المؤلفون: Leslie Riggle Miller

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 47(6)

مصطلحات موضوعية: medicine.medical_specialty, 020205 medical informatics, Cross-sectional study, medicine.medical_treatment, Ostomy, MEDLINE, 02 engineering and technology, Computer-assisted web interviewing, Health outcomes, Support group, Nonprobability sampling, 03 medical and health sciences, 0302 clinical medicine, Surveys and Questionnaires, 0202 electrical engineering, electronic engineering, information engineering, Medicine, Humans, 030212 general & internal medicine, Advanced and Specialized Nursing, business.industry, Length of Stay, United States, Surgery, Test (assessment), Medical–Surgical Nursing, Self-Help Groups, Cross-Sectional Studies, Quality of Life, business, Hospital stay

الوصف: Purpose The purpose of this study was to determine whether ostomy patients are receiving ostomy care pre- and postoperatively in accordance with the United Ostomy Associations of America Ostomy and Continent Diversion Patient Bill of Rights. Design Descriptive, quantitative study. Subjects and setting The sample comprised 325 participants with an ostomy living in the United States. All participants underwent ostomy surgery in the United States. Methods Participants were recruited through a purposive, nonprobability sampling method based on the presence of an ostomy and the ability to read and understand English. Data were collected between summer 2017 and fall 2018 from ostomy support groups (online and in-person support groups). Respondents completed a self-administered online questionnaire, which included closed-ended and open-ended questions. Results Forty percent (n = 127) of participants reported not being supervised changing their pouch before discharge. Forty-two percent (n = 137) reported receiving only hands-on instruction on how to care for their ostomy after surgery (no reading materials, nor video tutorial). Slightly more than half (52%; n = 170) reported not receiving support group information, and only 14% (n = 46) indicated participating in a discussion on intimacy concerns. Conclusions The study demonstrates that ostomy care at the hospital can improve. Receiving an ostomy is a life-changing operation, and the first line of support for ostomy patients is their provider. Future research should examine ostomy care from providers' perspectives and, prospectively, in order to test care measures on patient health outcomes.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1ca6a90444fc126beaa4c709b4efe5eaTest
https://pubmed.ncbi.nlm.nih.gov/33201145Test

المؤلفون: Thom R. Nichols

المصدر: Journal of Wound, Ostomy & Continence Nursing. 43:616-622

مصطلحات موضوعية: Male, Gerontology, Psychometrics, Cross-sectional study, Ostomy, Population, MEDLINE, Vitality, 03 medical and health sciences, 0302 clinical medicine, Quality of life, Surveys and Questionnaires, Colostomy, Humans, Medicine, education, Aged, Advanced and Specialized Nursing, Response rate (survey), education.field_of_study, Ileostomy, business.industry, Middle Aged, Mental health, United States, Medical–Surgical Nursing, Cross-Sectional Studies, Mental Health, 030220 oncology & carcinogenesis, Social function, Quality of Life, Female, 030211 gastroenterology & hepatology, business

الوصف: PURPOSE The purpose of this study was to assess the Mental Health Component of health-related quality of life (HRQOL) in community-dwelling persons with ostomies residing in the United States. DESIGN Cross-sectional descriptive study. SUBJECTS AND SETTING Two thousand three hundred twenty-nine participants completed the survey for a response rate of 14.9% and a margin of error of 2.03%. Study respondents were geographically distributed throughout the United States, representing all 50 states. Fifty-three percent of study respondents were male. Respondents had a median age of 65 years. Forty percent have colostomies, 44% are living with ileostomies, and 13% have urostomies. The remaining 3% are living with multiple stomas or they indicated that they were uncertain as to the type of stoma. INSTRUMENT The SF36v2 was used to assess HRQOL. This instrument was selected because it has the ability to measure HRQOL in a target population and it allows comparison with the general population. METHODS Potential participants were randomly selected from an electronic database of 15,591 persons with ostomies. They were contacted by e-mails and provided with an electronic nontransferable link to the survey. This is a secondary analysis of findings from the Mental Component Summary (MCS) of the SF36v2. RESULTS Persons who have undergone ostomy surgery did not score as well as the general population when components of the MCS were compared. While overall differences were identified, they differed based on age and cumulative MCS score levels. Analysis of individuals found to have significant impairment in MCS scores (cumulative soccer

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::325e3d1e22c8c094832dddbb40a1a165Test
https://doi.org/10.1097/won.0000000000000279Test

المؤلفون: Cheryl A. Roe, Heidi Huddleston Cross, Dongliang Wang

المصدر: Journal of Wound, Ostomy & Continence Nursing. 41:560-565

مصطلحات موضوعية: Adult, Male, Self-assessment, Self-Assessment, medicine.medical_specialty, Nursing staff, Demographics, Cross-sectional study, Ostomy, MEDLINE, Convenience sample, Nursing Staff, Hospital, Likert scale, Surveys and Questionnaires, Humans, Medicine, Advanced and Specialized Nursing, business.industry, Continuing education, Middle Aged, Medical–Surgical Nursing, Cross-Sectional Studies, Family medicine, Female, Clinical Competence, business

الوصف: PURPOSE Patients with ostomies often state that staff nurses display a lack of confidence in knowledge and skills related to ostomy care. This study examined the confidence and perceptions of barriers among hospital staff nurses when caring for ostomy patients. DESIGN Descriptive, cross-sectional study. SUBJECTS AND SETTING A convenience sample of 576 staff nurses, including 510 registered, 61 licensed practical, and 5 unspecified nurses, participated in the study. The study sample practiced at 3 sites: an academic medical center, a Veteran's Administration Center, and a not-for-profit hospital in the state of New York. METHODS Links to a 17-question electronic survey were distributed by e-mail. The survey included items that queried demographics, availability of an ostomy nurse, ostomy training in school, and frequency of care of ostomy patients. Participants also responded to 22 statements using a 6-point Likert Scale (1 = Strongly Disagree, 6 = Strongly Agree). These statements queried confidence in providing ostomy care and perceived barriers. RESULTS Higher confidence in ostomy care knowledge (k) and skills (s) was associated with being an LPN (P < .0001 [k], P = .003 [s]), years of nursing experience (P = .009 [k], P = .01 [s]), having ostomy training (P = .002 [k], P = .02 [s]), frequency of providing ostomy care (P < .0001 for each), and knowing how to obtain and use ostomy supplies (P < .0001 for each). The highest reported confidence was associated with emptying a pouch (mean ± SD, 5.32 ± 0.91), and the lowest was knowledge of nutrition for persons with ostomies (3.96 ± 1.21). Almost 1 in 5 respondents (18.6%) was unaware that a certified ostomy nurse practiced at their institution. CONCLUSION Confidence of staff nurses in delivering ostomy care was higher with training and experience. Opportunities for continuing education may increase staff nurse confidence in providing ostomy care. The greatest barrier was lack of knowledge about the presence of an ostomy nurse as a resource in caring for patients.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4407b342b88fe7fc348e88d38ce92a6dTest
https://doi.org/10.1097/won.0000000000000065Test

المؤلفون: Janice M. Beitz, Janice C. Colwell

المصدر: Journal of Wound, Ostomy & Continence Nursing. 41:445-454

مصطلحات موضوعية: Advanced and Specialized Nursing, Response rate (survey), medicine.medical_specialty, Pediatrics, Evidence-based practice, Cross-sectional study, business.industry, Ostomy, Psychological intervention, MEDLINE, Surgical Stomas, Medical–Surgical Nursing, Cross-Sectional Studies, Evidence-Based Practice, Family medicine, Scale (social sciences), medicine, Content validity, Humans, Postanesthesia Nursing, business, Qualitative Research, Qualitative research

الوصف: Purpose The objectives of this study were to establish additional content validation data for proposed stomal and peristomal complications interventions and to identify optimal interventions for the specified complications based on experts' clinical judgment. Subjects and setting Following pilot testing of the researcher-designed instrument, the survey was mailed to 1000 systematically randomly selected expert WOC nurses via a national mailing to a representative sample of participants who identified in their WOCN Society description as having ostomy certification and/or clinical expertise. Two hundred eighty-one nurses returned the survey, comprising a response rate of 28%. Methods A cross-sectional, quantitative descriptive design with qualitative components was used for this study. Respondents were asked to quantify degree of validity (relevance or appropriateness) of the survey's stated stomal and peristomal complications interventions. They were asked to rank interventions for each stomal and peristomal complication for being first-line (most preferred), second-line, and third-line treatment. Hand-written qualitative comments of the participants were transcribed and analyzed, and themes were derived. Results On a scale of 1 to 4, the mean score for all interventions was 3.47 ± 0.29 (relevant/very relevant, mean ± SD). The overall survey's Content Validity Index was 0.84 out of 1.00. Some items had lower mean scores and content validity index scores, especially peristomal interventions. Ranking of most preferred treatments revealed clearly preferred approaches in some clinical situations and some less so. Qualitative analysis of participants' comments about each stomal and peristomal complication intervention and about the whole instrument and research process was conducted generating positive and negative themes. Conclusion The proposed stomal and peristomal interventions were rated as generally valid substantiating results of our earlier study. The ranking of most preferred treatments for stomal and peristomal complications provides, to the authors' knowledge, the world's first research support for prioritized approaches and evidence-based practice in ostomy care.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::023596589e73ad30983095c5dbd87750Test
https://doi.org/10.1097/won.0000000000000052Test

المؤلفون: Janice C. Colwell, Janice M. Beitz

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 43(3)

مصطلحات موضوعية: Male, Pediatrics, medicine.medical_specialty, Hernia, Fistula, Cross-sectional study, Ostomy, Psychological intervention, MEDLINE, Nurse Administrator, Narrative inquiry, 03 medical and health sciences, Necrosis, 0302 clinical medicine, Postoperative Complications, Nursing, Surveys and Questionnaires, Medicine, Humans, Narrative, 030212 general & internal medicine, Nurse Administrators, Advanced and Specialized Nursing, Narration, 030504 nursing, business.industry, Surgical Stomas, Middle Aged, Skin Care, Medical–Surgical Nursing, Cross-Sectional Studies, Female, Approaches of management, Descriptive research, 0305 other medical science, business

الوصف: Purpose The purpose of this study was to identify optimal interventions for selected complications based on WOC nurse experts' judgment/expertise. Methods A cross-sectional quantitative descriptive design with qualitative, narrative-type components was used for this study. Following validation rating of appropriateness of interventions and quantitative rankings of first-, second-, and third-line approaches, participants provided substantive handwritten narrative comments about listed interventions. Comments were organized and prioritized using frequency count. Results Narrative comments reflected the quantitative rankings of efficacy of approaches. Clinicians offered further specific suggestions regarding product use and progression of care for selected complications. Conclusions Narrative analysis using descriptive quantitative frequency count supported the rankings of most preferred treatments of selected stomal and peristomal complications. Findings add to the previous research on prioritized approaches and evidence-based practice in ostomy care.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::18eb18d4512ed11b16819b3bf9b981d2Test
https://pubmed.ncbi.nlm.nih.gov/26938334Test

المؤلفون: Hülya Uçar, Nazike Duruk

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 40(6)

مصطلحات موضوعية: Questionnaires, Adult, Male, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Nursing staff, Turkey, Cross-sectional study, Ostomy, MEDLINE, Nursing Staff, Hospital, Turkey (republic), Stoma, Nursing care, Nursing, nursing, attitude to health, Acute care, Surveys and Questionnaires, Ostomy knowledge, Medicine, cross-sectional study, Humans, Professional literature, human, nursing staff, Advanced and Specialized Nursing, psychological aspect, business.industry, Knowledge level, questionnaire, Stoma care, article, Enterostomy, Medical–Surgical Nursing, female, Cross-Sectional Studies, Family medicine, Female, business

الوصف: PURPOSE: The purpose of this study was to explore the opinions of nurses regarding their knowledge of and perceived responsibility for providing ostomy care. SUBJECTS AND SETTING: The target population of this de-scriptive study was staff nurses working in an acute care hospital in Ankara, Turkey. METHODS: Data were collected by a questionnaire that included 2 sections. The fi rst section queried descriptive information about the nurses, the perceived responsibil-ity for providing ostomy care for patients. The second section included 54 items that focused on knowledge about stoma care. RESULTS: Evaluating the answers of the nurses to all statements in general (54 propositions), the median value of the “I do not know/false” answers (27.50) was observed to be close to the median value of the “true” answers (26.5). These results indicated that the staff nurses’ knowledge of ostomy care was not at the desired level. Responses from section 2 indicated that nonspecialty practice staff did not consider stoma care as their responsibility. Factors that infl uenced knowl-edge of ostomy care were number of years working as a nurse, level of education, level of reviewing professional literature on ostomy care, and participation in scientifi c meetings on the subject. CONCLUSIONS: Study fi ndings reveal that knowledge level of nonspecialty nurses about intestinal stoma care is inadequate, and most staff nurses did not consider themselves responsible for stoma care. KEY WORDS: nursing care , ostomy knowledge , ostomy , stoma

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c2a2cc6a24c46853ce03828639617652Test
https://pubmed.ncbi.nlm.nih.gov/24202225Test

المؤلفون: Kingsley L. Simmons, Jane A. Smith, Atsuko Maekawa

المصدر: Journal of Wound, Ostomy & Continence Nursing. 38:421-427

مصطلحات موضوعية: Male, Gerontology, Multivariate analysis, Databases, Factual, Cross-sectional study, Ostomy, MEDLINE, White People, Asian People, Surveys and Questionnaires, Adaptation, Psychological, Humans, Psychology, Adaptation (computer science), Aged, Advanced and Specialized Nursing, Cultural Characteristics, Middle Aged, Adaptation, Physiological, United Kingdom, Self Care, Medical–Surgical Nursing, Cross-Sectional Studies, Multivariate Analysis, Self care, Educational Status, Female, Psychosocial function

الوصف: We compared social and psychological adjustment to surgery ending with an ostomy in British and Japanese patients.In response to a postal survey, 948 ostomy patients (464 British and 484 Japanese), selected at random from respective national databases, provided assessable data on the Ostomy Adjustment Inventory-23 (OAI-23), a validated scale for measurement of psychosocial adjustment to an ostomy.Analysis of variance revealed that country of residence (F1,876 = 50.9, P.001) and time since surgery (F3,876 = 9.9, P.001) significantly influenced psychosocial adjustment to an ostomy. British persons with an ostomy experienced higher psychosocial adjustment to an ostomy than did Japanese respondents. Multivariate analysis based on acceptance, social engagement, anxious-preoccupation, and anger also found that country of residence and time since surgery influenced psychosocial adjustment (Pillai's Trace: V = 0.22, F = 67.15, P0.001, and V = 0.05, F = 3.6, P ≤ .001, respectively). Acceptance and social engagement (discriminant coefficient = 0.92 and 0.56, respectively) made the largest contribution.Psychosocial functioning differed in British and Japanese persons with an ostomy, suggesting that culture influences psychosocial adjustment to life with an ostomy. These findings support the need for culturally informed ostomy care.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6087fcae433f912a01f4c80e7fa33af0Test
https://doi.org/10.1097/won.0b013e318220b6d6Test

المؤلفون: Şeref Başal, Berrin Pazar, Ayla Yava

المساهمون: HKÜ, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü

مصطلحات موضوعية: Male, medicine.medical_specialty, Turkey, Cross-sectional study, Health Status, Population, MEDLINE, Urostomy, Quality of life, Statistical significance, Medicine, Humans, Prospective Studies, education, Prospective cohort study, Ureterostomy, Aged, Advanced and Specialized Nursing, education.field_of_study, business.industry, Middle Aged, Family life, body appearance, nursing, ostomy, quality of life, stoma, social adaptation, urostomy, Medical–Surgical Nursing, Cross-Sectional Studies, Physical therapy, Quality of Life, Female, business

الوصف: PURPOSE: The purpose of the study was to determine the life experiences and health-related quality of life (HRQOL) of patients living with a urostomy. DESIGN: Cross-sectional descriptive study. SUBJECTS AND SETTING: This prospective and descriptive study was carried out in a research and training hospital in Gaziantep, Turkey; data were collected from May 2009 to September 2011. Twenty-four participants had undergone a urostomy operation at least 4 months before study participation. METHODS: A form querying pertinent demographic and clinical information, combined with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QoL Q-C30) was used for data collection. Data collection forms were sent to the patients via mail in closed envelopes. The Mann-Whitney U, the Kruskal Wallis, and Wilcoxon signed rank tests were used for the comparative statistics; statistical significance was accepted when P values were

وصف الملف: application/pdf

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8a20da8c32b010c661d8e3eabfc8612cTest
https://hdl.handle.net/20.500.11782/829Test

المؤلفون: Sarah Varma, Claire Taylor

المصدر: Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 39(1)

مصطلحات موضوعية: Male, Reoperation, Pediatrics, medicine.medical_specialty, Cross-sectional study, Ostomy, Population, MEDLINE, Stoma, Patient satisfaction, Surveys and Questionnaires, medicine, Humans, Closure (psychology), education, Advanced and Specialized Nursing, Response rate (survey), education.field_of_study, business.industry, General surgery, Incidence (epidemiology), Surgical Stomas, Medical–Surgical Nursing, Cross-Sectional Studies, Patient Satisfaction, Female, business

الوصف: Purpose The purpose of the study was to examine time to reversal of a temporary ostomy, reasons for delayed closure, and patient satisfaction with the scheduling of their closure and related hospital care. Design Cross-sectional, descriptive study. Subjects and setting The target population comprised patients who underwent creation of a temporary ostomy and reversal surgery within one National Health System Hospital Trust in the United Kingdom. The population served by this Trust are ethnically and socioeconomically diverse, predominantly living in urban areas around Greater London. Sixty-one persons who met inclusion criteria were identified. Methods A two-step analytical process was undertaken. First, a literature review examining incidence and causes of delayed stoma closure was undertaken. Second, a postal survey of all patients who had had their stoma closed in 2009 was conducted. Respondents were allowed 2 weeks to complete and return the questionnaire. Instrument The survey instrument was developed locally and subjected to content validation using ostomy patients, surgical and nursing colleagues. It consisted of 9 questions querying time from original surgery to closure, reasons for delaying closure surgery beyond 12 weeks, and satisfaction with care. Results Twenty-seven patients returned their questionnaires, indicating they consented to participate; a response rate of 44%. Half of the respondents (n = 14 [52%]) underwent closure surgery within 6 months of stoma formation; the remaining 48% waited more than 6 months (median: 6.5 months, range: 1.5-26 months). Thirteen patients (48%) reported a delay in receiving their stoma closure; the main reason cited was the need for a course of adjuvant postoperative chemotherapy. Three quarters of respondents (22 [74%]) were satisfied with the overall care they received. Conclusion Findings from this study suggest that stoma closure may be associated with fewest complications if performed before 12 weeks.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b60fca4d7e1c57b4f27c9633cf15440dTest
https://pubmed.ncbi.nlm.nih.gov/22089766Test