Practices' systematization of stoma site marking in patients undergoing unplanned surgery: an improvement quality project

Authors

  • Igor Soares-Pinto ESSNorteCVP - Escola Superior de Saúde Norte da Cruz Vermelha, Oliveira de Azeméis, Portugal | Instituto de Ciências da Saúde, Universidade Católica Portuguesa, Porto, Portugal https://orcid.org/0000-0003-3739-2020
  • Marta Ferreira Sá ULSM - Unidade Local de Saúde de Matosinhos, EPE, Matosinhos, Portugal https://orcid.org/0000-0002-0274-9205
  • Rui Cruz Hospital Distrital da Figueira da Foz, EPE, Figueira da Foz, Portugal
  • Isabel de Jesus Oliveira Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Coimbra, Portugal https://orcid.org/0000-0001-6627-3907

DOI:

https://doi.org/10.29352/mill0223.32837

Keywords:

nurses; ostomy; evidence-based practice; evidence implementation project

Abstract

Introduction:  In unplanned surgery, stoma site marking is unusual, increasing the risk of complications. Data on stoma site marking in a hospital in the northern region of Portugal and guidance in emergency situations are unavailable.

Objective: To increase bowel elimination stoma site marking for patients undergoing unplanned surgery.

Methods: A protocol for a best practice implementation project based on the Plan-Do-Check-Act cycle and consists of 4 phases: identification of the problem; analysis of the causes and the definition of the specific objectives; planning and implementing the intervention,  checking the results, proposing corrective measures, standardizing procedures, and training the team. Data will be gathered using questionnaires for nurses, analysis of existing information systems, and the implementation of an audit grid. Results: The first two phases allowed the identification of the main shortcomings and draft of a multimodal intervention that will comprise educational strategies, implementation of a decision-making algorithm, and audit. A decrease in skin complications is expected. Increased confidence, independence in stoma self-care, and awareness of stoma living are also anticipated. Implementing this project may lead to a reduction in healthcare costs and an overall improvement in the quality of life of the person with a stoma.

Conclusion: Evidence suggests that stoma site marking is paramount to improve patient’s health outcomes. Results from this project may offer new strategies to cope with management shortcomings in health systems.

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References

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Published

2023-11-23

How to Cite

Soares-Pinto, I., Ferreira Sá, M., Cruz, R. ., & Oliveira, I. de J. (2023). Practices’ systematization of stoma site marking in patients undergoing unplanned surgery: an improvement quality project. Millenium - Journal of Education, Technologies, and Health, 2(23), e32837. https://doi.org/10.29352/mill0223.32837

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Section

Life and Healthcare Sciences