The Impact of Specialty Practice Nursing Care on Health-Related Quality of Life in Persons With Ostomies

Coca, Cristina; Larrinoa, Ignacio Fernández de; García-Llana, Helena

doi:10.1097/won.0000000000000126

Cited by 27 publications

(37 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings also match other studies that reported a more positive adjustment to a stoma after hospital discharge when patients received care from a nurse specialized in ostomies [12,13]. However, our study included a longer evaluation period for results than some of the mentioned studies (which only evaluated three months).…”

Section: Contributions In Terms Of Valuesupporting

confidence: 89%

“…The role of stoma care nurses, annual follow-ups, and initial and long-term education has developed, and is essential to prevent poor use of the devices and accessories. This can lead to reduced prescription costs, have a positive effect on patients' health-related quality of life (HRQL), and reduce issues associated with adverse events, healthcare resources, and healthcare costs [10][11][12][13]. Although there are several studies on the improvement in quality of life of ostomy patients, such as those cited above, none of them evaluate a new model of comprehensive patient management such as the one that has been implemented in our region.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Value-Based Healthcare in Ostomies

Gálvez

Jódar-Sánchez

Moreno

et al. 2020

IJERPH

View full text Add to dashboard Cite

In order to achieve significant improvements in quality, cost, and accessibility (the health “iron triangle”), innovation in organizational and service delivery models is necessary to increase the value of healthcare. The aim of this study is to evaluate the efficiency of a model of organizational innovation based on advanced practice nurse in the care of people with ostomies (APN-O) versus usual care. An observational, exploratory, analytical, prospective study with a six-month follow-up was carried out at 12 hospitals that implemented this model in Andalusia. A total of 75 patients who had undergone a digestive elimination ostomy and/or a urinary ostomy were followed for six months. Clinical outcomes, healthcare resources, health-related quality of life, and willingness to pay (WTP) were analyzed. The economic evaluation was conducted from a societal perspective, including healthcare costs and indirect costs. The cost difference between the two models was €136.99 and the quality-adjusted life year (QALY) gained was 0.05965 (€2297 per QALY gained). At six months, the mean of WTP was €69 per APN-O consultation. This model contributes to increasing the value-based healthcare in ostomies. Results of this study suggested that APN-O is an effective patient management model for improving their health status and is highly efficient.

show abstract

Section: Contributions In Terms Of Valuesupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Value-Based Healthcare in Ostomies

Gálvez

Jódar-Sánchez

Moreno

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…An ostomy was programmed for 81.1% and an emergency for 18.9%. Programmed procedures were more common in Group I, whilst emergencies were more common in Group II [25]. Regarding the type of ostomy, 51.6% was colostomy, 28.7% ileostomy, and 16.5% urostomy.…”

Section: Methodsmentioning

confidence: 99%

“…The case study is based on the implementation in hospitals of education programs for nurses, specializing them in the provision of care to recently ostomized patients; i.e., specialist in ostomy care (SOC) nurses. Coca et al [25] followed an observational study approach in general hospitals in Spain to show how stoma patients with access to SOC nurses experienced significant improvements compared to patients without access to specialist nurses. Here, the same approach evaluates whether this program is cost-effective and results in economic savings for the health system, comparing the evolution of recently ostomized patients at hospitals with and without SOC nurses, taking into account the adverse events patients had to face and their health expenditures.…”

Section: Introductionmentioning

confidence: 99%

Specializing Nurses as An Indirect Education Program for Stoma Patients

García-Goñi

2019

IJERPH

View full text Add to dashboard Cite

Education programs are beneficial for patients with different chronic conditions. Prior studies have examined direct education, where information is transferred directly to patients. In contrast, in this program, information is transferred directly to nurses who become specialists and transfer education individually to patients. Hence, this paper evaluates the impact of having specialist nurses for stoma patients at hospitals, as those nurses provide healthcare to patients but also inform and educate patients about their condition and needs. The analysis uses an observational study with ostomized patients in Spain at hospitals with and without specialist nurses, and measures health service utilization and health-related quality of life (HRQL), besides performing a cost analysis and a cost-effectiveness analysis at both types of hospitals. The results show that patients with access to specialist nurses self-manage better, present lower adverse events and a better evolution of HRQL, and significantly demand more consultations with specialist nurses and less to A&E, primary care or specialists, resulting in important savings for the health system. Consequently, specializing or hiring nurses to provide indirect education to stoma patients is cost-effective and highly beneficial for patients. This type of indirect education strategy might be considered for specific conditions with low incidence or difficulties in identifying target patients or delivering information directly to them.

show abstract

“…The preparation and implementation of these protocols involves the use of high quality scientific evidence, as well as the use of pointers to evaluate them, which involve the complete diagnostic of the colorectal neoplasia, determination of the carcinoembryonic antigen (CEA) serum in the post-operative period, lymph nodes exams, daily cleanse of the operative wound, reference to the oncologist, use of chemotherapy adjuvants after 8 weeks of the surgery and evaluation of the obstruction from the colonoscopy. Beyond that, the evaluation of the hospital costs forms a factor to determine the patient satisfaction [42] [43].…”

Section: Jessica T Defrank 2007mentioning

confidence: 99%