IRR was assessed using percentage agreement, Fleiss’ kappa, and intraclass correlation coefficients. Nurses were randomised at a 1:1 ratio to original or modified ROMPIS descriptors and classified 12 images of mucosal PI. Secondary aims were to explore nurses’ knowledge of and attitudes toward mucosal PI.Ī prospective cross-sectional survey was distributed to nurses from two tertiary affiliated intensive care units via REDCap® to capture demographic data, knowledge, attitudes, and inter-rater reliability (IRR) measures. The objective of this study was to determine whether modified Reaper Oral Mucosa Pressure Injury Scale (ROMPIS) descriptors improved the reliability of mucosal PI assessment. Reliable descriptors are vital to benchmark the frequency and severity of this hospital-acquired complication. There is no universally accepted criterion for assessment, monitoring, or reporting mucosal PI. Mucosal pressure injuries (PIs) are usually caused by pressure from essential medical devices. This preliminary study indicates that the ROMPIS instrument has potential to be used clinically for this purpose however, the performance of this scale may be somewhat reliant on the confidence or experience of the ICU nurse utilising it. Among a cohort of experts in pressure wound care (n=8), IRR was α=0.306 or α=0.443 excluding responses indicating that wounds were unstageable.Īn instrument for the assessment and monitoring of pressure injuries to the mouth and lips has practical implications for patient care. excluding responses where respondents considered an injury to be unstageable). Inter-rater reliability (IRR) was calculated using Krippendorff's alpha (α).Īmong ICU nurses (n=52), IRR of the ROMPIS was α=0.307 improving to α=0.463 when considering only responses where injuries were deemed to be stageable using the ROMPIS (i.e. ICU nurses and portfolio-holders in pressure wound care from Peninsula Health (Victoria, Australia) were invited to use the ROMPIS to stage 19 de-identified clinical photographs of oral pressure injuries via secure online survey. The Reaper Oral Mucosa Pressure Injury Scale (ROMPIS) was developed in consultation with ICU nurses, clinical nurse educators, Intensivists, and experts in pressure wound management. This study aimed to develop and then assess the reliability of a novel scale for the assessment of pressure injuries to the mouth and oral mucosa. Instruments designed for the assessment of pressure injuries to other bodily regions are anatomically unsuited to the lips and mouth. Clear documentation is important for pressure wound care however, no validated instruments currently exist for the staging of pressure injuries to the oral mucosa. Patients who are intubated in the ICU are at risk of developing pressure injuries to the mouth and lips from endotracheal tubes.
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