Janice Beitz, PhD, RN, CS, CNOR, CWOCN, CRNP, APN, C, MAPWCA, a professor at the Rutgers School of NursingCamden (N.J.) who specializes in acute and chronic wound, ostomy and continence care, recently published a research study on prioritizing management approaches for ostomy complications, according to a news release.
An estimated 500,000 to 800,000 Americans are living with an ostomy, and Beitz said given the aging population, more people are developing medical conditions that require an ostomy. Complications that may arise from the ostomy include irritated skin around the stoma, infection around the stoma, and wounds around the stoma related to underlying medical disorders.
There was no organized approach for dealing with these complications, Beitz said in the release. When you refer to the medical literature, you come across the surgical technique for an ostomy, but there are no evidence-based guidelines for the best ways to deal with complications that arise from the diversions.
During a research study funded by a grant from the Wound Ostomy and Continence Nurses Society, Beitz and her research colleague, Janice Colwell, a clinical WOC nursing specialist with the University of Chicago Medicine, surveyed certified WOC nurses to determine the most common stomal and peristomal complications and asked them to cite and rank the most successful treatments for each complication.
After reviewing 281 responses, Beitz said they developed a best practices guide to help nurses deal with these issues. Theres nothing else like it, she said in the release. Its the first time weve gathered evidence supporting a systematic way to approach managing these stomal and peristomal complications, and there are interventions revealed in the surveys that we had never heard of before. We truly are creating the science for interventions for stomal and peristomal complications and its coming from nurses with clinical expertise.
The study, Stomal and Peristomal Complications: Prioritizing Management Approaches in Adults, was published in a recent edition of the Journal of Wound, Ostomy, and Continence Nursing.
The thing that is gratifying to me is that not only is it improving care here, but its improving care internationally, Beitz said, adding her research is being cited in articles and dissertations worldwide. It allows nurses to have substantive support for determining the best treatment for a complication like irritant dermatitis around the stoma, for example. I find it exhilarating to help create the evidence base for safer practice.
A fellow of the American Academy of Nursing, Beitz oversees the states first graduate certificate program in wound, ostomy and continence nursing at the Rutgers School of NursingCamden. She was part of a research team that developed an ostomy algorithm, a step-by-step aid that allows nurses to properly assess ostomy patients and their needs. Beitz also was part of a team that developed an interactive online version of the algorithm for use on computers and mobile devices, according to the release.