Nurses’ Knowledge About Fecal Intestinal Ostomies’s Care: A Cross-Sectional Study

Abstract

Background: Investigation of various aspects of care in ostomy patients is of clinical importance, as the level of knowledge and skills of nurses directly influences the quality of patient education and satisfaction with received care. Objectives: The purpose of this study was to determine knowledge of nurses in general surgery wards regarding fecal intestinal ostomies. Methods: This cross-sectional study was performed during year 2015 at teaching hospitals (Ghaem, Imam Reza and Omid hospitals) affiliated to Mashhad University of Medical Sciences, Iran. We used census for sampling, and the study population included all nurses, who were working in intestinal ostomy surgery wards. Inclusion criteria were having an undergraduate degree in nursing and at least one-year work experience at the surgical ward. Data collection tools were a demographic information questionnaire and a researcher-made survey of "assessment of knowledge of nurses in ostomy care". Data were analyzed using SPSS software version 11.5. Results: Overall, 83.9% of participants were female and mean work experience at the surgical ward was 4.23 (SD = 3.73). More than half of the nurses gave incorrect answers to questions related to the use of powders and sprays associated with skin itching and sensitivity (64.3%), and how to care for ostomy with a rod (66.1%). Nurses also showed low and very low levels of knowledge on symptoms and control of obstruction (57.1%), change duration in the size of ostomy (66%), sexual intercourse (57.1%), colostomy complications (51.8%) and ileostomy (57.1%) and authorized or unauthorized activities (50%) as well as how to perform bowel irrigation (75%). Conclusions: According to the results of this study, the knowledge of nurses was not enough to provide primary care for ostomy; thus due to the importance of adequate knowledge and because of needs assessments, it is recommended for nursing managers to conduct retraining courses and other educational approaches for nurses.

Knowledge, Attitude, Perceived Responsibilities, and Associated Factors Regarding Colostomy Care Among Nurses Working in Surgical Units at Amhara Region General and Referral Hospitals, Ethiopia: A Mixed Method Study

“…A pre-tested semi-structured, self-administered questionnaire was adapted from different previous works of literature and guidelines. 1,6,7,20,23 The questionnaire consists of socio-demographic characteristics, work and professional related data, nurses' knowledge towards colostomy care (8 true false and 17 multiple choice items with a total range of 0-25) and nurses' attitude towards colostomy care (9 questions with 5 point Likert scale: from "strongly agree = 5" to "strongly disagree = 1" with a total score range of 9-45). For this purpose, nine BSc nurses participated as data collectors.…”

“…24 The guide was developed after literature review. 1,6,7,20,23 It was first developed in English and then translated to the local language (Amharic) to facilitate communication with participants. The interview questions focused on nurses' perceived responsibility and barriers encountered to perform colostomy care.…”

“…However, studies show that there was lack of knowledge and unfavorable attitude among nurses towards colostomy care. 20,21 Another study revealed that 79.3% of nurses had inadequate knowledge 22 and 70% of nurses had unfavorable attitude towards colostomy care. 5 To the best of researchers' knowledge, there is limited study regarding knowledge, attitude, perceived responsibilities and factors regarding colostomy care among nurses in Ethiopia.…”

Quality of Life in Patients Living with Stoma

“…( 7 ) Quality of care and training provided to patients can be associated with their subsequent QoL. A study done in one of the biggest hospitals in the country has shown that only half of the nurses among those who are responsible to prove ostomy care have good knowledge and skill to give care and training to patients ( 8 ).…”

Construção E Validação De Instrumento Para Avaliação Do Conhecimento Sobre Estomias Intestinais De Eliminação

“…No exterior e no Brasil, outras pesquisas realizadas mensuraram qualidade de vida (8) e cuidados da estomia (9)(10) . Recentemente, Estados Unidos e Irã validaram instrumentos para avaliar conhecimento de enfermeiros sobre estomias intestinais de eliminação (4,11) . Mas, nenhum destes instrumentos possibilitava avaliação do conhecimento de graduandos de Enfermagem e enfermeiros sobre o cuidado no perioperatório de cirurgias geradoras de estomias intestinais de eliminação.…”