Birthing new Canadian paediatric recommendations

Posted on By John Gregory
Canadian paediatric recommendations, nursing, PIAD, consensus, case study, OpencityInc

Childbirth can be a painful and emotional process. This two-year project with a dedicated group of paediatric wound, ostomy, and continence nurses resulted in the first Canadian recommendations for paediatric incontinence-associated dermatitis (PIAD). Hopefully, they will provide an invaluable resource designed to enhance your expertise in preventing and managing PIAD in infants and children.

This case study examines this latest NSWOCC consensus publication development. 

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Parastomal Hernia New Recommendations | Case Study

Posted on By John Gregory
parastomal hernia best practice recommendations for Canada launched by NSWOCC in Ottawa

The incidence of developing a parastomal hernia has been reported to be as high as 81%, is frequently associated with other stoma-related complications, affects the quality of life and increases financial costs in the health care system.

In this case study, we explore the development and launch of these parastomal hernia best practice recommendations by Nurses Specialized in Wound, Ostomy and Continence Canada.

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Perioperative Nursing Standards – ORNAC Case Study

Posted on By John Gregory
ORNAC Perioperative nursing standards poster

The Operating Room Nurses Association of Canada (ORNAC) promotes high standards of operating room nursing practice in order to promote quality nursing care in Canada.

Updated standards of nursing practice for publication simultaneously in both official languages every two years is a substantial undertaking. The 16th ORNAC Standards include 562 pages in English and 604 pages in French, with 928 references and 160 abbreviations. 

We worked with a dedicated committee of volunteers meeting monthly for over 22 months to complete this latest edition. John Gregory acts as the Standards Coordinator for ORNAC producing these standards.

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Nova Scotia Ostomy Summit Proceedings | Case Study

Posted on By John Gregory
NSWOCC, Ostomy Canada Society, Nova Scotia Summit, September 2022, summit proceedings case study

“Every person deserves specialized wound, ostomy, and continence care.” The summit and proceedings call on the Government of Nova Scotia to strengthen patient access to specialized care. 

In this case study, we look back at the development and publication of the proceedings report from the Nova Scotia wound, ostomy, and continence Summit in Halifax on September 22, 2022.

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Urinary diversion position statement collaboration | Case study

Posted on By John Gregory
cover image of urinary diversions position statement in Canada

The surgical creation of a urinary diversion is necessary for managing diseases affecting the urinary tract. Such procedures can be life altering. While not all urinary diversions are related to malignancy, bladder cancer is the leading cause for cystectomy and urinary diversion creation. 

Prior to publication in 2022, there was no national Canadian evidence to promote standardization in the delivery of pre- and postoperative care for individuals undergoing a urinary diversion. In this case study, we look back at the development and publication of the Canadian Urinary Diversions Position Statement. 

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T.I.M.E. for Canadian wound debridement recommendations | Case study

Posted on By John Gregory
Case study on Canadian debridement recommendations produced by Opencity Inc

The debridement of wounds has been a mainstay of management for centuries, yet debridement recommendations for nurses in Canada have not been standardized until now. 

In this case study, we explore the development and launch of these debridement best practice recommendations by Nurses Specialized in Wound, Ostomy and Continence Canada, together with an accompanying position statement on nurses and debridement. 

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A path to modernize for those with spinal cord injury policy report | Case study

Posted on By John Gregory
Spinal Cord Injury Ontario, a path to modernize, policy report, Opencity Inc,

A broad stakeholder group working through 2020 brought attention to the 33,000 people who use intermittent catheters every day in Ontario.

Individuals with a neurological condition, including a spinal cord injury (SCI), may not be able to empty their bladder on their own, which can lead to chronic urinary retention and serious health problems such as bladder damage or kidney disease. To prevent these problems from happening a catheter is used up to five times a day to drain the bladder, a process called intermittent catheterization. Here we explore a case study about the development and production of the policy report on behalf of Spinal Cord Injury Ontario.

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New standards of practice for NWSOCC | Case study

Posted on By John Gregory
nswocc, standards of practice, opencityinc

The World Health Organization defines the quality of care as “the extent to which health care services provided to individuals and patient populations improve desired health outcomes.”

Nurses Specialized in Wound, Ostomy and Continence Canada has evolved substantially since the first set of standards of practice were published in 1997 in what was formerly the Canadian Association of Enterostomal Therapy. In this case study, we explore aspects of these revised standards’ development and publication and highlight five lessons to take to the next project.

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New recommendations for intermittent catheterization | Case study

Posted on By John Gregory
intermittent catheterization Opencity inc best practice recommendations for nurses

These intermittent catheterization practice recommendations signify a wonderful collaboration among four nursing associations in Canada.

The published recommendations built upon previous work by Opencity Inc on the European Association of Urology Nurses (EUAN) edited summary published in 2016. In this case study, we explore aspects of the recommendation and five lessons learned. 

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New position statement – Preoperative stoma site marking | Case study

Posted on By John Gregory
Preoperative stoma site marking position statement case study

A joint Canadian position statement between Nurses Specialized in Wound, Ostomy & Continence and colorectal surgeons marks a poignant step. This case study explores the process of this collaboration been nurses and physicians to improve outcomes for patients undergoing ostomy surgery. 

The body of literature is emphatic that preoperative site marking should be mandatory in elective cases. This position statement reinforces the necessity to have NSWOC and surgeons available at all times for emergency case interventions for stoma site marking. This project brought together 20 specialist nurses and surgeons from across Canada. It resulted in a position statement, practice enabler and video. 

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