Interprofessional Collaboration in the Palliative Care Process of a Patient with Intestinal Stoma
DOI:
https://doi.org/10.55707/jhs.v12i2.186Keywords:
palliative care, interprofessional collaboration, intestinal stoma, stoma management educationAbstract
Colorectal cancer is one of the most common cancers in Slovenia. Surgical treatment often results in an intestinal stoma. Caring for patients with incurable disease and an intestinal stoma requires interprofessional collaboration. The aim of the study is to present the importance of interprofessional collaboration in the palliative care process for patients with an intestinal stoma. The study adopted a qualitative approach, utilizing the text analysis method and the unstructured interview technique. We used a non- andomised purposive sampling and included a surgeon, a registered nurse, an enterostomal therapist, a psychologist, a healthcare coordinator, and a community nurse. The participants of the study emphasised the importance of mental and physical preparation of the patient for surgery in the context of palliative care for individuals with an intestinal stoma. They also emphasised the education on intestinal stoma management provided by the enterostomal therapist. The participants highlighted both the benefits and limitations of interprofessional collaboration. The most significant benefit is the provision of high-quality and safe patient care, while the primary limitation is the lack of staff.
References
1. Bahrami, M., Masoumy, M., Sadeghi, A. in Mosavizadeh, R. (2022). Development, implementation and evaluation of a palliative care program for colorectal cancer patients: A mixed methods protocol study. BMC Cancer, 22(1), 441. https://doi.org/10.1186/s12885-022-09538-9
2. Bavčar, K. in Škrabl, N. (2009). Kakovost življenja pacientov s stomo. Obzornik zdravstvene nege, 43(3), 243–251.
3. Brecelj, E., Velenik, V., Reberšek, M., Boc, N., Oblak, I., Zadnik, V., Krajc, M., Frković Grazio, S., Gašljević, G., Novaković, S., Ebert Moltara, M., Anderluh, F., Šečerov Ermenc, A., Edhemović, I., Pilko, G., Petrič, R., Trotovšek, B., Rotovnik Kozjek, N., Josimović, T. … Benedik, J. (2020). Priporočila za obravnavo bolnikov z rakom debelega črevesa in danke. Onkologija, XXIV(2), 60–92. https://doi.org/10.25670/oi2020-012on
4. Ciemins, E. L., Brant, J., Kersten, D., Mullette, E. in Dickerson, D. (2016). Why the interdisciplinary team approach works: Insights from complexity science. Journal of Palliative Medicine, 19(7), 767–770. https://doi.org/10.1089/jpm.2015.0398
5. Davis, R. W., Sherif, Y. A. in Morrison, C. A. (2020). External stoma diversion: A palliative measure for peristomal wound healing in resource-limited settings. Journal of Surgical Case Reports, 2020(12), 1–3. https://doi.org/10.1093/jscr/rjaa502
6. Devery, K. (2020). End-of-life essentials: Increasing professionals’ skills and confidence in end-of-life care. https://eapcnet.wordpress.com/2020/05/27/end-of-life-essentials-increasingprofessionals-skills-and-confidence-in-end-of-life-care/
7. Doyle, L., McCabe, C., Keogh, B.in Brady, A. in McCann, M. (2020). An overview of the qualitative descriptive design within nursing research. Journal of Research in Nursing, 25(5), 443–455. https://doi.org/10.1177/1744987119880234
8. Earp, M. A., Sinnarajah, A., Kerba, M., Tang, P. A., Rodriguez-Arguello, J., King, S., Watanabe, S. M. in Simon, J. E. (2018). Opportunity is the greatest barrier to providing palliative care to advanced colorectal cancer patients: A survey of oncology clinicians. Current Oncology, 25(5), 480–485. https://doi.org/10.3747/co.25.4021
9. Ebert Moltara, M. (2013). Paliativna oskrba bolnikov z rakom debelega črevesa in danke. Onkologija, XVII(1), 54–58.
10. Ebert Moltara, M. (2014). Paliativna oskrba. Onkologija, XVIII(1), 53–55.
11. Ebert Moltara, M. in Bernot, M. (2023). Paliativna oskrba odraslih bolnikov z rakom v Sloveniji: Temeljni pojmi in priporočila. Onkološki inštitut.
12. Furman, B. in Lopuh, M. (2017). Paliativna oskrba – kaj je to. V P. Strnad, Š. Baznikin G. Prosen (ur.), Zbornik V. šole urgence (str. 146–151). Slovensko združenje za urgentno medicino.
13. Green, B. N. in Johnson, C. D. (2015). Interprofessional collaboration in research, education, and clinical practice: Working together for a better future. Journal of Chiropractic Education, 29(1), 1–10. https://doi.org/10.7899/JCE-14-36
14.Jelen, A. (2022). Ambulanta za obolenja parastomalne kože. V R. Batas (ur.), Vloga enterostomalne terapije v zdravstvenem sistemu – oskrba ran, stom ter kontinenca (str. 39–43). Zreče: Zbornica zdravstvene in babiške nege Slovenije; Sekcija medicinskih sester v enterostomalni terapiji.
15. Kamberi, F. in Jaho, J. (2020). A retrospective study for colorectal cancer in Vlore, Albania – suggestions for further implications. Archives of Cancer Science and Therapy, 4(1), 3–6.
16. Korenčan, A. (2020). Učinkovitost interdisciplinarnih timov v slovenskem zdravstvu [Magistrsko delo, Univerza v Mariboru, Fakulteta za organizacijske vede]. DKUM. https://dk.um.si/IzpisGradiva.php?id=77742&lang=slv
17. Koštomaj, S. (2021). Paliativna oskrba starejših v socialnovarstvenem zavodu: Pomen ambienta v paliativni oskrbi. V M. Kaučič, M. Poredošin in A. Presker Planko (ur.), Čas za sistemsko ureditev paliativne oskrbe: Simpozij s področja paliativne oskrbe z mednarodno udeležbo: E-zbornik prispevkov z recenzijo: XI. stiki zdravstvene nege (str. 99–102). Visoka zdravstvena šola Celje.
18. Kow, A. W. C. (2019). Hepatic metastasis from colorectal cancer. Journal of Gastrointestinal Oncology, 10(6), 1274–1298. https://doi.org/10.21037/jgo.2019.08.06
19. Mulita, F. in Lotfollahzadeh, S. (2023). Intestinal stoma. StatPearls Publishing.
20. Näsvall, P., Dahlstrand, U., Löwenmark, T., Rutegård, J., Gunnarsson, U. in Strigård, K. (2017). Quality of life in patients with a permanent stoma after rectal cancer surgery. Quality of Life Research, 26, 55–64. https://doi.org/10.1007/s11136-016-1367-6
21. Paterson, C. L., Lengacher, C. A., Donovan, K. A., Kip, K. E. in Tofthagen, C. S. (2016). Body image in younger breast cancer survivors: A systematic review. Cancer Nursing, 39(1), 39–58. https://doi.org/10.1097/NCC.0000000000000251
22. Pullon, S., Morgan, S., Macdonald, L., McKinlay, E. in Gray, B. (2016). Observation of interprofessional collaboration in primary care practice: A multiple case study. Journal of Interprofessional Care, 30(6), 787–794. https://doi.org/10.1080/13561820.2016.1220929
23. Repić, G. in Ivanović, S. (2017). Impact of the level of education on the quality of life of colostomy patients. Acta Medica Medianae, 56(1), 75–81. https://doi.org/10.5633/amm.2017.0112
24. Rose, L. (2011). Interprofessional collaboration in the ICU: How to define? Nursing in Critical Care, 16(1), 5–10. https://doi.org/10.1111/j.1478-5153.2010.00398.x
25. Serrano-Gemes, G. in Rich-Ruiz, M. (2017). Intensity of interprofessional collaboration among intensive care nurses at a tertiary hospital. Enfermería Intensiva (English ed.), 28(2), 48–56. https://doi.org/10.1016/j.enfi.2016.10.007
26. Sharma, S. in Subedi, B. (2019). Enterostomal therapy service: Ten-year experience at BP Koirala Memorial Cancer Hospital. Nepalese Journal of Cancer, 3(1), 39–43. https://doi.org/10.3126/njc.v3i1.25914
27. Sumarsono, E. in Respati, H. (2020). Case managers as agent of change. V B. Ngarawula (ur.), 1st international conference in social science (str. 72–76). University of Merdeka Malang.
28. Suslow, A., Giehl, C., Hergesell, J., Vollmar, H. C. in Otte, I. (2023). Impact of information and communication software on multiprofessional team collaboration in outpatient palliative care – A qualitative study on providers’ perspectives. BMC Palliative Care, 22(1), 19. https://doi.org/10.1186/s12904-023-01141-4
29. Swami, M. in Case, A. A. (2018). Effective palliative care: What is involved? Oncology, 32(4), 180–184.
30. Škufca Smrdel, A. C. in Markovič, J. (2019). Obravnava bolnikov z rakom v duševni stiski. V Celostna obravnava kot odgovor na potrebe onkoloških bolnikov v sodobni družbi: Zbornik predavanj z recenzijo (str. 31–38). Sekcija medicinskih sester in zdravstvenih tehnikov v onkologiji pri Zbornici zdravstvene in babiške nege – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
31. Štemberger Kolnik, T., Batas, R., Majcen Dvoršak, S., Klemenc, D., Oberstar, A., Vilar, V., Zima, M., Jelar, A., Bizjak, M., Hribar, B., Mrevlje, I., Strojin, M., Kalan, I., Franko-Hren, A., Tomc, D., Markelič, I., Prodan, I., Jelen, A. in Jošar, D. (2023). Stoma – nov začetek: Učimo se živeti s stomo: Priročnik za paciente s stomo in zdravstvene delavce. Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
32. Velenik, V., Oblak, I., Brecelj, E., Ocvirk, J., Edhemović, I., Anderluh, F., Omejc, M., Potrč, S., Štabuc, B., MaroltMušič, M., Popović, P., Reberšek, M., Zadnik, V., ButHadžić, J., Trotovšek, B., Krajc, M., Ebert Moltara, M., Benedik, J., Volk, N. … RotovnikKozjek, N. (2011). Priporočila za obravnavo bolnikov z rakom debelega črevesa in danke. Onkologija, 21(2), 26–49.
33. Vestergaard, E. in Nørgaard, B. (2018). Interprofessional collaboration: An exploration of possible prerequisites for successful implementation. Journal of Interprofessional Care, 32(2), 185–195. https://doi.org/10.1080/13561820.2017.1363725
34. Wauben, L. S. G. L., Dekkervan Doorn, C. M., van Wijngaarden, J. D. H., Goossens, R. H. M., Huijsman, R., Klein, J. in Lange, J. F. (2011). Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. International Journal for Quality in Health Care, 23(2), 159–166.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Ivona Botić
This work is licensed under a Creative Commons Attribution 4.0 International License.
