Colostomy irrigation: current knowledge and practice of WOC nurses

Area of Science:

• Nursing
• Gastroenterology
• Quality of Life Studies

Background:

• Colostomy irrigation (CI) is known to improve quality of life for individuals with a colostomy.
• Previous research indicates that patients may not receive adequate education on CI.
• Understanding the current knowledge and practices of healthcare professionals regarding CI is essential.

Purpose of the Study:

• To assess the current knowledge, attitudes, and practices of Wound, Ostomy, and Continence (WOC) nurses concerning colostomy irrigation (CI).
• To identify factors influencing the teaching of CI by WOC nurses.
• To determine the need for improved education on CI for ostomy nurses.

Main Methods:

• A cross-sectional online survey was administered to members of the Wound, Ostomy and Continence Nurses (WOCN) Society.
• The survey collected demographic data, information on CI teaching practices, perceived advantages and disadvantages, and educational preparation.
• Respondents' beliefs about CI being evidence-based were also assessed.

Main Results:

• 59% of surveyed nurses considered CI an evidence-based practice, yet 50% do not routinely teach it.
• Factors such as years of experience, specific CI education, and belief in its evidence base correlated with nurses' decisions to teach CI.
• Nurses' attitudes, experience, education, and practice setting influence CI instruction.

Conclusions:

• The decision of WOC nurses to teach CI is influenced by multiple factors, including their education, experience, and beliefs.
• A significant gap exists between the recognized benefits of CI and its routine teaching by nurses.
• There is an urgent need for comprehensive education on CI for ostomy nurses and other healthcare staff to enhance patient informed decision-making.