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The role of the clinical nurse specialist in stoma care: A modified Delphi consensus.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Aug2024, Vol. 80 Issue 8, p3371-3381, 11p
- Publication Year :
- 2024
-
Abstract
- Introduction: The role of the clinical nurse specialist is complex but is defined differently across the world. The role of clinical nurse specialist stoma care is undefined and it is uncertain what aspects of the role are included in the general day‐to‐day working role. Aims: The aim was to gain consensus opinion to answer the research question: 'What is the role of the clinical nurse specialist in stoma care?' Design: Delphi consensus. Methods: Previous data gained from a scoping review and expert consultation was utilized to form role statements. At a UK conference the 13 statements and 173 sub‐categories were voted upon. Consensus was agreed if 75% of voters voted agree or strongly agree. Two stages of voting occurred with results from the first vote being shared in the second voting session. Results: All 13 statement and most (150/193) statement sub‐categories reached consensus, with 20 sub‐categories added during voting session one. Conclusions: The four pillars of advanced practice were met by the 13 statements with clinical and education reaching higher consensus and agreement than leadership/management and research. The results of the consensus study provide a clearer articulation of the clinical nurse specialist stoma care role, which is complex and multifaceted which has not been described previously. Implications for Practice: Consideration of role evolution is made possible, to gain a greater expertise in the scope of practice it is necessary to include prescribing, management and research which could improve service delivery and optimize patient outcomes. There was no patient or public contribution, which in hindsight would have potentially improved the process but it was considered that patients might not recognize the full role of the nurse, understanding only aspects of the role that were patient‐centred. Patient or Public Contribution: No patients or public were involved in any aspect of this paper—in hindsight this might have been useful. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSES
CONSENSUS (Social sciences)
PROFESSIONAL autonomy
OCCUPATIONAL roles
MEDICAL personnel
INTERPROFESSIONAL relations
LEADERSHIP
WORK environment
PATIENT care
NURSING education
NURSING
DESCRIPTIVE statistics
CONFIDENCE
NURSE practitioners
VOTING
THEMATIC analysis
NURSING practice
CLINICAL competence
NURSING research
COMMUNICATION
ROLE models
QUALITY of life
OSTOMY
DELPHI method
EXPERTISE
HEALTH education
SOCIAL support
HEALTH promotion
WOUND care
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 80
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 178428149
- Full Text :
- https://doi.org/10.1111/jan.16032