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- Nursing Interventions to Promote Self-Care in a Candidate for a Bowel Elimination Ostomy: Scoping ReviewPublication . Soares-Pinto, Igor; Queirós, Sílvia; Alves, Paulo; Manuel, Tânia; Santos, Célia; Brito, AliceObjectives: To identify nursing interventions, their characteristics, and outcomes for promoting self-care in candidates for a bowel elimination ostomy. Materials and methods: A scoping review was carried out based on the Joanna Briggs Institute’s recommendations. For this, studies published in Portuguese, English, and Spanish on the Web of Science, CINAHL, and Scopus databases and without a time limit were selected on November 9, 2020. Results: Of 2248 articles identified, 41 were included in this review. We identified 20 nursing interventions associated with the self-care of patients with an ostomy; most of them have gaps in their content, method, and frequency or dosing. More than 30 indicators were identified to assess the impact of nursing interventions; however, most of them were indirect assessments. Conclusion: There is scarce evidence regarding the different aspects that must be involved in nursing interventions for patients with a stoma. Moreover, there is no standardization in methods, frequency, or dosing of intervention. It is urgent to define the content, method, and frequency of nursing interventions necessary to promote self-care in patients with a bowel elimination ostomy and to use assessment tools that directly measure stoma self-care competence
- Self-care competence of patients with an intestinal stoma in the preoperative fasePublication . Silva, Carla; Santos, Célia; Brito, Alice; Cardoso, Teresa; Lopes, JoanaBackground: Patients undergoing intestinal stoma formation need to develop their stoma self-care competence. This competence should start being developed during the preoperative phase. Objective: To identify patients’ stoma self-care competence in the preoperative phase, particularly on the day before ostomy surgery. Methodology: Quantitative, descriptive, and cross-sectional study. Non-probability sampling technique with 50 participants. Data were collected using the assessment form of the Self-Care Competence of the Person with an Intestinal Stoma (CAO-EI: ESEP). Results: The level of knowledge represents the self-care competence of patients with an intestinal stoma in the preoperative phase of an ostomy surgery. Conclusion: The multidimensional nature of the self-care competence of patients with intestinal stoma justifies exploring other domains of this competence besides knowledge in the preoperative phase given the identified benefits on the process of adaptation after surgery
- Psychometric Properties of the Form Development of Self-Care Competence of the Person with a Bowel Elimination OstomyPublication . Pinto, Igor; Santos, Célia; Brito, Alice; Queirós, SílviaBackground: The use of an instrument to assess the self-care competence in patients with bowel elimination ostomy allows for the systematic identification of their specific needs, ensuring the continuity of nursing care. Although an instrument that assesses the domains that integrate this competence has been developed in Portugal, it has not yet been validated. Objectives: To assess the psychometric properties of the form Development of Self-Care Competence of the Person with a Bowel Elimination Ostomy. Methodology: Methodological study aimed at analyzing the psychometric properties of a measurement instrument, written in Portuguese. Results: The Cronbach’s alpha was 0.95 and the inter-rater reliability showed a correlation greater than or equal to 0.98. A statistically significant correlation was found in the split-half test, as well as in the clinical sensitivity analysis. Conclusion: The form presented good psychometric indicators, which suggests that it is a useful tool to be used in the nursing diagnosis process, thus contributing to the optimization of nursing care.
- Conditioning factors for the development of the self-care competence in the person with a tracheostomyPublication . Queirós, Sílvia; Santos, Célia; Brito, Alice; Pinto, IgorBackground: The development of the self-care competence in the person with a stoma promotes a healthy transition to a life with a stoma. Studies suggest the existence of factors conditioning the development of the ostomy self-care competence. Objectives: To identify the conditioning factors for the development of the self-care competence in the person with a tracheostomy. Methodology: A quantitative, descriptive, and cross-sectional study was conducted in a nonprobability sample composed of 80 participants. Data were collected using the “Assessment Form of the Self-Care Competence in the Person with a Tracheostomy. Results: The conditioning factors for the development of the tracheostomy self-care competence were: being a man, having low schooling, having had an emergency surgery, having a temporary ostomy, and having a caregiver. The postoperative period proved to be a facilitating factor. Conclusion: The recognition of the existence of factors conditioning the development of the tracheostomy self-care competence allows nurses to identify conditions of vulnerability in their patients and adapt their interventions with a view to enhancing their autonomy.
- Promotion of tracheostomy self-care: a qualitative study based on the nurses’ perspectivePublication . Queirós, Sílvia Maria Moreira; Soares-Pinto, Igor; Brito, Alice; Santos, CéliaAim: To describe nurses’ perspectives on promoting tracheostomy self-care. There is little information on the nurses’ perspective as care providers with knowledge of clinical contexts. Design: A qualitative descriptive study was conducted. Methods: A purposeful sample of nurses was selected from eight Portuguese hospitals. Recruitment ended once data saturation was reached (n = 12). Data were collected using semi-structured interviews and analysed through content analysis. Results: The nurses described the most important aspects to promote tracheostomy self-care, namely the objectives, the contents to be addressed, the methods and resources to be used, the appropriate moment to intervene, the necessary conditions to promote self-care, the way to ensure the standardisation of interventions among nurses, and the level of tailored planned interventions. Conclusion: From the nurses’ perspective, promoting tracheostomy self-care is critical for regaining autonomy. Therefore, it is crucial to establish an intervention plan sensitive to individual needs and preferences. These results can help elucidate the aspects considered by nurses when promoting tracheostomy self-care so that more meaningful and feasible care models can be designed. © 2023 Central European Journal of Nursing and Midwifery.