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Nurses' viewpoints on factors affecting ostomy care: A qualitative content analysis.

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Area of Science:

  • Nursing
  • Surgical Care
  • Patient Education

Background:

  • Ostomy care is crucial for patients undergoing colorectal and bladder cancer surgery.
  • Nurses require specific knowledge and skills to effectively manage ostomy patients.
  • Patient outcomes are significantly influenced by the quality of nursing care provided.

Purpose of the Study:

  • To explore the lived experiences of nurses caring for patients with abdominal ostomies.
  • To identify challenges and educational needs in ostomy nursing care.
  • To understand how nurses perceive their role in ostomy patient management.

Main Methods:

  • Qualitative content analysis of in-depth, semi-structured interviews.
  • Purposeful sampling of 17 nurses involved in ostomy patient care.
  • Conventional content analysis to identify themes and subcategories.

Main Results:

  • Seven main themes emerged, including 'Inefficient educational system', 'Nurse Characteristics', 'Workplace challenges', 'Nature of ostomy care', 'Counseling and preparation of patients for surgery', 'Acquaintance with ostomy complications', and 'Proper planning of patient education'.
  • Nurses often provide non-specialized ostomy care due to insufficient knowledge, skills, and lack of updated clinical guidelines.
  • This deficiency can lead to arbitrary care practices instead of evidence-based scientific care.

Conclusions:

  • Current nursing education and workplace environments present significant challenges to specialized ostomy care.
  • There is a critical need for improved, evidence-based training and accessible clinical guidelines for nurses managing ostomy patients.
  • Addressing these gaps is essential for improving the quality of care and patient outcomes in ostomy management.