Clinical audit in improving the quality of care for people with feeding ostomy

Authors

DOI:

https://doi.org/10.29352/mill0223e.45544

Keywords:

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

Abstract

Introduction: The provision of high-quality nursing care to people with alimentary ostomy is a clinical challenge, which requires systematized practices, continuous training, and monitoring of results. Clinical auditing is a structured strategy for the evaluation and continuous improvement of the quality of care.

Objective: To evaluate the improvement in the quality of nursing care provided to people with alimentary ostomy, after the implementation of specific measures within the scope of a quality improvement project.

Methods: A retrospective quantitative study based on the documentary analysis of nursing records related to the provision of care to people with alimentary ostomy, using clinical auditing. The processes for the year 2022 and for the 2023-2024 biennium were evaluated, comparing previously defined quality indicators.

Results: There was a consistent improvement in the indicators evaluated, namely in tube monitoring and maintenance, ostomy care, enteral feeding management, and health education aimed at the person and/or informal caregiver, with reinforcement of training for self-care and adherence to the therapeutic plan.

Conclusion: The implementation of quality improvement projects supported by clinical auditing has demonstrated a positive impact on the quality and safety of nursing care, constituting an effective strategy for the standardization of practices and optimization of care outcomes.

Downloads

Download data is not yet available.

References

Cassidy, C. E., Harrison, M. B., Godfrey, C., Nincic, V., Khan, P. A., Oakley, P., Ross-White, A., Grantmyre, H., & Graham, I. D. (2021). Use and effects of implementation strategies for practice guidelines in nursing: A systematic review. Implementation Science, 16(1), 102. https://doi.org/10.1186/s13012-021-01165-5

Costa, B., Silva, M., & Reis, A. (2025). Sistematização das práticas à pessoa com ostomia de alimentação: projeto de melhoria da qualidade. Millenium - Journal of Education, Technologies, and Health, 2(20e), e37493. https://doi.org/10.29352/mill0220e.37493

Cruz, J.R., Muniz, J.R., Sá, R.G., Santos, R.V.S. (2022). Papel do enfermeiro na melhoria da qualidade de vida de pessoas ostomizadas. Studies in Health Sciences, Curitiba, 3 (2), 1266-1282. https://doi.org/10.54022/shsv3n2-050

Furtado, L., Coelho, F., Mendonça, N., Soares, H., Gomes, L., Sousa, J. P., Duarte, H., Costeira, C., Santos, C., & Araújo, B. (2024). Exploring professional practice environments and organisational context factors affecting nurses’ adoption of evidence-based practice: A scoping review. Healthcare, 12(2), 245. https://doi.org/10.3390/healthcare12020245

Heydari, A., Manzari, Z. S., Pouresmail, Z. (2023). Nursing Intervention for Quality of Life in Patients with Ostomy: A Systematic Review. Iranian Journal of Nursing and Midwifery Research, 28(4), 371-383. https://doi.org/10.4103/ijnmr.ijnmr_266_22

Ivers, N., Yogasingam, S., Lacroix, M., Brown, K. A., Antony, J., Soobiah, C., Simeoni, M., Willis, T. A., Crawshaw, J., Antonopoulou, V., Meyer, C., Solbak, N. M., Murray, B. J., Butler, E.-A., Lepage, S., Giltenane, M., Carter, M. D., Fontaine, G., Sykes, M., … Grimshaw, J. M. (2025). Audit and feedback: Effects on professional practice. Cochrane Database of Systematic Reviews, 2025(3), CD000259. https://doi.org/10.1002/14651858.CD000259.pub4

Marcomini, I., Iovino, P., Rasero, L., Manara, D. F., Vellone, E., & Villa, G. (2024). Self-care and quality of life of ostomy patients: A structural equation modeling analysis. Nursing Reports, 14(4), 3417-3426. https://doi.org/10.3390/nursrep14040247

Ornellas, T. C. F., & Monteiro, M. (2023). Lifelong learning entre profissionais de enfermagem: Desafios contemporâneos. Revista de Enfermagem Referência, 6(2), 1-7. https://doi.org/10.12707/RVI22055

Paixão, C.C., Pinheiro, I.I.G., Perdigão, M.A., Zangão, M.O.B., Bilro, P.C.V. (2022). Auditoria clínica: Revisão da literatura. In Governação Clínica: Promoção da qualidade na prática clínica. Atena Editora. https://doi.org/10.22533/at.ed.4812218083

Pittman, J., Colwell, J., & Mulekar, M. S. (2022). Ostomy complications and quality of life of ostomy support belt/garment wearers: A web-based survey. Journal of Wound, Ostomy, and Continence Nursing, 49(1), 60–68. https://doi.org/10.1097/WON.0000000000000843

Sérgio, M., Carvalho, A.L., Barroso, C. (2024). Auditorias às práticas de enfermagem e a implementação da supervisão clínica. RevSALUS - Revista Científica Internacional da Rede Académica das Ciências da Saúde da Lusofonia, 5(Sup.), 36. https://doi.org/10.51126/revsalus.v5iSup.547

Published

2026-06-24

How to Cite

Costa, B., Silva, M., & Reis, A. M. (2026). Clinical audit in improving the quality of care for people with feeding ostomy. Millenium - Journal of Education, Technologies, and Health, 2(23e), e45544. https://doi.org/10.29352/mill0223e.45544

Issue

Section

Life and Healthcare Sciences