Raising the voice of specialist stoma care nurses: a call for a national strategy in stoma care

Author:

Rolls Natasha1,Carvalho Filipe2,Hall Alexandra3,Osborne Wendy4

Affiliation:

1. Lead Stoma Care Nurse, Bristol Royal Infirmary and Weston Hospitals

2. Nurse Consultant in Colorectal Disease, Homerton Healthcare NHS Foundation Trust

3. Gastroenterology Nurse Consultant, Homerton Healthcare Foundation Trust

4. Association of Stoma Care Nurses UK Governance Officer; Clinical Nurse Specialist Stoma and Colorectal Nurse, Clinical Governance Lead, Coloplast

Abstract

Specialist stoma care nurses (SSCNs) are highly educated professionals who play a critical role in the care of people living with a stoma. However, they experience some unique challenges. Currently in the UK, stoma care has no national standards, targets or best practice pathway, resulting in significant variation and an undervalued service. As members of an evidence-based profession, SSCNs need to demonstrate their value. Specialist nurses in cancer care and inflammatory bowel disease are supported by nationally, with pathways, targets and standards of care, as well as career and education frameworks. This system could be used for SSCNs. A national approach is needed to develop an evidence-based best-practice pathway, commissioned and implemented across the UK for all stoma patients and with SSCNs at its heart. SSCNs need to demonstrate their value through data and evidence. Working with Getting it Right First Time, a taskforce aims to review the evidence and establish minimum standards of care for all stoma patients. SSCNs should be co-ordinators and drivers of change at the highest level of national innovation, policy and decision-making. The work of SSCNs should be is recognised and valued because what they do matters.

Publisher

Mark Allen Group

Reference16 articles.

1. Association of Stoma Care Nurses UK. ASCN UK stoma care competency framework: band 7 stoma care nurse. Edinburgh: ASCN UK; 2018.

2. The role of the clinical nurse specialist in stoma care: a scoping review

3. Caring for stoma patients with arthritis and mental incapacities

4. Care and management of a stoma: maintaining peristomal skin health

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