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Session: ePoster: Education, Training Assessment, and Practice Management 2 (Mon1015)

EP724 - Prioritization of Opportunities to Improve Perioperative Ostomy Care

Monday, May 12, 2025

10:53 AM – 10:58 AM PT

ePoster Presenter(s)

Hannah Ficarino Sheffer, MD, MSPH (she/her/hers)

Resident
University of Alabama at Birmingham
University of Alabama at Birmingham
Birmingham, AL, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Author(s)

BS

Burkely Smith, MD, MSPH

Resident
University of Alabama at Birmingham
Birmingham, Alabama, United States

Disclosure information not submitted.
JS

Jernell Simmons, MD

Medical Student
University of Alabama at Birmingham
Birmingham, Alabama, United States

Disclosure information not submitted.
IH

Ivan I. Herbey, Sr., MD

Analyst
University of Alabama at Birmingham
Birmingham, Alabama, United States

Disclosure information not submitted.
Daniel I. Chu, MD, MSPH (he/him/his)

Professor and Division Director
University of Alabama at Birmingham
University of Alabama at Birmingham
Birmingham, Alabama, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.
WL

Wendy Landier, PhD

Professor
University of Alabama at Birmingham
Birmingham, Alabama, United States

Disclosure information not submitted.
SB

Smita Bhatia, MD, MPH

Professor
University of Alabama at Birmingham
Birmingham, Alabama, United States

Disclosure information not submitted.

Senior Author(s)

Robert Hollis, MD, MSPH

Assistant Professor
University of Alabama at Birmingham
University of Alabama at Birmingham
Birmingham, Alabama, United States

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.

Hannah Ficarino Sheffer, MD, MSPH: This individual has no financial relationships with ineligible companies.

Daniel I. Chu, MD, MSPH: This individual has no financial relationships with ineligible companies.

Robert Hollis, MD, MSPH: This individual has no financial relationships with ineligible companies.

Image or Table (Do Not add text here):

Purpose/Background: Patients with a new ostomy face significant challenges following discharge, however the most important perioperative barriers to effective ostomy care are ill-defined. We sought to qualitatively assess the most important barriers to perioperative ostomy care among key stakeholders to guide intervention development.

Methods/Interventions: Patients who underwent ostomy construction, their caregivers, and providers of patients with an ostomy who previously completed a semi-structured phone interview were included in three virtual focus groups (3-4 participants per group). Barriers to ostomy care in the preoperative, inpatient, and post-discharge phases of care were previously identified through thematic analysis of semi-structured individual interviews. Participants in each focus group were asked questions to validate and prioritize the barriers to ostomy care in each phase of care. Focus group audio was transcribed and thematically coded through inductive content analysis using NVivo 12 software.

Results/Outcomes: Patient, caregiver, and provider focus groups validated previously identified barriers to ostomy care in the preoperative, inpatient, and post-discharge phases (see Table). Patient and caregiver focus groups prioritized “not knowing what to expect” as the most important preoperative barrier, “challenges with ostomy appliance application” as the most important inpatient barrier, and “variability in home health care” and “caring for inflamed skin” as the most important post-discharge barrier. The provider focus group differed in that they prioritized “hydration/diet management” as the most important barrier in the post-discharge phase. Emergent subthemes included belief that receipt of home healthcare would negate other barriers to care and desire for inpatient caregiver ostomy training. Providers provided examples of potential interventions to address prioritized barriers.

Conclusion/Discussion: Patients, caregivers, and providers prioritized improving preoperative expectations and addressing inpatient challenges to ostomy appliance application. Following discharge, stakeholders prioritized improving home health, managing inflamed skin, and management of hydration/diet. These areas should be prioritized in future intervention development to improve ostomy care.