Clinical Nurse Specialist in Stoma Care, Cambridge University Hospitals NHS Foundation Trust.
Br J Nurs. 2022 Jan 13;31(1):8-14. doi: 10.12968/bjon.2022.31.1.8.
With the arrival of the COVID-19 pandemic, outpatient clinics had to adjust and reduce the number of face-to-face appointments. The Cambridge stoma service has a recognised pathway of stoma care but needed to adjust this in line with government guidelines. The team took the opportunity to audit the current pathway and complete a patient experience survey to determine the future of the service and potential adaptations to the pathway in the future.
To determine the need for adaptation and improvement of the standard stoma clinics pathway.
A survey was conducted using a postal questionnaire to all patients who attended stoma clinics between April and June 2020.
160 questionnaires were sent and 72 responses returned (45%). All elements of the virtual clinic were rated positive by more than 80% of respondents, with nearly 90% of them feeling that all their stoma care needs were met. When asked to indicate their preferred consultation methods (patients were allowed to choose more than one), face to face received 50 votes, telephone 32 votes and video clinic 5 votes.
There is a need to adapt the standard clinic pathway to be able to offer standardised care but with flexibility to adjust to circumstances and patients' preferences.
随着 COVID-19 大流行的到来，门诊必须进行调整并减少面对面预约的数量。剑桥造口服务有公认的造口护理途径，但需要根据政府指导方针对此进行调整。该团队借此机会对当前途径进行审核，并完成患者体验调查，以确定服务的未来以及未来途径的潜在调整。
确定是否需要调整和改进标准造口门诊途径。
对 2020 年 4 月至 6 月期间参加造口门诊的所有患者进行了邮寄问卷的调查。
共发出 160 份问卷，收回 72 份（45%）。超过 80%的受访者对虚拟诊所的所有元素评价积极，近 90%的受访者表示他们的所有造口护理需求都得到了满足。当被要求选择他们更喜欢的咨询方式（患者可以选择多种方式）时，面对面咨询获得 50 票，电话咨询 32 票，视频诊所 5 票。
有必要调整标准门诊途径，以便能够提供标准化的护理，但要灵活适应情况和患者的偏好。
