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

Igor Soares-Pinto, Marta Ferreira Sá, Rui Cruz, Isabel de Jesus Oliveira*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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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.

Translated title of the contributionSistematização das práticas de marcação do local do estoma em doentes submetidos a cirurgia não planeada: projeto de melhoria da qualidade
Original languageEnglish
Article numbere32837
Number of pages8
JournalMillenium
Volume2
Issue number23
DOIs
Publication statusPublished - 2024

Keywords

  • Evidence implementation project
  • Evidence-based practice
  • Nurses
  • Ostomy

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