Stoma Care Nurses' Knowledge and Practice with regards to the Prevention and Management of Parastomal Hernias in Adults

Clare Smith, Neal F. Cook

Research output: Contribution to journalArticlepeer-review


PURPOSE: This purpose of this study was to study describe knowledge and practices of ostomy care nurses related to the United Kingdom’s Association of Stoma Care Nurses (ASCN) 2016 guidelines for prevention and management of parastomal hernia (PSH) in adults.
DESIGN: Cross-sectional descriptive study
SUBJECTS AND SETTING: The target population was approximately 300 stoma care nurses; 120 useable responses to the survey were received, reflecting a response rate of approximately 40%.
METHODS: A 31-item questionnaire was developed for the purposes of this study; consisting of multiple choice and short answer questions grouped into 2 sections; demographics, and knowledge and practices.
The questionnaire was distributed to members of the Association of Stoma Care Nurses who work with adults via an online survey platform with the aim of reaching as many respondents as possible. IBM SPSS® v.26 software 9IBm, (Armonk NY) was used for data analysis. The Chi-square test was used to determine relationships between the nominal demographic data and the nominal knowledge and practices data, all p values <0.05 were considered statistically significant.
RESULTS: Almost two-thirds of respondents (65%, n=78) rated their knowledge relating to prevention and management of PSH as good or excellent. Nevertheless, 79.8% (n=95) indicated they needed additional education to improve their knowledge and practice related to prevention of PSH. Those who rated their knowledge as excellent or good were significantly more likely to be aware of the guidelines compared to those who ranked their knowledge as average or poor.
CONCLUSIONS: Study findings suggest variability in knowledge among UK stoma care nurses, along with a desire for additional education in this area of care.
KEYWORDS: hernia, ostomy, nursing care, quality of life, colostomy, ileostomy, urostomy, stoma.
Original languageEnglish
JournalJournal of Wound, Ostomy and Continence Nursing
Publication statusAccepted/In press - 30 Apr 2024


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