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Case management: a new practice model for ET nurses

B Blaylock, M Murray

    Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
    |March 1, 1996
    PubMed
    Summary
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    Enterostomal Therapy (ET) nurses can enhance patient care and their professional roles by adopting a case management model for gastrointestinal surgery patients. This approach, including critical pathways, demonstrates ET nursing

    Area of Science:

    • Wound, Ostomy, and Continence Nursing
    • Healthcare Management
    • Surgical Patient Care

    Background:

    • Traditional Enterostomal Therapy (ET) nursing focuses on ostomy care, including prosthetic fitting and patient education.
    • The impact of ET nursing on ostomy patient outcomes requires further demonstration beyond basic care.
    • Healthcare reform presents opportunities to expand the scope of ET nursing practice.

    Purpose of the Study:

    • To explore the expansion of ET nursing practice through a case management model.
    • To describe the development of a case management system for gastrointestinal surgery patients.
    • To detail the creation of a critical pathway for enhanced patient care.

    Main Methods:

    • Examination of wound, ostomy, and continence nursing practices.

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  • Development of a case management system for patients undergoing gastrointestinal surgery.
  • Creation of a critical pathway (care map) for patient care coordination.

    • Main Results:

    • ET nurses are exploring new roles, such as case management for surgical patients.
    • A case management system and critical pathway were developed for gastrointestinal surgery patients.
    • The study highlights the need for ET nurses to evaluate outcomes to justify specialty practice.

    Conclusions:

    • Case management offers a new avenue for ET nurses to impact patient outcomes, particularly in gastrointestinal surgery.
    • Developing critical pathways is a key component of implementing a case management model.
    • Evaluating care outcomes is essential for demonstrating the value and continued need for ET nursing specialists.