Preoperative teaching and stoma marking in an inpatient population: a quality improvement process using a FOCUS-Plan-Do-Check-Act model.
Preoperative teaching and stoma marking are supported by research and included in clinical practice guidelines from the WOCN Society and others. Using a FOCUS-Plan-Do-Check-Act model of Total Quality Management, a multidisciplinary team was formed that developed a flow chart outlining the process of care for patients undergoing planned ostomy surgery that included an educational intervention that enabled staff nurses to perform preoperative stoma site marking and education. After 3 months, we found a statistically significant increase in the number of surgical patients who received these evidence-based interventions (14% vs 64%; χ = 9.32; P = .002).
Katherine M. Zimnicki, DNP, ACNS-BC, CWOCN, College of Nursing, Wayne State University, Allen Park, Michigan.
Katherine M
KM
Zimnicki
D003125:Colostomy / Q000193:education* / Q000451:nursing*; D006801:Humans; D007297:Inpatients / Q000193:education*; D011300:Preoperative Care / Q000379:methods*; D058996:Quality Improvement; D011795:Surveys and Questionnaires