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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Tracheostomy Care I: Pre-procedural Steps01:16

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
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Related Experiment Video

Updated: Apr 11, 2026

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
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A practice-embedded, PDSA-guided implementation study of continuing professional development for stoma care in a

Ran Bi1, Huixian Zhao2, Lijun Tang2

  • 1Department of Oncology, Qinhuangdao First Hospital, Qinhuangdao, Hebei, China.

Frontiers in Medicine
|April 10, 2026
PubMed
Summary

This study implemented a nurse-led stoma care program using quality improvement methods in a resource-constrained setting. The program improved stoma care processes and patient education, demonstrating feasibility for aligning continuing professional development with clinical practice.

Keywords:
PDSAcontinuing professional developmentimplementation studynurse-led interventionpatient-reported outcomespractice-embedded quality improvementresource-constrained settingsworkplace learning

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Area of Science:

  • Nursing Practice
  • Quality Improvement
  • Colorectal Cancer Care

Background:

  • Continuing professional development (CPD) faces challenges in resource-constrained settings.
  • Practice-embedded quality improvement (QI) offers a solution for aligning workforce development with care.
  • This study focused on a nurse-led program to enhance stoma care for colorectal cancer patients.

Purpose of the Study:

  • To describe the implementation of a nurse-led, PDSA-guided practice improvement program for stoma care.
  • To assess the integration of the Quality Stoma Practice Specific Program (QSPSP) into routine clinical workflows.
  • To explore the impact of the program on care processes and patient outcomes.

Main Methods:

  • A single-site pragmatic implementation study using a QI design.
  • Implementation of the QSPSP through three iterative Plan-Do-Study-Act (PDSA) cycles.
  • Assessment of process indicators via audits and observational records; exploration of patient-reported outcomes (EORTC QLQ-C30).

Main Results:

  • The QSPSP integrated into nursing practice, improving care standardization, continuity, infection control, and patient education.
  • Exploratory data from 27 patients showed descriptive improvements in Emotional and Role Functioning domains.
  • Limited gains were observed in Social Functioning; findings require cautious interpretation due to lack of control group.

Conclusions:

  • The study demonstrates the feasibility of integrating QI activities into routine clinical work in resource-constrained settings.
  • The findings suggest potential for aligning CPD with implementation efforts through practice-embedded initiatives.
  • Further research with comparative designs is needed to robustly evaluate clinical and educational outcomes.