21 days. Results Baseline characteristics were similar in both arms. Per protocol, 86% of skin tears were fully healed at 3 weeks in the adhesive silicone foam group, compared to 59% in the meshed silicone interface group. Greater healing was observed across all skin tear categories in the adhesive silicone foam dressing group. In the intention-to-treat sample, healing was 69% and 42%, respectively. Conclusions Results suggest the adhesive silicone foam dressing may be superior, as it produced clinically significant healing of skin tears at 3 weeks compared to the meshed silicone interface dressing. Accounting for potential loss to follow-up, a sample of at least 103 participants per arm would be required to power a definitive study.
Keywords	acute care; dressing (foam)dressing (silicone); hospital-acquired; nursing; wound (healing); wound (skin tear)
Year	2024
Journal	International Journal of Nursing Practice
Journal citation	30 (3), p. Article e13229
Publisher	John Wiley & Sons Australia, Ltd
ISSN	1322-7114
Digital Object Identifier (DOI)	https://doi.org/10.1111/ijn.13229
PubMed ID	38123157
Scopus EID	2-s2.0-85180216460
Open access	Published as ‘gold’ (paid) open access
Page range	1-9
Funder	The Prince Charles Hospital Foundation
Publisher's version	OA_Fulbrook_2024_Healing_rate_of_hospital_acquired_skin.pdf License CC BY-NC-ND 4.0 File Access Level Open
Output status	Published
Online	20 Dec 2023
Publication process dates
Accepted	28 Nov 2023
Deposited	23 Apr 2025
Grant ID	NR2012-207
Additional information	© 2023 The Authors. International Journal of Nursing Practice published by John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Peeler, Alison, Fulbrook, Paul Richard, Edward, Karen-Leigh and Kinnear, Frances B.. (2016). An evaluation of staff transitioning from a combined adult/child emergency department to a new paediatric emergency department: A qualitative study. Australasian Emergency Nursing Journal. 19(3), pp. 153 - 158. https://doi.org/10.1016/j.aenj.2016.05.004

Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study

Lawrence, Petra and Fulbrook, Paul. (2015). Protocol for a pragmatic randomised controlled trial to evaluate effects of a brief intervention for emergency department attendees who present with moderate or high levels of non-specific psychological distress : A pilot study. Pilot and Feasibility Studies. 1(33), pp. 1 - 9. https://doi.org/10.1186/s40814-015-0028-9

A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management

Lawrence, Petra, Fulbrook, Paul and Miles, Sandra. (2015). A survey of Australian nurses' knowledge of pressure injury/pressure ulcer management. Journal of Wound Ostomy and Continence Nursing. 42(5), pp. 450 - 460. https://doi.org/10.1097/WON.0000000000000141

Critical care nursing organizations and activities : A fourth worldwide review

Williams, Ged, Fulbrook, Paul, Kleinpell, Ruth, Schmollgruber, Shelley and Alberto, Laura. (2015). Critical care nursing organizations and activities : A fourth worldwide review. International Nursing Review (online version). 62(4), pp. 453 - 461. https://doi.org/10.1111/inr.12205

Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study

Coombs, Maureen, Fulbrook, Paul, Donovan, Sarah, Tester, Rachel and deVries, Kay. (2015). Certainty and uncertainty about end of life care nursing practices in New Zealand intensive care units : A mixed methods study. Australian Critical Care. 28(2), pp. 82 - 86. https://doi.org/10.1016/j.aucc.2015.03.002

Validity of the paddington alcohol test in an Australian emergency department

Fulbrook, Paul, Lawrence, Petra and Watt, Kerrianne. (2015). Validity of the paddington alcohol test in an Australian emergency department. Alcohol and Alcoholism. 50(4), pp. 407 - 412. https://doi.org/10.1093/alcalc/agv024

The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study

Peeler, Alison, Fulbrook, Paul and Kildea, Susan. (2015). The experiences of parents and nurses of hospitalised infants requiring oxygen therapy for severe bronchiolitis : A phenomenological study. Journal of Child Health Care. 19(2), pp. 216 - 228. https://doi.org/10.1177/1367493513503587

Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay

Gettens, Stephanie and Fulbrook, Paul. (2015). Fear of falling : Association between the Modified Falls Efficacy Scale, in-hospital falls and hospital length of stay. Journal of Evaluation in Clinical Practice (online version). 21(1), pp. 43 - 50. https://doi.org/10.1111/jep.12226

Survey of an Australian general emergency department : Estimated prevalence of mental health disorders

Fulbrook, Paul and Lawrence, Petra. (2015). Survey of an Australian general emergency department : Estimated prevalence of mental health disorders. Journal of Psychiatric and Mental Health Nursing (online version). 22(1), pp. 30 - 38. https://doi.org/10.1111/jpm.12191

Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study

Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Issues and challenges associated with nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory: A qualitative study. Journal of Clinical Nursing. 23(3-4), pp. 374 - 384. https://doi.org/10.1111/jocn.12147

Compliance with lipid-lowering medication after diagnosis of coronary heart disease

McKellar, Sandra and Fulbrook, Paul. (2014). Compliance with lipid-lowering medication after diagnosis of coronary heart disease. British Journal of Cardiac Nursing. 9(5), pp. 244 - 249.

Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey

Conway, Aaron, Rolley, John, Page, Karen and Fulbrook, Paul. (2014). Trends in nurse-administered procedural sedation and analgesia across cardiac catheterisation laboratories in Australia and New Zealand: Results of an electronic survey. Australian Critical Care. 27(1), pp. 4 - 10. https://doi.org/10.1016/j.aucc.2013.05.003

South African critical care nurses' views on end-of-life decision-making and practices

Fulbrook, Paul, Langley, Gayle, Schmollgruber, Shelley, Albarran, John and Latour, Jos. (2014). South African critical care nurses' views on end-of-life decision-making and practices. Nursing in Critical Care. 19(1), pp. 9 - 17. https://doi.org/10.1111/nicc.12026

Sleep assessment of hospitalised patients : A literature review

Fulbrook, Paul, Hoey, Lynn and Douglas, James. (2014). Sleep assessment of hospitalised patients : A literature review. International Journal of Nursing Studies. 51(9), pp. 1281 - 1288. https://doi.org/10.1016/j.ijnurstu.2014.02.001

Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes

McGuire, Amanda, Anderson, Debra and Fulbrook, Paul. (2014). Perceived barriers to healthy lifestyle activities in midlife and older Australian women with type 2 diabetes. Collegian. 21(4), pp. 301 - 310. https://doi.org/10.1016/j.colegn.2013.07.001

Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study

Fulbrook, Paul, Conway, Aaron, Rolley, John and Page, Karen. (2014). Clinical practice guidelines for nurse-administered procedural sedation and analgesia in the cardiac catheterization laboratory : A modified Delphi study. Journal of Advanced Nursing. 70(5), pp. 1040 - 1053. https://doi.org/10.1111/jan.12337

The first 18 months: Parental choices regarding their infant's health care needs

Kearney, Lauren and Fulbrook, Paul. (2014). The first 18 months: Parental choices regarding their infant's health care needs. Neonatal, Paediatric and Child Health Nursing. 17(3), pp. 17 - 22.

Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study

Conway, Aaron, Page, Karen, Rolley, John and Fulbrook, Paul. (2013). Risk factors for impaired respiratory function during nurse-administered procedural sedation and analgesia in the cardiac catheterisation laboratory : a matched case-control study. European Journal of Cardiovascular Nursing. https://doi.org/10.1177/1474515112470351

Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review

Miles, Sandra, Fulbrook, Paul, Nowicki, Tracy and Franks, Cherie. (2013). Decreasing pressure injury prevalence in an Australian general hospital : a ten-year review. Wound Practice & Research.

Improving statistical analysis of matched case-control studies in nursing literature

Conway, Aaron, Rolley, John, Fulbrook, Paul, Page, Karen and Thompson, David. (2013). Improving statistical analysis of matched case-control studies in nursing literature. Research in Nursing and Health. https://doi.org/10.1002/nur.21536

Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study

Edmunds, Janet, Fulbrook, Paul and Miles, Sandra. (2013). Understanding the experiences of mothers who are breastfeeding an infant with tongue-tie : a phenomenological study. Journal of Human Lactation. https://doi.org/10.1177/0890334413479174

Children's conceptions of their parent's lung transplant

Fulbrook, Paul, Leisfield, T and Wiggins, K. (2013). Children's conceptions of their parent's lung transplant. Journal of Child Health Care. https://doi.org/10.1177/1367493512450625

A survey of Italian intensive care nurses' knowledge levels

Fulbrook, Paul. (2012). A survey of Italian intensive care nurses' knowledge levels. Not Listed - Awaiting Journal Creation.

Open Access community child health clinics : the everyday experience of parents and child health nurses

Kearney, Lauren and Fulbrook, Paul. (2012). Open Access community child health clinics : the everyday experience of parents and child health nurses. Journal of Child Health Care. 16(1), pp. 5 - 14. https://doi.org/10.1177/1367493511419874

Effect of feedback on ventilator care bundle compliance : before and after study

Lawrence, Petra and Fulbrook, Paul. (2012). Effect of feedback on ventilator care bundle compliance : before and after study. Nursing in Critical Care. 17(6), pp. 293 - 301. https://doi.org/10.1111/j.1478-5153.2012.00519.x

A survey of European intensive care nurses' knowledge levels

Fulbrook, Paul, Albarran, John W., Baktoft, Birte and Sidebottom, Ben. (2012). A survey of European intensive care nurses' knowledge levels. International Journal of Nursing Studies. 49(2), pp. 191 - 200. https://doi.org/10.1016/j.ijnurstu.2011.06.001

Critical care nursing organizations and activities: A third worldwide review

Williams, Ged, Bost, Nerolie, Chaboyer, Wendy, Fulbrook, Paul, Alberto, Laura, Thorsteinsdóttir, Rósa, Schmollgruber, Shelley and Chan, David. (2012). Critical care nursing organizations and activities: A third worldwide review. International Nursing Review. 59(1), pp. 73 - 80. https://doi.org/10.1111/j.1466-7657.2011.00926.x

Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence

Boyle, Cathy, Post, Gerardus, Masel, Philip, Fulbrook, Paul and Clark, Kevin. (2011). Person-centered medicine and chronic disease :the role of interdisciplinary education and treatment adherence. International Journal of Person Centered Medicine. 1(3), pp. 606 - 611.

Foetal monitoring: A women-centred decision-making pathway

Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A women-centred decision-making pathway. Women and Birth. 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003

Tongue-tie and breastfeeding: A review of the literature

Edmunds, Janet, Miles, Sandra J. and Fulbrook, Paul. (2011). Tongue-tie and breastfeeding: A review of the literature. Breastfeeding Review (print version). 19(1), pp. 19 - 26.

The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence

Lawrence, Petra and Fulbrook, Paul. (2011). The ventilator care bundle and its impact on ventilator-associated pneumonia: A review of the evidence. Nursing in Critical Care (print version). 16(5), pp. 222 - 234. https://doi.org/10.1111/j.1478-5153.2010.00430.x

Foetal monitoring: A woman-centred decision-making pathway

Rattray, Janene, Flowers, Karen, Miles, Sandra and Clarke, Jillian. (2011). Foetal monitoring: A woman-centred decision-making pathway. Women and Birth (print version). 24(2), pp. 65 - 71. https://doi.org/10.1016/j.wombi.2010.08.003

Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation

Fulbrook, Paul. (2010). Die anwesenheit von angehörigen während der kardiopulmonalen reanimation / the presence of family members during cardiopulmonary resuscitation. Intensiv: Fachzeitschrift fuer Intensivpflege und Anaesthesie. 18(1), pp. 38 - 40.

Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program

Allanson, Anne Maree and Fulbrook, Paul. (2010). Preparation of nurses for novice entry to perioperative practice: Evaluation of a short education program. ACORN : The Journal of Perioperative Nursing in Australia. 23(2), pp. 14 - 27.

Bed safety off the rails

Nowicki, Tracy, Fulbrook, Paul and Burns, Cheryl. (2010). Bed safety off the rails. Australian Nursing and Midwifery Journal. 18(1), pp. 31 - 34.

Pressure injury prevention : continence, skin hygiene and nutrition management

Roosen, Kerri, Fulbrook, Paul and Nowicki, Tracy. (2010). Pressure injury prevention : continence, skin hygiene and nutrition management. Australian Nursing Journal. 18(2), pp. 31 - 34.

EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care

Latour, Jos M., Fulbrook, Paul Richard and Albarran, John W.. (2009). EfCCNa survey: European intensive care nurses' attitudes and beliefs towards end-of-life care. Nursing in Critical Care. 14(3), pp. 110 - 121. https://doi.org/10.1111/j.1478-5153.2008.00328.x

Provision of child health services 2005-2009: Evaluation of an open access clinic

Kearney, Lauren, Fulbrook, Paul Richard and Howlett, Lorrie. (2009). Provision of child health services 2005-2009: Evaluation of an open access clinic Queensland Health.

Changing the mindset: An inter-disciplinary approach to management of bariatric patient

Nowicki, Tracy, Burns, Cheryl, Fulbrook, Paul Richard and Jones, Jacqueline. (2009). Changing the mindset: An inter-disciplinary approach to management of bariatric patient. Collegian. 16(4), pp. 171 - 175. https://doi.org/10.1016/j.colegn.2009.03.002

Intensive and critical care nursing perspectives

Williams, G. F., Fulbrook, Paul Richard, Alexandrov, A. W., Montanez, W. Canon, Salisu-Kabara, H. M. and Chan, D. W.K.. (2009). Intensive and critical care nursing perspectives. In In A. Gullo, J. Besso and P.D.Lumb & G.F.Williams (Ed.). Intensive and critical care medicine pp. 119 - 132 Springer-Verlag.

A clinical improvement project to develop and implement a decision-making framework for the use of seclusion

Hyde, Sandra, Fulbrook, Paul Richard, Fenton, Keryn and Kilshaw, Michael. (2009). A clinical improvement project to develop and implement a decision-making framework for the use of seclusion. International Journal of Mental Health Nursing. 18, pp. 398 - 408. https://doi.org/10.1111/j.1447-0349.2009.00631.x

The effectiveness of a caring protocol: An evaluation study

Fulbrook, Paul. (2009). The effectiveness of a caring protocol: An evaluation study. Journal of Research in Nursing. 14(4), pp. 317 - 318. https://doi.org/10.1177/1744987108093360

The presence of family members during cardiopulmonary resuscitation: Position statement

Lynch, Fiona, Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Devictor, Denis and Norekval, Tone. (2008). The presence of family members during cardiopulmonary resuscitation: Position statement. Infant: for neonatal and paediatric healthcare professionals (print version). 4(2), pp. 44 - 45.

Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA)

Roynette, C., Numico, Anke Bongers, Fulbrook, Paul, Albarran, John and Hofman, Z.. (2008). Enteral feeding practices in European ICUs: A survey from the European federation of critical care nursing associations (EFCCNA). e-SPEN Journal: the European e-journal of clinical nutrition and metabolism. 2(2), pp. 33 - 39. https://doi.org/10.1016/j.eclnm.2007.10.004

Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions

Miles, Sandra and Flowers, Karen. (2008). Improving Teacher Responsiveness In Making Adjustments for School Children With 'Critical Prone' Medical Conditions [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85097

Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey

Fulbrook, Paul, Latour, Jos and Albarran, John. (2007). Paediatric critical care nurses' attitudes and experiences of parental presence during cardiopulmonary resuscitation: A European survey. International Journal of Nursing Studies. 44(7), pp. 1238 - 1249. https://doi.org/10.1016/j.ijnurstu.2006.05.006

Critical care nursing organizations and activities - a second worldwide review: Original article

Willia, Ged, Chaboyer, Wendy, Alberto, Laura, Thorsteinsdottir, Rosa, Schmollgruber, Shelley, Fulbrook, Paul, Chan, Dominic and Bost, Nerolie. (2007). Critical care nursing organizations and activities - a second worldwide review: Original article. International Nursing Review. 54(2), pp. 151 - 159. https://doi.org/10.1111/j.1466-7657.2007.00543.x

A European survey of enteral nutrition practices and procedures in adult intensive care units

Fulbrook, Paul, Bongers, Anke and Albarran, John. (2007). A European survey of enteral nutrition practices and procedures in adult intensive care units. Journal of Clinical Nursing. 16(11), pp. 2132 - 2141. https://doi.org/10.1111/j.1365-2702.2006.01841.x

The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular

Fulbrook, Paul, Latour, Jos, Albarran, John, de Graaf, Wouter, Lynch, Fiona, Devictor, Denis and Norekval, Tone. (2007). The presence of family members during cardiopulmonary resuscitation: European federation of critical care nursing associations, European society of paediatric and neonatal intensive care and European society of cardiology council on cardiovascular. European Journal of Cardiovascular Nursing. 6(4), pp. 255 - 258. https://doi.org/10.1016/j.ejcnurse.2007.07.003

Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study.

Miles, Sandra and Fulbrook, Paul. (2007). Understanding the experiences of mothers who are breast feeding an infant with tongue-tie: a hermeneutic phenomenology study [Dataset]. Australian Catholic University. https://doi.org/10.26199/acu.85095

Portable oxygen: Longer for less with oxymizer pendant

Fulbrook, Paul and Serginson, John. (2006). Portable oxygen: Longer for less with oxymizer pendant. Airways Journal (print version). 4(2), pp. 105 - 108.

Education for outreach: Development of an inter-professional MSC in critical care

Fulbrook, Paul and Cockerell, Janet. (2005). Education for outreach: Development of an inter-professional MSC in critical care. Nursing in Critical Care. 10(5), pp. 255 - 262. https://doi.org/10.1111/j.1362-1017.2005.00123.x

Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust

Walsgrove, Hilary and Fulbrook, Paul. (2005). Advancing the clinical perspective: A practice development project to develop the nurse practitioner role in an acute hospital trust. Journal of Clinical Nursing. 14(4), pp. 444 - 455. https://doi.org/10.1111/j.1365-2702.2004.01089.x