STOMA RECYCLING IN A SURGICAL NEONATAL UNIT: PREVALENCE, CHALLENGES, AND REVIEW OF NURSING ATTITUDES
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In brief
In brief
Retrospective analysis of 39 neonates undergoing stoma closure reveals less than half achieved successful stoma recycling despite known benefits for growth and nutrition. Nursing survey identifies time constraints and training gaps as primary barriers, with recommendations for standardized protocols and increased parental involvement.
Written by the GCMD Library team from the article.
Aim
Recycling has been shown to improve growth, nutrition and facilitate early stoma closure. We aim to review current practice and nursing experience at a tertiary paediatric surgical unit and to evaluate possible areas for improvement.
Method
Retrospective study of all neonates who underwent a stoma closure between January 2018 and October 2020, alongside a nursing staff survey on experience and barriers to effective recycling. Data presented as median (range) and number (percentage). P value 0.999.
Thirty-nine neonatal nurses responded to the survey with 36/39 (92%) having prior experience of recycling. Time constraints were the main reason nurses felt it was difficult to achieve effective recycling, with some also being worried about causing damage. Increased training and parental involvement were two potential solutions suggested by nurses to overcome these issues.
Conclusion
Despite the known benefits, less than half of our cohort had successful recycling prior to stoma closure. Increased training, development of a uniform policy and involvement of the parents may help to improve the rates of stoma recycling.