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A shared community-based practice: an alternative model for WOC nursing practice

¹Wound, Ostomy, and Continence Nursing Department, Mountain States Tumor Institute, Boise, ID 83712-6297, USA.

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society

|May 21, 1998

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A shared community practice model for Enterostomal Therapy/Wound, Ostomy, and Continence (ET/WOC) nurses was developed to address healthcare restructuring. This model ensures continued access to ET/WOC specialists for facilities on an as-needed basis.

Area of Science:

Healthcare Management
Nursing Practice
Community Health

Background:

Growing community populations historically led to dedicated Enterostomal Therapy/Wound, Ostomy, and Continence (ET/WOC) nurses in each healthcare facility.
Healthcare restructuring prompted a reevaluation of specialty nursing roles, including ET/WOC specialists, within local hospitals.

Purpose of the Study:

To describe the development and expansion of a shared community practice model for ET/WOC nursing services.
To address the need for flexible and accessible ET/WOC nursing support amidst healthcare reforms.

Main Methods:

Implementation of a shared community practice model for ET/WOC nursing.
Agencies utilize ET/WOC nursing services on an "as needed" basis.
Maintaining daily accessibility to ET/WOC specialists.

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Main Results:

The shared model allows healthcare facilities to access ET/WOC nursing expertise flexibly.
Daily accessibility to this specialized nursing resource is maintained despite restructuring.
The model has evolved and grown over two decades of healthcare reform.

Conclusions:

Shared community practice models offer a sustainable solution for specialty nursing services like ET/WOC.
This approach effectively balances cost-efficiency with the continued provision of essential patient care resources.
The model demonstrates adaptability and success in response to significant healthcare delivery changes.