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Current nursing practice by hospital-based stoma specialist nurses
1Former stoma care nurse, is now an enhanced recovery nurse at St Marks Hospital, Harrow, Middlesex.
British Journal of Nursing (Mark Allen Publishing)
|March 20, 2014
Summary
UK stoma specialist nurses commonly treat sore peristomal skin with powders and convex appliances, often caused by leakage. However, current nursing practice for peristomal skin problems lacks sufficient research to be considered evidence-based.
Area of Science:
- Nursing Practice
- Stoma Care
- Dermatology
Background:
- Nurses commonly manage patients with stomas, a frequent complication being sore peristomal skin.
- Peristomal skin complications require effective nursing interventions.
Purpose of the Study:
- To investigate current UK stoma specialist nursing practices for managing peristomal skin problems.
- To assess if current practices align with existing literature and are evidence-based.
Main Methods:
- A questionnaire survey was distributed to 596 stoma care nurses across UK NHS hospitals in September 2009.
- Data collected included descriptions, treatments, and perceived causes of peristomal skin issues.
Main Results:
- A 15% response rate (89 nurses) was achieved, with most respondents possessing advanced qualifications and extensive stoma care experience.
- Erythema was the primary descriptor for sore skin (80%). Stoma powder (98%) and convex appliances (98%) were the most frequent treatments, with appliance leakage cited as the main cause (61%).
Conclusions:
- The study population was well-qualified to address the research question.
- While practices showed some alignment with literature, a lack of robust research prevents defining care as evidence-based.
- Further research is essential for establishing universally accepted definitions and treatments for sore peristomal skin.
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