Colostomy irrigation: Current knowledge and practice of WOC nurses

Martha D. Cobb, Marcia Grant, Nancy J. Tallman, Christopher S Wendel, Janice Colwell, Ruth McCorkle, Robert S Krouse

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

PURPOSE:: This study builds on the authors' previous studies that demonstrate that persons living with a colostomy who practice colostomy irrigation (CI) experience quality-of-life benefits. Studies also reveal that patients may not be taught about CI. The purpose of this study was to determine current knowledge, attitudes, and practices of WOC nurses on CI. SUBJECTS:: The target population was ostomy nurses who were members of the Wound, Ostomy and Continence Nurse's Society. Nine hundred eighty-five nurses out of a possible pool of 4191 members responded, providing a response rate of 24%. Their average age was 53 years (range, 25-79 years). Respondents averaged 12 years' experience as a WOC nurse (range, 1-40 years) and 90% (n = 875) were certified. Participants practiced in a variety of settings, including acute and long-term care facilities, home health, and ambulatory clinics. They saw an average of 37 ± 60.5 (mean ± SD) ostomy patients per year (range, 0-1100). METHODS:: A 1-time online survey (SurveyMonkey) of members of the Wound, Ostomy and Continence Nurses (WOCN) Society was conducted. In addition to demographic and educational information, questions also included (1) CI advantages and disadvantages; (2) CI content routinely taught; (3) challenges in assisting patients to learn CI; and (4) where preparation was received for teaching this procedure. Nurses were asked whether they believe CI is evidence-based. RESULTS:: More than half identified irrigation as an evidence-based practice (59%), but half indicated they do not routinely teach CI. Multiple factors correlated with nurses' decisions to teach CI, including years of experience (P = .03), specific CI education (P < .001), and considering the intervention evidence-based (P < .001). CONCLUSION:: Factors influencing CI instruction are multifactorial; they include nurses' attitudes, experience base, education, medical indications, setting characteristics, and patient interest and physical abilities. Education on this procedure is urgently needed for ostomy nurses unprepared and/or unfamiliar with CI, as well as staff nurses in acute care units who could offer accurate information and additional resources to patients to increase their informed decisions.

Original languageEnglish (US)
Pages (from-to)65-70
Number of pages6
JournalJournal of Wound, Ostomy and Continence Nursing
Volume42
Issue number1
DOIs
StatePublished - Jan 13 2015

Fingerprint

Colostomy
Nurses
Ostomy
Health Knowledge, Attitudes, Practice
Education
Aptitude
Health Services Needs and Demand
Evidence-Based Practice
Health Facilities
Wounds and Injuries
Long-Term Care
Medical Education
Teaching

Keywords

  • cancer patients
  • colostomy irrigation
  • ostomy nurse attitudes
  • ostomy nurse knowledge
  • ostomy nurse practice

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Medical–Surgical

Cite this

Colostomy irrigation : Current knowledge and practice of WOC nurses. / Cobb, Martha D.; Grant, Marcia; Tallman, Nancy J.; Wendel, Christopher S; Colwell, Janice; McCorkle, Ruth; Krouse, Robert S.

In: Journal of Wound, Ostomy and Continence Nursing, Vol. 42, No. 1, 13.01.2015, p. 65-70.

Research output: Contribution to journalArticle

Cobb, Martha D. ; Grant, Marcia ; Tallman, Nancy J. ; Wendel, Christopher S ; Colwell, Janice ; McCorkle, Ruth ; Krouse, Robert S. / Colostomy irrigation : Current knowledge and practice of WOC nurses. In: Journal of Wound, Ostomy and Continence Nursing. 2015 ; Vol. 42, No. 1. pp. 65-70.
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AU - Tallman, Nancy J.

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AU - McCorkle, Ruth

AU - Krouse, Robert S

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N2 - PURPOSE:: This study builds on the authors' previous studies that demonstrate that persons living with a colostomy who practice colostomy irrigation (CI) experience quality-of-life benefits. Studies also reveal that patients may not be taught about CI. The purpose of this study was to determine current knowledge, attitudes, and practices of WOC nurses on CI. SUBJECTS:: The target population was ostomy nurses who were members of the Wound, Ostomy and Continence Nurse's Society. Nine hundred eighty-five nurses out of a possible pool of 4191 members responded, providing a response rate of 24%. Their average age was 53 years (range, 25-79 years). Respondents averaged 12 years' experience as a WOC nurse (range, 1-40 years) and 90% (n = 875) were certified. Participants practiced in a variety of settings, including acute and long-term care facilities, home health, and ambulatory clinics. They saw an average of 37 ± 60.5 (mean ± SD) ostomy patients per year (range, 0-1100). METHODS:: A 1-time online survey (SurveyMonkey) of members of the Wound, Ostomy and Continence Nurses (WOCN) Society was conducted. In addition to demographic and educational information, questions also included (1) CI advantages and disadvantages; (2) CI content routinely taught; (3) challenges in assisting patients to learn CI; and (4) where preparation was received for teaching this procedure. Nurses were asked whether they believe CI is evidence-based. RESULTS:: More than half identified irrigation as an evidence-based practice (59%), but half indicated they do not routinely teach CI. Multiple factors correlated with nurses' decisions to teach CI, including years of experience (P = .03), specific CI education (P < .001), and considering the intervention evidence-based (P < .001). CONCLUSION:: Factors influencing CI instruction are multifactorial; they include nurses' attitudes, experience base, education, medical indications, setting characteristics, and patient interest and physical abilities. Education on this procedure is urgently needed for ostomy nurses unprepared and/or unfamiliar with CI, as well as staff nurses in acute care units who could offer accurate information and additional resources to patients to increase their informed decisions.

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