Knowledge of stoma care among nurses working in acute settings: an integrated review

2021 ◽  
Vol 19 (7) ◽  
pp. 40-49
Author(s):  
Aisling Dunne ◽  
Owen Doody ◽  
Carmel Bradshaw

Background: Ostomy formation is life-changing surgery, and patient numbers are increasing globally. Knowledge of stoma care and management among nurses in acute settings is vital to provide holistic care, support patients' return to normal life and prevent complications. Aim: To estimate the knowledge of stoma care among nurses working in acute settings using an integrative review. Method: Five databases were searched between 2009 and 2020. A methodological approach for integrative reviews and a thematic analysis framework were used to identify themes from 10 papers. Reporting followed PRISMA guidelines, and quality appraisal was conducted. Findings: Nurses working in acute care settings have limited knowledge of stoma care, and confidence in care provision to patients with ostomies is affected by a lack of exposure. Confusion exists regarding the responsibilities of nurses when stoma care is required for an inpatient. Conclusion: Knowledge deficits regarding stoma care need to be addressed via exposure and support to deliver stoma care, access to evidence-based policies and protocols and clear referral pathways.

2010 ◽  
Vol 26 ◽  
pp. 13-17 ◽  
Author(s):  
O. Petrucci ◽  
A. A. Pasqua ◽  
G. Gullà

Abstract. In this paper, a simplified methodological approach is used to assess damage indices related to landslide phenomena that occurred in Calabria (Italy) between November 2008 and January 2009. This approach, which was designed for and applied to single landslides, uses the Support Analysis Framework (SAF), a procedure containing the elements that can be damaged by a landslide grouped in categories. In this paper, we test wide-ranging use of the SAF on a number of landslides, assessing landslide damage on a municipal scale to get a final estimate of the amount of damage caused by all of the landslides that occurred in a selected municipality. Data regarding the damage caused by landslides were gathered from the press. Daily newspapers were systematically collected and elaborated to assess direct, indirect and intangible damage caused during the abovementioned period by a rainfall-triggered landsliding event. In the paper, regional- and provincial-scale results are described, and the methodological approach is briefly described. The application of the proposed methodological approach to the 2009 landsliding event shows that the results can be used to summarise landslide damage from a complex event in order to better plan an intervention strategy at a regional, provincial or municipal scale. The availability of newspaper data during the event and the speed of the proposed approach allow for rapid location of the damaged sectors during the event, which will continuously upgrade the regional damage framework. This can all be done almost in "real time". For regional agencies, this framework can be a starting point to both manage the emergency and to acquire and interpret data giving a more detailed damage distribution so that a response can be organised. Moreover, based on the damage assessment, a characterisation of the landsliding event can also be carried out and used to describe the damage scenario occurring after each type of event.


2019 ◽  
Vol 50 (4) ◽  
pp. 409-426 ◽  
Author(s):  
Jennifer J Mease

This article introduces applied tensional analysis as a methodological framework that integrates constitutive ontologies (that depict organizations as processes in constant states of emerging or becoming) with the applied need for practitioners to understand and navigate the everyday exigencies of their organizational experiences. Applied tensional analysis centers analysis on tensions as the key to understanding organizational becoming in contrast to approaches that assume organizations are stable entities and consequently focus on patterns, themes, or laws. The applied tensional analysis framework offers four analytical foci (context, tensions, enacted responses, and repertoires) organized into two loops (analytical and change) as guides for data collection and analysis. While the analytical loop orients scholars to the current and past configurations of an organization’s emergence, the change loop emphasizes the multitude of available responses to a particular tension and the constitutive implications of those responses for organizational becoming. As a new methodological approach, applied tensional analysis suggests that organizational knowledge requires more than awareness of what an organization is and includes awareness of organizational potential and what an organization might become.


2015 ◽  
Vol 34 (4) ◽  
pp. 245-247
Author(s):  
Deborah A. Raines

AbstractQuality appraisal is an essential step in the evidence-based practice process. This column focuses on designating the level of evidence of the scientific research.


2014 ◽  
Vol 1 (1) ◽  
pp. 4 ◽  
Author(s):  
Audun Sanderud

Aim To give an overview over journals chosen for publication by the radiography field. Background Traditionally, the professional development of radiography was dominated by other disciplines, e.g. radiology, physics, sociology and nursing. The move into the higher education sector led radiographers be additionally encouraged in research activities. Evidence based practice is an approach to clinical problem solving and health care provision based on "good evidence". Research papers are an important part. Till date, the publication activities and choose of journals among Norwegian radiography staffs have been unknown. Conclusions The wide list of journals chosen illustrates a broad underpinning of radiography. Radiography science in Norway has already shown considerable development and achieved many substantial and structural criteria set for independent academic disciplines.


2008 ◽  
Vol 16 (6) ◽  
pp. 405-411 ◽  
Author(s):  
Russ Scott

Objectives: The aim of this paper is to consider the association between mental illness and violence, and discuss broad intervention approaches. Conclusion: The necessary elements of intervention to reduce violence by the mentally ill are holistic care, access to services and, where necessary, legal leverage. In the custodial setting, this includes screening, early intervention and treatment in prison, and assertive post-release case management to divert mentally ill offenders away from substance use and to support their return to the community. In the community setting, active case management, including access to inpatient beds and co-ordination between mental health services and other agencies, is crucial to providing continuity of care for patients at risk of violence in the community.


2015 ◽  
Vol 34 (5) ◽  
pp. 288-290
Author(s):  
Deborah A. Raines

AbstractQuality appraisal is an essential step in the evidence-based practice process. This column focuses on evaluating the quality of the individual study and its applicability to practice.


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