Stoma Care Nursing Standards and Audit Tool For the Newborn to Elderly

Osbourne, Wendy, Bowles, Theresa, Hanley, Judy, Tomsett, Gilly and Williams, Julia (2015) Stoma Care Nursing Standards and Audit Tool For the Newborn to Elderly. [Report]

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Abstract

We are delighted to bring this 2nd edition of the ASCN UK Stoma Care Standards to you, following the initial successful launch at the ASCN UK conference in Wales October 2013. We have now had an opportunity to review and evaluate the standards and most importantly have collaborated with the Paediatric Stoma Nurse Group (PSNG) to incorporate their standards for children, so that this new edition for 2015 encapsulates the Stoma Care Nursing Standards for all individuals from the newborn to the elderly with incontinent stomas. Within the Quality Statements we have added any additional specific paediatric specifications to the bottom of the process section with the PSNG bullet point. The role of the Stoma Care Nurse Specialist has evolved over the last thirty years, but the fundamental principles have remained the same. Stoma Care Nurse specialists (SCNs) are experts in humanistic care ensuring psychosocial and educational aspects of care are explored alongside physiological assessments. SCNs assist people in preventing and alleviating stoma related issues, whilst promoting wellbeing to improve quality of life and the ability to manage their stoma independently. Discussions regarding the impact of commissioning on stoma care show that the provision, funding and accessibility to a SCN varies greatly throughout the UK. The specific elements of a stoma care pathway encourage stakeholders to review and commission services that meet the needs of the person with a stoma, by using the NICE guidelines to describe the structure. Describing the structure of the care interaction, the process of care and the expected outcomes also provides a framework for audit. However, what remains paramount is the SCN’s desire to offer the best possible care to people living with a stoma, enabling each individual to have access to the best quality of life possible for them. Consequently, these standards do not prescribe the frequency or environment of contact with the SCN but define the needs of the individual according to where they are in the pathway of care, living with a stoma. The core service provision for stoma care should consider the requirements of those in vulnerable groups, including those who need to receive care at home, care home settings, those with mental health problems, prison populations and socially deprived populations. Our objective is to focus on the substance and outcomes of care, alongside patient experiences, to provide an holistic approach thus ensuring the provision of high quality stoma care throughout the UK. Benchmarking practice and providing a selection of audit tools to measure these standards provides SCNs with the evidence to demonstrate the quality and value of their services. In developing these standards, the working party has drawn on previous literature and standards of care, along with professional knowledge, expertise and patient experience. It was felt that a consistent approach to the use of evidence and expert judgement providing the public, health and social care professionals, commissioners and service providers with definitions of high quality care should be used. For this reason the NICE framework for guideline development was adapted. These standards reflect current NHS reforms and advances in surgical techniques, providing a benchmark against which quality can be assessed, by describing either a minimum level required for safe and effective practice, or a level of excellence, thereby encouraging best practice. However, these standards are a general guideline that can be adapted to your service within your local Trust policy.

Item Type:	Report
Keywords:	Stoma, Stoma Care, Standard, Patient.
Depositing User:	RED Unit Admin
Date Deposited:	08 Jan 2020 12:35
Last Modified:	08 Jan 2020 12:35
URI:	https://bnu.repository.guildhe.ac.uk/id/eprint/17947

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