Management Approaches to Stomal and Peristomal Complications: A Narrative Descriptive Study

J Wound Ostomy Continence Nurs. 2016 May-Jun;43(3):263-8. doi: 10.1097/WON.0000000000000215.

Abstract

Purpose: The purpose of this study was to identify optimal interventions for selected complications based on WOC nurse experts' judgment/expertise.

Methods: A cross-sectional quantitative descriptive design with qualitative, narrative-type components was used for this study. Following validation rating of appropriateness of interventions and quantitative rankings of first-, second-, and third-line approaches, participants provided substantive handwritten narrative comments about listed interventions. Comments were organized and prioritized using frequency count.

Results: Narrative comments reflected the quantitative rankings of efficacy of approaches. Clinicians offered further specific suggestions regarding product use and progression of care for selected complications.

Conclusions: Narrative analysis using descriptive quantitative frequency count supported the rankings of most preferred treatments of selected stomal and peristomal complications. Findings add to the previous research on prioritized approaches and evidence-based practice in ostomy care.

MeSH terms

  • Cross-Sectional Studies
  • Female
  • Fistula / nursing
  • Hernia / nursing
  • Humans
  • Male
  • Middle Aged
  • Narration
  • Necrosis / nursing
  • Nurse Administrators
  • Ostomy / nursing*
  • Postoperative Complications / nursing
  • Postoperative Complications / therapy*
  • Skin Care / nursing
  • Surgical Stomas / adverse effects
  • Surveys and Questionnaires