JADE Student Edition 2019 JADE JSLUG 2019 | Page 16

but has a variety of tools appropriate for different research methods. Following this process, there were four articles remaining about post-operative anxiety and depression as well as six discussing the role of the nurse in ostomy care. A total of four themes also became apparent on analysis: such as relationships. Considering these elements during patients care can encourage a person centred approach to improve their quality of life (Health Innovation Network, 2016). 1. Post-operative anxiety and depression. When exploring nurses’ education around stoma management, Russell (2017) found that several patients were given incorrect advice by healthcare professionals due to their limited knowledge or were unable to answer queries. Additional to this, Thorpe, McArthur and Richardson (2014) stated that some ward nurses admitted to avoiding stoma care when possible despite being the first line of contact for patients when issues arise. However, McGeever (2013) highlighted that with regular training and educational interventions, nurses can improve their knowledge to provide better post-operative support for patients. 2. Supporting patients, relative and peers. 3. Nurses education around ostomy care. 4. The importance of pre and post-operative care. Post-operative anxiety and depression Many patients shortly after undergoing ostomy surgery tend to become anxious or depressed (Anaraki et al., 2012). This was reflected in a study by Grant, McMullen, Altschuler, Mohler, Hornbrook, Herrinton, Wendel, Baldwin and Krouse (2011) who used a focus group to find that several participants main concerns contributing to depression were worries regarding changes to body image and feeling unsure of how to cope with these issues. On the other hand, Krouse, Grant, McCorkle, Wednel, Cobb, Tallman, Ercolano, Sun, Hibbard and Hornbrook (2016) found in there study that helping patients to establish coping strategies though supportive interventions improved both mental health and self- esteem. One suggestion from Bule and Frings (2016) was that receiving support thought maintaining a group membership is beneficial during recovery as this would allow patients to interact with others and improve their resilience. Nurses’ education Pre and post-operative education As explained by Thorpe et al (2014), pre and post- operative education are essential to prepare patients for life with a stoma, helping the know what to expect and facilitating the acceptance process. Receiving this education can reduced post-operative anxiety and should not be delayed (Spalding, Poland, Gregory, McCulloch, Sargen & Vicary, 2013). McGeever (2013) emphasises that a variety of topics should be covered by nurses from procedures in theatre to discharge from hospital. Furthermore, receiving this education states Russell (2017) can equip patients with essential information that may help to reduce future readmissions to hospital. Support Rational for change The theme of support was emphasised by Grant et al (2011) who found that one of participant’s main priority post-operatively, was for themselves as well as family and friends to be supported throughout the surgical journey. Furthermore, Anaraki et al (2012) suggested that male and female patients may require guidance on gender specific topics The above themes were all identified from findings by various researchers. Their ideas have illustrated need for change in practice that will benefit not only nurses’ education but improve patients care. Aside from the previously identified studies, additional research by Zimnicki and Pieper (2018) identified that 48.2% of students’ nurses had not cared for 16