Stoma formation as a palliative procedure: the role of the clinical nurse specialist in maintaining quality of life

Henbrey, Rachel

doi:10.12968/bjon.2021.30.6.s4

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…The seven included papers were published in the UK between 2003 and 2021 (Table 2). There were three guidelines (ASCN 2018, RCN 2003, two narrative reviews (McGrath 2017, Skingley 2004), a case study (Comb 2003) and a literature review (Henbrey 2021).…”

Section: Resultsmentioning

confidence: 99%

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The role of the clinical nurse specialist in stoma care: a scoping review

Bird,

Burch,

Thorpe

2023

Gastrointestinal Nursing

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Aim: Rapidly evolving roles in nursing require exploration and description. This review aims to examine the role of the clinical nurse specialist (CNS) in stoma care from the UK perspective. Design: A scoping review was undertaken using the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Data were synthesised using content analysis to derive meaning units and themes. Data sources: Three electronic databases were used to conduct the search: Embase, AMED and Ovid Medline. Additional sources identified through the reference lists of included studies and guidelines were also included. Methods: Two reviewers undertook the search for articles that described the role of the stoma care CNS in the UK. Any disagreements were to be resolved through discussion. Results: Seven papers met the eligibility criteria. Analysis resulted in 184 unique meaning units. Meaning units were grouped into themes reflecting the four pillars of advanced practice: advanced clinical practice; leadership; facilitation of education and learning; and evidence, research and development. The fewest meaning units were attributed to the evidence theme (n=13) and the most related to advanced clinical practice (n=107) such as having specialist knowledge and skills to manage complications. Conclusion: The stoma care CNS role reflects the four pillars of advanced practice. These practitioners are valuable, carrying out a complex role that involves high-level, specialist decision-making skills. The results from this scoping review could be useful in service development; they will be used to inform the Association of Stoma Care Nurses UK modified Delphi consensus to examine the views of stoma care CNS practitioners.

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Section: Resultsmentioning

confidence: 99%

“…These results, however, may have been influenced by the nature of the publications. Henbrey (2021) for example, focussed only on the role of the CNS Stoma Care in palliative care. Palliative care is only a small part of most CNS Stoma Care roles, as many people live a long life with their stoma.…”

Section: Advanced Clinical Practicementioning

confidence: 99%

The role of the clinical nurse specialist in stoma care: a scoping review

Bird,

Burch,

Thorpe

2023

Gastrointestinal Nursing

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“…Os enfermeiros devem dedicar-se ao planejamento e execução de atividades de educação em saúde, em razão das pessoas com estomias intestinais necessitarem de orientações sobre os cuidados, e, portanto, serem treinadas e acompanhadas para o uso e o aproveitamento adequado dos recursos disponíveis e, assim, prevenir complicações, garantindo a qualidade de vida após a cirurgia 9 .…”

Section: Introductionunclassified

Contributos da enfermagem para o autocuidado da pessoa com estomia intestinal

Ribeiro,

Santo,

Souza

et al. 2023

R. Pró-Uni.

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O paciente com estomia intestinal enquadra-se na categoria autocuidado por desvio a saúde e demanda uma assistência apropriada e tem que se conscientizar dos efeitos e dos resultados de estados patológicos, executar medidas terapêuticas e buscar aceitação de si como estando em um estado especial de saúde e dessa forma promover o seu desenvolvimento. Frente ao exposto, objetiva-se descrever as complicações, as repercussões da estomia intestinal na vida do paciente e as intervenções de enfermagem necessárias junto aos pacientes submetidos a esse procedimento. Trata-se de uma revisão integrativa da literatura realizada nas bases de dados MEDLINE e LILACS, no período de 2010 a 2021. Os estudos analisados evidenciam que entre os pacientes com estomas um cuidado inadequado pode resultar em diferentes complicações, principalmente do coto exposto e da pele ao redor, como as dermatites. Em relação às repercussões no cotidiano do paciente com estoma, se sobressaiu nos achados dos resultados analisados a dificuldade no retorno ao trabalho e ao convívio social. Quanto às intervenções de Enfermagem, destacou-se a educação em saúde por promover os cuidados específicos com o estoma objetivando, assim, alcançar o autocuidado, a independência e a autonomia, por ser uma estratégia que estimula o diálogo, a reflexão, o questionamento e a ação compartilhada. Na sequência, tem-se a prestação de uma assistência integral e um cuidado holístico para reinserção social do paciente e retorno às atividades cotidianas, sobretudo o trabalho; e o oferecimento de um sistema de suporte e apoio para ajustamento psicológico e adaptação a nova condição. Palavras-chave: Estomia Intestinal; Assistência de Enfermagem; Autocuidado.

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“…1 Systematic literature reviews and intervention studies have found several beneficial outcomes of CNS-provided care. These include enhanced quality of life with lower complication rates, 9,10 reduced length of stay and the number of readmissions in hospitals, 11,12 support for early recovery, 13 improved physical and psychological well-being of patients, improved quality of care and access to supportive care through collaborative management 10,11 as well as improved patient satisfaction, and reduction in medication errors. 11 However, a systematic review of controlled trials found inconsistent results of CNS-provided care, due to small sample sizes and failure of true randomization of patients.…”

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confidence: 99%

Finnish Version of the Specialist Outcomes and Barriers Analysis Scale

Wright,

Kvist,

Mikkonen

et al. 2023

Clin Nurse Spec

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Purpose To evaluate the psychometric properties of the Finnish version of the Specialist Outcomes and Barriers Analysis Scale. Design This was a cross-sectional survey study. Methods Cultural adaptation of the translation and content validity of the translated instrument were assessed by expert panelists (n = 5) using the content validity index. The construct validity was assessed with principal component analysis using the survey data of Finnish registered nurses (n = 60). Scale reliability was assessed with Cronbach's α values. All study phases were conducted in 2021. Results The items (n = 59) of the scale were critically evaluated by the experts. The full-scale content validity was revealed as excellent (0.92). In terms of construct validity, the scale was analyzed separately for outcomes and barriers. The outcomes section revealed a 5-component structure with an overall Cronbach's α coefficient of .96, and the barriers section, a 2-component structure with an overall Cronbach's α coefficient of .82, indicating adequate reliability of the scale. Conclusion The Finnish version of the scale showed excellent content and construct validity. The Cronbach's α values represented adequate reliability of the Specialist Outcomes and Barriers Analysis scale when measuring nurses' perceived practice outcomes and barriers in the Finnish context.

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Stoma formation as a palliative procedure: the role of the clinical nurse specialist in maintaining quality of life

Cited by 7 publications

References 32 publications

The role of the clinical nurse specialist in stoma care: a scoping review

The role of the clinical nurse specialist in stoma care: a scoping review

Contributos da enfermagem para o autocuidado da pessoa com estomia intestinal

Finnish Version of the Specialist Outcomes and Barriers Analysis Scale

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