The Nurses' Understanding of Patients with Intestinal Ostomy

Monday, 7 July 2008
Roberta Araujo Monge, RN , Nursing, University Hospital Oswaldo Cruz, São Paulo, Brazil
Maria do Carmo Querido Avelar, PhD, RN , Post Graduation Course in Nursing, University Guarulhos, Guarulhos, Brazil

Learning Objective 1: reflect in a critical way about the responsibility of the professionals involved in the process of nursing assistance of ostomates

Learning Objective 2: consider the need to prepare nurses for assisting patients with ostomy.

Objective: To verify the nurses' knowledge and understanding of nursing assistance of patients with intestinal ostomy.

Method: Descriptive study with qualitative approach, conducted in 2007 with 23 nurses, students of the Post-Graduation Course in Nursing of a private University of the State of São Paulo. A three-step-form was used: 1st, the socio-demographic profile; 2nd, the formative and professional aspects and 3rd, a guiding question: “What is your understanding of nursing assistance of patients with intestinal ostomy?” The data of the 1st and 2nd steps were compiled and presented in pictures and tables; the 3rd step was organized according to the content analysis technique, specifically the thematic analysis, using Sister Callista Roy's Conceptual Adaptation Model as a theoretical reference, in conformity with the nurses' adaptation modes; the following categories of behavior emerged: self-confrontation; confrontation with family, social and work aspects, and confrontation with previous attitudes and experiences.

Analysis: The reports were analyzed, classified and inserted in the processes of cognate mechanisms, and pointed out the difficulties that affect the nurses' adaptive answers. The adaptation status was determined, and thus goals emerged, which favored propositions on nursing intervention.

Final Considerations: The study allowed us to acknowledge the adaptive modes, according to the nurses' confrontation behaviors towards the assistance of patients with intestinal ostomy. It is expected that the intervention propositions be inserted in the formal and informal content of the educational process for both future professionals and nurses, so they can acquire the skills needed for this assistance.


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Silva AL, Shimizu HE. The meaning of the new way of life of individuals with permanent intestinal ostomy. Rev. Latino-am Enferm. 2006; 14(4): 523-27.