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Embracing the Concept, Defining the Practice, and Changing the Outcome

Setting the Standard for Medical Adhesive-Related Skin Injury Interventions in WOC Nursing Practice

Yates, Stephanie; McNichol, Laurie; Heinecke, Steven B.; Gray, Mikel

Journal of Wound Ostomy & Continence Nursing: January/February 2017 - Volume 44 - Issue 1 - p 13–17
doi: 10.1097/WON.0000000000000290
Professional Practice

Medical adhesive-related skin injury (MARSI) is a comparatively new category of skin damage. Our current understanding of MARSI originates from an interdisciplinary consensus conference held in 2012 that generated and disseminated 25 statements pertaining to the assessment, prevention, and management of MARSI, along with gaps in research and knowledge related to this area. The 2012 MARSI Consensus Group also challenged each organization to refine the original statements to make them more relevant to their particular area of practice. In order to accomplish this refinement for WOC specialty nursing practice, the WOCN Society appointed a task force to create statements that extended recommendations to patients with an acute or chronic wound, ostomy, or incontinence. This article describes the formal consensus process used to generate consensus statements concerning MARSI in our specialty practice, presents the 8 statements, and provides a brief overview of the advances that underlie the medical adhesive end products used by WOC and other clinicians practicing in all health care settings.

Stephanie Yates, MSN, RN, ANP-BC, CWOCN, NP/WOC Nurse, Center for Advanced Practice, Duke University Medical Center, Durham, North Carolina.

Laurie McNichol, MSN, RN, GNP, CWOCN, CWON-AP, CNS/WOC Nurse, Cone Health, Greensboro, North Carolina.

Steven B. Heinecke, BS, Division Scientist, 3M Critical and Chronic Care Solutions Division, St Paul, Minnesota.

Mikel Gray, PhD, RN, FNP, PNP, CUNP, CCCN, FAANP, FAAN, School of Medicine, Department of Urology, and School of Nursing, Department of Acute and Specialty Care, University of Virginia, Charlottesville, Virginia.

Correspondence: Stephanie Yates, MSN, RN, ANP-BC, CWOCN, Duke University Medical Center, Box 3677, Durham, NC 27710 (

Stephanie Yates has no relevant disclosures. Laurie McNichol is a clinical consultant for the provision of education for 3M, Hollister Inc, Ostomy Division, and Coloplast Skin and Wound Division. Mikel Gray is a clinical consultant for the provision of education for 3M and Hollister Inc, Ostomy Division. Steven Heinecke is an employee of 3M.

© 2017 by the Wound, Ostomy and Continence Nurses Society.