Stoma coloproctology nurse specialist: a case study (original) (raw)
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The Evolution And Experience Of Stomal Therapy Nurses In Australia 1959-2000
2003
Gill-Thompson, Gwen Anderson and Professor Bryan Brooke. The significant contributions of these extraordinary people impacted on the establishment and evolution of stomal therapy nurses and ostomy associations in Australia. I dedicate this thesis in part to their memories. Furthermore, I extend this dedication to Elinor Kyte, who I acknowledge to be the 'Mother of Stomal Therapy Nursing' in Australia. To all the stomal therapy nurses, surgeons and people who so generously gave of their time and shared their memories and experiences with me I offer my sincerest appreciation, and pay due professional homage to their contributions to the development and evolution of stomal therapy nursing within Australia. To my supervisors Dr Kathy Ahern, Prof Geoffrey Bolton and more recently, Dr Kate White, I express my sincere appreciation and gratefully acknowledge their most valuable supervision and encouragement. In particular, I would like to acknowledge Dr Kathy Ahern's enduring professional support. This odyssey has been enriched and the burden of the research journey lightened because of her belief in the value of this study. Words remain inadequate however, to acknowledge the support, love and encouragement I have received from those I hold most dear. Frank-my beloved and the wind beneath my wings. Deborah-wise beyond her years and endlessly generous in her encouragement. Andrew-gifted with patience and ability to impart his expertise in computing. Above all, to God who truly has held me in the palm of His hand and shown me something I had not known. Isaiah 49:16 and 52:lSb.
What\u27s the plan?: Supporting individualised care for hospitalised patients with stomas
2018
Background: Nurses play a pivotal role in providing nursing care and ongoing support to assist patients in adapting to a normal life with a stoma. While stomal therapy nurses have high levels of clinical expertise, little is known about ward nurses\u27 experiences and understanding of their role in caring for patients with a stoma. Aim: To explore ward nurses\u27 understanding of their role in caring for patients with a stoma. Methodology: One face-to-face focus group interview was conducted with nurses (n=6) from the colorectal ward in a large metropolitan hospital. Data analysis was undertaken using a general inductive approach. Findings: Two main categories and 13 themes emerged from the focus group data. Participants reported a lack of stomal therapy nursing knowledge and skills, and they strongly advocated for a documented, multidisciplinary, individualised care plan for the patient with a stoma. Conclusion: The findings from this study can be used to inform the development of ...
conducted the first certificate course in stoma therapy for nurses in Sri Lanka. We aim to evaluate the success of the course in enhancing the knowledge and skills of the participants. Methods We evaluated 15 domains of patient care in the 61 participants using a self-administered validated questionnaire administered before the onset and after completion of the course. Data were analysed using Wilcoxon signed-rank test. Results Of the 61, 37 (60.6%) were females. The mean age was 31.5 (SD±5.5) years. All 15 domains of patient care had improved at the end of the program. The biggest increase was seen in staff confidence category. The 3 domains that had the biggest improvement were; confidence to select different appliances to suit different conditions (90% improvement in score), having material for proper patient teaching (88.6%) and confidence in educating patients (77.6%). There were no statistically significant correlation between age, gender or years in nursing and the improvement in any of the measured domains. Conclusion The program was successful in allowing the participants to function independently. It was conducted with local resource personnel and minimal cost.
What's the plan?: Supporting individualised care for hospitalised patients with stomas
The Journal of Stomal Therapy Australia, 2018
Background: Nurses play a pivotal role in providing nursing care and ongoing support to assist patients in adapting to a normal life with a stoma. While stomal therapy nurses have high levels of clinical expertise, little is known about ward nurses' experiences and understanding of their role in caring for patients with a stoma. Aim: To explore ward nurses' understanding of their role in caring for patients with a stoma. Methodology: One face-to-face focus group interview was conducted with nurses (n=6) from the colorectal ward in a large metropolitan hospital. Data analysis was undertaken using a general inductive approach. Findings: Two main categories and 13 themes emerged from the focus group data. Participants reported a lack of stomal therapy nursing knowledge and skills, and they strongly advocated for a documented, multidisciplinary, individualised care plan for the patient with a stoma. Conclusion: The findings from this study can be used to inform the development o...
European Journal of Oncology Nursing, 2019
To determine how members of gynaecological oncology multidisciplinary teams experience and perceive the specialist nurse role. Methods: Members of gynaecological oncology multidisciplinary teams were recruited via two professional organisations to participate in an online qualitative survey. Survey responses were subjected to an inductive content analysis and categorised according to meaning. Results: Sixty-six (n = 66) multidisciplinary team members participated in the online survey. Most participants worked in metropolitan areas and within the public health care system. 71% (n = 47) of participants had a specialist nurse working in their team. Participants without a specialist nurse in their team (n = 19) believed that this was a disadvantage to the women in their care except where other experienced nurses were able to fill this void. Key aspects of the specialist nurse role identified by multidisciplinary team members included: Contact, communication, and coordination; Support and advocacy; Knowledge and education; Assessment, referral and management. Concerns and disadvantages relating to the role identified by team members included the development of dependence on the specialist nurse, the impact of large workloads, and the oversight of what other nurses can offer the patients. Conclusions: This study has contributed the perspective of a key stakeholder, the multidisciplinary team, to our understanding of the gynaecological oncology specialist nurse role. Clearer definition of specialist nurse roles is required. Standardised nomenclature and guidelines for practice are recommended to ensure that the specialist nurse role and their scope of practice are clear to key stakeholders and over-dependence on the individual in the role is mitigated.
Journal of Advanced Nursing, 2002
Nursing 37(1), 43±51 Professional and organizational obstacles to establishing a new specialist service in primary care: case study of an epilepsy specialist nurse Background. Few evaluations of the effectiveness of specialist nurse-led services explore the nurse's experiences, attitudes and qualities. This can help us to understand why a service has the effects it does and to inform new specialist nurses of potential dif®culties. Aim. To explore the experiences, feelings and perceived problems of providing a new specialist nurse service from the nurse's perspective.
The Position of Stoma Nurses in the Czech Republic
2010
Objectives: The research project was focused on the work of stoma nurses. The work of stoma nurses in the Czech Republic has not been completely unified yet. Stoma nurses do not have unified conditions for their work. Those specialists have different competences and different professional education achieved. Methods: The research had set the aim to clarify the given situation, to identify the particularities of work of stoma nurses and to ascertain the competences of those professionals. A questionnaire was made up in order to give a true picture of the given issue. The questionnaire was intended for stoma nurses and to nurses caring for ostomates. The questionnaire investigation was performed in all regions of the Czech Republic. 89 respondents participated in the research. Results: The analysis of the result shows that stoma nurses do not execute their specialization as main job contents. Most respondents deal with the stoma issues during the performance of their primary job conte...
The Clinical Nurse Specialist and Nurse Practitioner
Clinical Nurse Specialist, 1990
The aim of this paper is to contribute to pertinent discussions regarding advanced practice nursing roles. In particular discussion will focus on the potential implications for the developing nurse ractitioner (NP) role on the existing clinical nurse specialist (CNS) roles.