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Management Approaches to Stomal and Peristomal Complications: A Narrative Descriptive Study

Beitz, Janice M.; Colwell, Janice C.

Journal of Wound, Ostomy and Continence Nursing: May/June 2016 - Volume 43 - Issue 3 - p 263–268
doi: 10.1097/WON.0000000000000215
Ostomy Care

PURPOSE: The purpose of this study was to identify optimal interventions for selected complications based on WOC nurse experts' judgment/expertise.

METHODS: A cross-sectional quantitative descriptive design with qualitative, narrative-type components was used for this study. Following validation rating of appropriateness of interventions and quantitative rankings of first-, second-, and third-line approaches, participants provided substantive handwritten narrative comments about listed interventions. Comments were organized and prioritized using frequency count.

RESULTS: Narrative comments reflected the quantitative rankings of efficacy of approaches. Clinicians offered further specific suggestions regarding product use and progression of care for selected complications.

CONCLUSIONS: Narrative analysis using descriptive quantitative frequency count supported the rankings of most preferred treatments of selected stomal and peristomal complications. Findings add to the previous research on prioritized approaches and evidence-based practice in ostomy care.

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Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN, CRNP, MAPWCA, FAAN, ANEF, Department of Nursing, School of Nursing–Camden, Rutgers University, Camden, New Jersey.

Janice C. Colwell, MS, RN, CWOCN, FAAN, WOC Nursing, The University of Chicago Medicine, Chicago, Illinois.

Correspondence: Janice M. Beitz, PhD, RN, CS, CNOR, CWOCN, CRNP, MAPWCA, FAAN, Department of Nursing, School of Nursing–Camden, Rutgers University, 215 North Third St, Camden, NJ 08102 (

Conflict of Interest and Source of Funding: The study in which these data were obtained was supported by funding from the Hollister Inc—WOCN Foundation CCI Research Grant on positive outcomes for patients with an ostomy. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Center for Clinical Investigation, Wound Ostomy Continence Nurses Foundation, or the corporate sponsor.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

© 2016 by the Wound, Ostomy and Continence Nurses Society.