Confidence, skills and barriers to ostomy patient care by nursing staff in Saudi Arabia

Abstract

Aim: This study examined the confidence level and perceived barriers to providing ostomy care among staff nurses in Saudi Arabia.Background: Patients with ostomies experience increased comfort and satisfaction when nurses are confident in their knowledge and skills.Design: A descriptive, cross-sectional design was used to conduct the research.The study included a convenience sample of 214 staff nurses from five hospitals in Riyadh, Saudi Arabia. The researchers used a survey questionnaire to gauge participants' confidence in their knowledge and skills, as well as identify any perceived barriers to ostomy care.Result: Overall, 95.1% of participants worked in adult care and 82.2% worked in surgical areas. There were significant relationships between the nurses' confidence in their ostomy care knowledge and skills and their years of nursing experience and having received ostomy care training in nursing school (p < .05); however, the nurses' level of education had no correlation (p > .05). Conclusion:While the majority of nurses were confident in their ability to care for patients with ostomies, they were concerned about causing stoma problems. This suggests that improving the quality of ostomy care provided by nurses may result in fewer negative outcomes for patients with ostomies.

The clarification of the concept of colostomy nursing care in ostomy care centers: A concept analysis through Walker and Avant’s method

“…[ 2 ] Ostomy nursing is also considered specialized and independent care provision to patients with an ostomy to facilitate their living with their new conditions. [ 20 44 ]…”

“…Nurse-related antecedents: These antecedents include adherence to the 6 Cs of nursing, namely continuous care provision, compassion, courage, communication, commitment, and competence. [ 1 60 ] Moreover, SCNs need to have bachelor's or master's nursing degree, have specialized knowledge and skills respecting colostomy care,[ 1 20 44 49 56 61 62 ] use the nursing process,[ 63 ] have great experience in care provision to patients with an ostomy, and participate in conducting research studies. [ 20 49 ]…”

“…[ 2 ] A qualitative study reported that nurses’ great experience in providing hospital care to patients with an ostomy, high educational level, and good specialized ostomy care knowledge are antecedent ostomy nursing care. [ 20 ] Some studies also showed that the aims of ostomy care in outpatient OCCs are to reduce ostomy-related problems and complications, improve patients’ self-care abilities, and empower patients to return to normal life. [ 3 21 22 ]…”

Nurse specialist and ostomy patient: Competence and skills in the care pathway. A scoping review

“…dietary advice, knowledge of complications and warning signals)(Wound, Ostomy and Continence Nurses Society & Guideline Development Task Force, 2018). Increasing trust and competence in patients has been shown in the literature to reduce adverse outcomes and complications related to stoma mismanagement (Alenezi et al, 2022). Caregiver inclusion represents an integral part of the care process (Berti‐Hearn & Elliott, 2019; Wound, Ostomy and Continence Nurses Society & Guideline Development Task Force, 2018).…”

“…Increasing trust and competence in patients has been shown in the literature to reduce adverse outcomes and complications related to stoma mismanagement (Alenezi et al, 2022). Moreover, the skills that are required of the ostomy ScNS concern first, the assessment, prevention, and management of early and tardive stoma complications (Arrowsmith, 1996;Black, 2002;Boyles & Hunt, 2016;Broadwell, 1983;Burch, 2010; Moreira…”