Management of stoma among colorectal cancer patients in a surgical ward: a best practice implementation project

Cao, Xinxuan; Bo, Liwen; Zeng, Mingxiu

doi:10.11124/jbisrir-2014-1487

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…First, 22 studies (20%) reported that implementation was inhibited by the absence of formal reinforcement by management to integrate the innovation with organizational policy/protocols (57,(60)(61)(62)(63)(64), or with other innovation-related elements (15,24,39,(65)(66)(67)(68)(69)(70)(71)(72)(73)(75)(76)(77). Those elements include tools (e.g., communication tools to guide nursing handover) (65), checklists (e.g., Chinese HF discharge checklist) (65), indicators (e.g., referral indicators) (12), systems (e.g., information management system) (72), and forms (e.g., ETT: endotracheal tube assessment form) (66).…”

Section: Organization Factorsmentioning

confidence: 99%

“…Insufficient knowledge and skills regarding the innovation of health professionals (12,60,62,63,65,67,68,70,71,78,82,93,(95)(96)(97)(98) and patients (21,30,60,77,94) was raised as an inhibitor of implementing the innovation. For example, in one study (60) nurses' lack of knowledge and skills of stoma management was identified by the project team as one of the barriers. A bundle of interventions, including training, significantly improved compliance rates.…”

Section: User Factorsmentioning

confidence: 99%

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Factors Influencing the Implementation of Foreign Innovations in Organization and Management of Health Service Delivery in China: A Systematic Review

et al. 2021

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Background: China has been encouraged to learn from international innovations in the organization and management of health service delivery to achieve the national health reform objectives. However, the success and effectiveness of implementing innovations is affected by the interactions of innovations with the Chinese context. Our aim is to synthesize evidence on factors influencing the implementation of non-Chinese innovations in organization and management of health service delivery in mainland China.Methods: A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched seven databases for peer-reviewed articles published between 2009 and 2020. Data were analyzed and combined to generate a list of factors influencing the implementation of foreign innovations in China. The factors were classified in the categories context, system, organization, innovation, users, resources, and implementation process.Results: The 110 studies meeting the inclusion criteria revealed 33 factors. Most supported by evidence is the factor integration in organizational policies, followed by the factors motivation & incentives and human resources. Some factors (e.g., governmental policies & regulations) were mentioned in multiple studies with little or no evidence.Conclusion: Evidence on factors influencing the implementation of foreign innovations in organization and management of health service delivery is scarce and of limited quality. Although many factors identified in this review have also been reported in reviews primarily considering Western literature, this review suggests that extrinsic motivation, financial incentives, governmental and organizational policies & regulations are more important while decentralization was found to be less important in China compare to Western countries. In addition, introducing innovations in rural China seems more challenging than in urban China, because of a lack of human resources and the more traditional rural culture.

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Section: Organization Factorsmentioning

confidence: 99%

Section: User Factorsmentioning

confidence: 99%

Factors Influencing the Implementation of Foreign Innovations in Organization and Management of Health Service Delivery in China: A Systematic Review

et al. 2021

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“…Impaired PSA in people with an ostomy may be related to physical, emotional, and social factors 3,4. Long-term adaptation problems, which have been reported for up to 5 years postsurgery, may be related to peristomal skin complications,5 stoma function, clothing limitations, and dietary problems 6. The potential for ostomy surgery is a primary concern among many individuals with bowel disease; this worry has been reported to surpass concerns related to progress of the underlying disease itself 7,8.…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy

Doucette

Mawn

Beitz

et al. 2023

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The aim of this study was to examine the influence of personal and clinical factors on psychosocial adjustment in persons living with an ostomy for less than 1 year. DESIGN: A cross-sectional survey. SUBJECTS AND SETTING: The study sample comprised 183 adult individuals who had a colostomy, ileostomy, or urostomy for less than 1 year, residing in the Northeastern United States. METHODS: Data were collected from May through November 2018 using 2 instruments: a sociodemographic questionnaire and the Ostomy Adjustment Inventory-23 (OAI-23). The OAI-23 items measured 4 psychosocial subscales: acceptance, anxious preoccupation, social engagement, and anger. Data were analyzed using analysis of variance, multivariate analysis of variance, Cramer's V correlations, and multiple regression. RESULTS: Univariate analysis indicated that factors influencing psychosocial adjustment to an ostomy include age, assistance with care, educational background, stomal type, body mass index, ostomy height, preoperative education, and stoma siting. Multivariate analysis of variance identified that those who reported independence with ostomy care experienced higher levels of adjustment in all areas of the OAI-23. CONCLUSIONS: Findings from this study may assist nurses and other care providers to better understand the physical and emotional needs of those with ostomies and to identify interventions to promote optimal health in this population.

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“…The International Association for the Study of Pain defines pain as an “unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage” (Emilia Irene et al, 2019 ). Pain management requires accurate and reliable pain assessment, pain relief measures and monitoring of patients' healthcare status.…”

Section: Introductionmentioning

confidence: 99%

Parental involvement in postoperative pain management among children in a urology ward: A best practice implementation project

et al. 2022

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Aim Postoperative pain has adverse effects on children with urological problems, including sleep disturbances, incision dehiscence, bleeding and delayed recovery. Accurate parental assessment of children's behaviours and responses could help to manage postoperative pain. We aimed to implement evidence‐based practice for parental involvement in a urology ward, to increase parents' participation in children's postoperative pain management. Design The project was conducted in a paediatric urology ward using the framework and methods of the Fudan University Evidence‐Based Nursing Center's Evidence‐based Continuous Quality Improvement Model. Methods Fifteen audit criteria were used to represent best practice recommendations for parental involvement in postoperative pain management. A pre‐implementation audit was conducted with 211 randomly sampled children and parents. Obstacles, promoting factors and key strategies were analysed, and evidence‐based interventions implemented to improve compliance. A follow‐up audit using the same audit criteria was conducted with 202 children and parents to assess the effect of targeted strategies on compliance with best practice. The SQUIRE guidelines were followed. Results At the baseline audit, compliance with the evidence‐based criteria was 0%–71.5%; only five audit criteria achieved a compliance rate > 60%. After best practice implementation, the follow‐up audit showed compliance improvements for all criteria; compliance for three criteria improved to 100%. Patient or Public Contribution This best practice implementation project improved parents' participation in children's postoperative pain management. The findings demonstrate how audits can promote best practice in postoperative pain management for children. Additional studies will be conducted to address children's postoperative life quality based on best practice.

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Management of stoma among colorectal cancer patients in a surgical ward: a best practice implementation project

Cited by 4 publications

References 12 publications

Factors Influencing the Implementation of Foreign Innovations in Organization and Management of Health Service Delivery in China: A Systematic Review

Factors Influencing the Implementation of Foreign Innovations in Organization and Management of Health Service Delivery in China: A Systematic Review

Factors Affecting Psychosocial Adjustment in Persons With a Recent Ostomy

Parental involvement in postoperative pain management among children in a urology ward: A best practice implementation project

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