Nurses' viewpoints on factors affecting ostomy care: A qualitative content analysis.
Ladan Naseh, Mohsen Shahriari, Aygineh Hayrabedian and 1 others
PMID 37084269WHAT IT FOUND
Nurses, surgeons, patients and spouses said ostomy care was undermined by weak training, poor equipment, gaps between surgeons and nurses, nurse avoidance and short hospital stays.
Key findings
01Participants identified seven themes affecting ostomy care: inefficient education system, nurse characteristics, workplace challenges, the nature of stoma care, counselling and preparation of patients for surgery, acquaintance with complications of ostomy, and proper planning of patient education.
02Workplace challenges included surgeons' unawareness of non-surgical ostomy issues, disregard for interprofessional management, shortage of specialized nurses, high workload and limited time, and lack of or poor-quality ostomy equipment.
03Participants emphasized that ostomy care should not stop at discharge, because patients need education and follow-up to become independent in self-care.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 17 participants were interviewed, and all were in Isfahan, Iran, so the themes may not apply to other workplaces or countries. The study reports viewpoints and experiences, so it cannot show whether changing training, staffing or equipment improves ostomy outcomes. The authors noted that participants' subjective concerns and individual characteristics could influence their responses. The authors noted it was not possible to examine relationships between participant demographics and care provision or challenges.
The easy way to misread this
Do not read these themes as evidence that any training or staffing change improves patient outcomes. The study reports perceptions, not measured effects.