Lead Stoma Care Nurse, Bristol Royal Infirmary and Weston Hospitals.
Nurse Consultant in Colorectal Disease, Homerton Healthcare NHS Foundation Trust.
Br J Nurs. 2024 Sep 5;33(16):S4-S12. doi: 10.12968/bjon.2024.0074.
Specialist stoma care nurses (SSCNs) are highly educated professionals who play a critical role in the care of people living with a stoma. However, they experience some unique challenges. Currently in the UK, stoma care has no national standards, targets or best practice pathway, resulting in significant variation and an undervalued service. As members of an evidence-based profession, SSCNs need to demonstrate their value. Specialist nurses in cancer care and inflammatory bowel disease are supported by nationally, with pathways, targets and standards of care, as well as career and education frameworks. This system could be used for SSCNs. A national approach is needed to develop an evidence-based best-practice pathway, commissioned and implemented across the UK for all stoma patients and with SSCNs at its heart. SSCNs need to demonstrate their value through data and evidence. Working with Getting it Right First Time, a taskforce aims to review the evidence and establish minimum standards of care for all stoma patients. SSCNs should be co-ordinators and drivers of change at the highest level of national innovation, policy and decision-making. The work of SSCNs should be is recognised and valued because what they do matters.
造口治疗师是高度专业化的医疗护理人员，在造口患者的护理中发挥着至关重要的作用。然而，他们也面临着一些独特的挑战。目前，英国的造口护理缺乏国家标准、目标或最佳实践路径，导致服务质量参差不齐且被低估。作为循证医学专业的一员，造口治疗师需要证明自己的价值。癌症护理和炎症性肠病方面的专科护士得到了全国范围内的支持，有专门的路径、目标和护理标准，以及职业和教育框架。这种模式也可以适用于造口治疗师。需要采取全国性的方法，为所有造口患者制定循证最佳实践路径，并在英国范围内进行委托和实施，以造口治疗师为核心。造口治疗师需要通过数据和证据来证明自己的价值。与“首次正确处理”工作组合作，旨在审查证据并为所有造口患者确立最低护理标准。造口治疗师应该成为国家创新、政策和决策制定的最高层次的协调者和推动者。造口治疗师的工作应该得到认可和重视，因为他们的工作至关重要。
