Doctor of Nursing Practice (DNP)
Doctor of Nursing Practice (DNP) Program
School of Nursing
Mary C Loughran
ostomy, ostomy complications, stoma, telephone follow-up call for colostomy patients, follow-up strategies for returning colostomies patients, preventive strategies for ostomy complications, ostomy complication, and health-related quality of life, nursing intervention for ostomy complication prevention, ostomy care, and telehealth, ostomy, and self-care.
Due to the rise in colorectal cancer and diverticular diseases in the United States, approximately 100,000 to 150,000 intestinal stomas (fecal diversions) are created annually. With approximately 80% of readmissions experiencing post-discharge complications (Agri et al., 2020), quality improvement (QI) initiatives to increase ostomy patient’s self-efficacy and quality of living (QOL) are needed. The purpose of this QI project was to enhance the current continuum of care for ostomy patients by adding a Prehabilitation Session prior to surgery followed up with 24-hour Telehealth visits after discharge from the hospital to support their living with an ostomy. The resulting Comprehensive Ostomy Patient Empowerment (COPE) Program was implemented, and outcomes were analyzed using the Stoma Quality of Life Scale (SQOLS) and Stoma Self-Efficacy Scale (SSES) tools. A comparison was made between COPE patient's and non-COPE patients' self-efficacy and QOL surveys at 30-60 days post-discharge. The results did not show significant improvement in self-efficacy or QOL. It did reveal a decrease in the number of required in-hospital teaching sessions for ostomy patients who attended a Prehabilitation session versus those ostomy patients who did not attend a Prehabilitation session. Due to the small number of patients participating in the project and the inconsistency in the data collection process, it is recommended to continue the COPE program and enroll additional ostomy patients in the Prehabilitation sessions in order to further evaluate the self-efficacy and QOL outcomes with a larger group of patients.
Bagh, Shabnam Pratik, "Improving Ostomy Patient’s Self-Efficacy and Quality of Living through Prehabilitation and Prevention of Complications Using Telehealth Visits: A Quality Improvement Project" (2023). Doctor of Nursing Practice (DNP) Manuscripts. 38.