Logo

Technique for Ostomy Care Best Practices: Delphi Consensus

This information is collected for follow-up and communication purposes. Please note that all Delphi consensus responses will remain anonymous.

Survey Objective

To achieve expert consensus on evidence-based recommendations for optimal wear time, appliance selection, clinical practices, and educational strategies in ostomy care for stable patients.

{{ section.id }}: {{ section.name }}

Consensus Statement {{ poll.serial }}

Please select an answer.

References:

  1. Forest-Lalande L. Best Practice Guidelines for Ostomy Care in Neonates, Children, and Adolescents: An Executive Summary. J Wound Ostomy Continence Nurs. 2023 Sep;50(5):381–5.
  2. ASCN Stoma Care: National Clinical Guidelines.
  3. WOCN Society Clinical Guideline: Management of the Adult Patient With a Fecal or Urinary Ostomy—An Executive Summary. J Wound Ostomy Continence Nurs. 2018 Jan;45(1):50–8.
  4. Hendren S, Hammond K, Glasgow SC, Perry WB, Buie WD, Steele SR, et al. Clinical Practice Guidelines for Ostomy Surgery. Dis Colon Rectum. 2015 Apr;58(4):375–87.
  5. Miller D, Pearsall E, Johnston D, Frecea M, McKenzie M. Executive Summary: Enhanced Recovery After Surgery Best Practice Guideline for Care of Patients With a Fecal Diversion. J Wound Ostomy Continence Nurs. 2017 Jan;44(1):74–7.
  6. Registered Nurses' Association of Ontario. Supporting adults who anticipate or live with an ostomy (2nd ed.). Gen Submiss Community Popul-Based Mater [Internet]. 2019 Jan 1; Available from: https://www.sigmarepository.org/gen_sub_cpm/20
  7. Davis BR, Valente MA, Goldberg JE, Lightner AL, Feingold DL, Paquette IM, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for Ostomy Surgery. Dis Colon Rectum. 2022 Oct;65(10):1173–90.
  8. Multidisciplinary Italian Study group for STOmas (MISSTO), Ferrara F, Parini D, Bondurri A, Veltri M, Barbierato M, et al. Italian guidelines for the surgical management of enteral stomas in adults. Tech Coloproctology. 2019 Nov;23(11):1037–56.
  9. Goldberg M, Aukett LK, Carmel J, Fellows J, Pittman J. Management of the Patient With a Fecal Ostomy: Best Practice Guideline for Clinicians. J Wound Ostomy Continence Nurs. 2010 Nov;37(6):596–8.
  10. Bavikatte A. Enhancing Stoma Care Education for Junior Doctors: A Comprehensive Teaching Series. Cureus [Internet]. 2024 Apr 11 [cited 2025 May 6]; Available from: https://www.cureus.com/articles/244805-enhancing-stoma-care-education-for-junior-doctors-a-comprehensive-teaching-series
  11. Wickramasinghe DP, Samarasekera AMP, Senaratne S, Perera CS, Tissera A, Samarasekera DN. Establishment of a stoma care training program for nurses in Sri Lanka and evaluation of its effectiveness. Sri Lanka J Surg. 2015 Jun 2;33(1):4.
  12. Eray T, Zeynep Hepşengil D, Yıldız Gündüz T, Ardahan Akgül E. The effect of intestinal stoma care training on knowledge and skill levels of pediatric surgery nurses. Turk J Pediatr Surg. 2024 Aug 1;38(2):52–61.
  13. McNichol L, Cobb T, Depaifve Y, Quigley M, Smitka K, Gray M. Characteristics of Convex Skin Barriers and Clinical Application: Results of an International Consensus Panel. J Wound Ostomy Continence Nurs. 2021 Nov;48(6):524–32.
  14. Burch J. Stoma appliances and accessories: getting it right for the patient. Br J Nurs. 2014 Sep 24;23(Sup17):S4–10.
  15. Burch J, Sica J. One- and two-piece colostomy appliances: merits and indications. Br J Nurs. 2007 Sep 1;16(17):1042–7.
  16. Burch J. Stoma appliances and accessories: getting it right for the patient. Gastrointest Nurs. 2015 Apr 2;13(3):25–32.
  17. Gilpin V, Magee N, Scott C, Pourshahidi LK, Gill CIR, Simpson EEA, et al. Evolution of Ostomy Pouch Design: Opportunities for Composite Technologies to Advance Patient Care. J Compos Sci. 2024 Sep 27;8(10):388.
  18. Black P. Choosing the correct stoma appliance. Gastrointest Nurs. 2012 Sep;10(7):18–25.
  19. Sheffer HF, Smith B, Simmons J, Herbey I, Chu D, Landier W, et al. Defining Opportunities to Improve Perioperative Ostomy Care and Education. Ann Surg Open. 2025 Mar 17;6(1):e563.
  20. Naseh L, Shahriari M, Hayrabedian A, Moeini M. Nurses' viewpoints on factors affecting ostomy care: A qualitative content analysis. Nurs Open. 2023 Aug;10(8):5261–70.
  21. Hutton M, Prins H, Yuan Y, Solitano V, Radford S, Vuyyuru SK, et al. P0935 A systematic review and quality assessment of clinical practice nursing guidelines for ostomy care. J Crohns Colitis. 2025 Jan 22;19(Supplement_1):i1754–5.
  22. Rolls N, Carvalho F, Hall A, Osborne W. Raising the voice of specialist stoma care nurses: a call for a national strategy in stoma care. Br J Nurs. 2024 Sep 5;33(16):S4–12.
  23. Colwell JC, Stoia Davis J, Emodi K, Fellows J, Mahoney M, McDade B, et al. Use of a Convex Pouching System in the Postoperative Period: A National Consensus. J Wound Ostomy Continence Nurs. 2022 May;49(3):240–6.
  24. Martín-Gil B, Rivas-González N, Santos-Boya T, López M, Jiménez JM, Redondo-Pérez N, Del Río-García I, Berdón-Berdón M, Fernández-Castro M. Changes in the quality of life of adults with an ostomy during the first year after surgery as part of the Best Practice Spotlight Organisation® Programme. Int Wound J. 2024 Mar;21(3):e14456. doi: 10.1111/iwj.14456. Epub 2023 Nov 14. PMID: 37963817; PMCID: PMC10898385.
  25. Caring for a Person with an Ostomy professional guide.2023. wounds Canada. Available at: https://www.woundscanada.ca/doclink/professional-guide-ostomy/eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9.eyJzdWIiOiJwcm9mZXNzaW9uYWwtZ3VpZGUtb3N0b215IiwiaWF0IjoxNjg3MTkyODMwLCJleHAiOjE2ODcyNzkyMzB9.6LzQUBa55Ahh5mgbMqLms4vgMQko5689CDt78LrrjHs
  26. Alenezi, A., Livesay, K., McGrath, I., & Kimpton, A. (2023). Ostomy-related problems and their impact on quality of life of Saudi ostomate patients: A mixed-methods study. Journal of Clinical Nursing, 32(13-14), 3707-3719.
🎉 Thank you for answering the survey
🎉 Thank you for answering the survey
Footer Left Footer Right