Validation of educational material for the care of people with intestinal stoma.
Julliana Fernandes de Sena, Isabelle Pereira da Silva, Silvia Kalyma Paiva Lucena and 2 others
PMID 32401899WHAT IT FOUND
A printed stoma self-care booklet was judged clear and relevant by nine nurses and 25 people with stomas.
Nurses can use it to teach stoma and bag care and common questions, but it was not tested for improving outcomes.
Key findings
01Nine nurse judges rated the booklet's overall content validity as 0.89, above the 0.80 threshold.
02Twenty-five people with intestinal stomas gave no negative answers and rated organization, writing style, appearance and motivation with an overall agreement index of 0.99.
03The booklet covers stoma concepts, types, normal characteristics, collection bags, care with the bag and common questions, and was developed from 17 reviewed articles and difficulties reported by 30 people with stomas.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study validated content and readability; it did not test whether the booklet improves self-care, reduces complications or changes quality of life. The expert judges were nine nurses, all female and all with master's or doctorate degrees, so the result may not reflect nurses without those qualifications. The target audience excluded people with textual or visual reading disabilities and impaired mental capacity, and the authors note people with low cognitive impairment or dementia may struggle to use the booklet. The booklet was developed and validated in one Brazilian rehabilitation centre, in Portuguese, so language and local care pathways may limit transfer. The authors note the printed booklet can be costly and the online version may be inaccessible to people without digital access.
Declared interests
Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), grant # 423694/2016-2. No other conflicts of interest are reported.
The easy way to misread this
Do not read this as proof that the booklet improves stoma self-care or prevents complications. It was validated for content and readability by nine nurses and 25 people with stomas, but no patient outcomes were measured.