Nursing

Results of an audit of the Peristomal Body Profile Assessment Tool (2022)

Posted on by

Type of publication:
Journal article

Author(s):
*Nicola Tonks Natasha Rolls, Kimberly Bain, Paul Russell-Roberts and Mark Bain

Citation:
British Journal of Nursing, December 2022, Vol 31, No 22, S4-S12 (Stoma Care Supplement)

Abstract:
Background: Leakage is the number one concern for people with an ostomy. The 2019 Ostomy Life Study, a global study of more than 5000 ostomates, showed that 92% of people living with a stoma worry about leakage. Getting the right stoma appliance for each patient is key to increasing patient quality of life. Aim: The study was designed to assess the use of the PeristomalBody Profile Assessment Tool in helping choose the most appropriate stoma products for a given patient, decreasing incidents of leakage and peristomal skin complications. Methods: A multi-centre (33 sites, 147 patients) low-interventional clinical investigation was conducted in which the use of the Peristomal BodyProfile Assessment Tool was evaluated as a tool to reduce incidents of leakage, increase peristomal skin health and increase patient quality of life. A focus group of randomised participating clinicians (n=16) was held to explore the audit results. Results: The assessment tool most often took between 2 and 5 minutes to complete. It supported clinicians in selecting the right appliance for each patient, avoiding leakages and preventing associated peristomal skin complications. The assessment tool helped improve the accuracy and quality of documentation in the patients’ medical/nursing notes, increasing the quality and continuity of care. Participants reported that using the assessment tool helped reduce care costs by reducing the need for product changes, supporting product usage and return patient visits. Conclusion: Use of the Peristomal Body Profile Assessment Tool helped clinicians choose the most appropriate stoma appliance the first time, resulting in patients having healthier peristomal skin, fewer leakages, more confidence in their stoma appliance and a higher quality of life.

Link to full-text [NHS OpenAthens account required]

Factors contributing to student nurses'/midwives' perceived competency in spiritual care (2016)

Posted on by

Type of publication:
Journal article

Author(s):
Ross, Linda, Giske, Tove, van Leeuwen, René, Baldacchino, Donia, *McSherry, Wilfred, Narayanasam y, Aru, Jarvis, Paul, Schep-Akkerman, Annemiek

Citation:
Nurse education today, Jan 2016, vol. 36, p. 445-451

Abstract:
The spiritual part of life is importa nt to health, well-being and quality of life. Spiritual care is expected of nurses/midwives, but it is not clear how students can achieve competency in spiritual care at point of registration as required by regulatory bodies. To explore factors contributing to undergraduate nurses'/midwives 9; perceived competency in giving spiritual care. A pilot cross-sectional, multinational, correlational survey design. Questionnaires were completed b y 86% (n=531) of a convenience sample of 618 undergraduate nurses/midwive s from six universities in four countries in 2010. Bivariate and multivaria te analyses were performed. Differences between groups were small. Two fact ors were significantly related to perceived spiritual care competency: perc eption of spirituality/spiritual care and student's personal spiritual ity. Students reporting higher perceived competency viewed spirituality/spi ritual care broadly, not just in religious terms. This association between perceived competency and perception of spirituality is a new finding not pr eviously reported. Further results reinforce findings in the literature that own spirituality was a strong predictor of perceived ability to provide spiritual care, as students reporting higher perceived competency engaged in spiritual activities, were from secular universities and had previous healthcare experience. They were also religious, practised their faith/belief and scored highly on spiritual well-being and spiritual attitude/involvement . The challenge for nurse/midwifery educators is how they might enhance spi ritual care competency in students who are not religious and how they might encourage students who hold a narrow view of spirituality/spiritual care t o broaden their perspective to include the full range of spiritual concerns that patients/clients may encounter. Statistical models created predicted factors contributing to spiritual care competency to some extent but the picture is complex requiring further investigation involving a bigger and mor e diverse longitudinal sample.