August, Deanne, van der Vis, Klazina Marie, and New, Karen (2019) Conceptualising skin development diagrammatically from foetal and neonatal scientific evidence. Journal of Neonatal Nursing, 25 (6). pp. 311-314.

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Abstract

[Excerpt] Skin injury is a problem for at least 40% of the neonatal population, with increasing risk for neonates of decreased gestational age and those who require devices to support medical care (August et al., 2018a). Importantly, changes to skin integrity can affect a neonates' sensory perception (pain), hydration (trans-epidermal water-loss) and morbidity (length of stay) among other considerations (Brandon et al., 2018). Clinicians' understanding of the skin's physiology, structure, and development informs clinical decisions and is traditionally learned through text sources, accompanied by occasional figures or diagrams. However, the importance of visual models for knowledge acquisition continues to grow, supporting a shift away from text as the primary source of information (Butcher, 2006; Whitley, 2013). Examples of visual diagrams that regularly inform clinical practice are the three-dimensional cubes depicting degree of skin damage presented by the National Pressure Ulcer Advisory Panel (NPUAP) (Edsberg et al., 2016).

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