ABSTRACT
Objective:To explore the role of one-to-one teaching led by international enterostomal therapist (ET) in the standardized training of wound stoma in gastrointestinal surgery.Methods:A total of 36 interns who underwent standardized training in the Gastrointestinal Surgery Department of The First Affiliated Hospital of Kangda College of Nanjing Medical University from July 2019 to January 2020 were selected as the control group, and the traditional teaching was adopted. Other 38 interns who were trained from May 2020 to October 2020 wre grouped into research group, and ET-led one-to-one teaching was adopted. The scores of theoretical knowledge and practical operation skills of gastrointestinal surgery wound stoma were compared between the two groups after the training, and the scores of case analysis, problem analysis and solving, knowledge application and comprehensive ability before and after the training were compared. Besides, satisfaction with methods and teaching effectiveness was compared. SPSS 25.0 was used for t test and chi-square test. Results:The clinical theoretical knowledge [(93.45±5.28) vs. (90.11±6.39)] and practical operation skills assessment scores [(92.25±6.18) vs. (89.13±5.36)] of the research group were all significantly higher than those of the control group after training ( P<0.05); the scores of case analysis ability, problem analysis and solving ability, knowledge application ability, and comprehensive ability of the two groups after the training were significantly higher than those before the training ( P<0.05), and the above scores in the research group were all higher than those in the control group ( P<0.05); the satisfaction of the interns in the study group with teaching methods and teaching effects was higher than that in the control group ( P<0.05). Conclusion:Applying ET-led one-to-one teaching to the wound and stoma teaching of gastrointestinal surgery residents can significantly improve their assessment performance, teaching satisfaction, and the teaching effect, and improve their case analysis ability, problem analysis and solving ability, knowledge application ability, and comprehensive ability.
ABSTRACT
Objective To describe the work experience and needs of enterostomal therapist in Shanghai.Methods Phenomenological methodology was adopted in this study.In-depth interview was conducted on 9 enterostomal therapists.Data were analyzed by inductive codes and coding methods.Results Five themes were extracted,including responsibility and mission,pride,accomplishment,helplessness,and satisfaction.When they began their new jobs,they confronted many challenges,but they conquered them with responsibility and mission.Finally,they felt growing up and harvested a lot during this time.Conclusions Hospital managers should pay attention to problems they encountered in their work and provide necessary supports for their training,work and development.
ABSTRACT
Stoma operations are one of the most frequently performed operation by the colorectal surgeons. And the consequences of the stoma operation of the patients are well known. However, most colorectal surgeons who performed stoma operation were not aware of the problems that are part of the rehabilitation of the ostomates. In order to elucidate the current status of the stoma studies in Korea, literature reviews were performed by using the Korean medical literature database. Most of the Korean literatures written by the colorectal surgeons are related with the postoperative complications of stoma surgeries. Very few papers are concerned with rehabilitation issues including postoperative adaptation of ostomates, quality of life, and stoma nursing care. Recently, more and more papers concerning the stoma rehabilitation issues were published and the interests in the patient's adjustment to a change in body function are growing. Stoma rehabilitation program should be the part of the nations' welfare program which would be successful with the active participation of the colorectal surgeons, enterostomal therapists and ostomates. We, colorectal surgeons, and the Korean Society of Coloproctology should do the major role in stoma-related researches and cooperate with the enterostomal therapists and ostomates organizations in order to establish and develop the stoma rehabilitation program in Korea.