1 Supporting Adults Who Anticipate or Live with an Ostomy BEST PRACTICE GUIDELINES - www.RNAO.ca Registered Nurses’ Association of Ontario: Supporting Adults Who Anticipate or Live with an Ostomy, Second Edition April 2019 Systematic Review Search Strategy Concurrent with the review of existing guidelines, a systematic review for recent literature relevant to the scope of the guideline was conducted by a health sciences librarian. In addition, panel members were asked to review personal libraries to identify key articles not found through the above search strategies. Articles identified by panel members were included in the search results if two nursing research associates independently determined the articles had not been identified by the literature search and met the inclusion criteria. Databases Searched: CINAHL, Cochrane Central, Cochrane Central Register of Controlled Trials, Embase, Medline, Medline Ahead of Print and In Process, Inclusion Criteria: The following criteria were used to guide the literature search: A primary focus on the following interventions for adults (18 years or older) who anticipate or live with an ostomy and the prioritized outcomes per topic: 1. Intervention - Access to nurses specialized in wound, ostomy and continence Outcomes – Peristomal dermatitis, peristomal irritation, ostomy leakage, quality of life, hospital length of stay, readmission rates to hospital 2. Intervention - Ostomy care programs Outcomes – Patient satisfaction, hospital length of stay, readmission rates to hospital, staff satisfaction 3. Intervention - Prevention of parastomal hernia development Outcome – Parastomal hernia rates 4. Intervention - Quality of life assessment Outcomes – Psychological health status, self-identity Published between January 2012 and April 2018 Published in English Accessible for retrieval Applicable across health settings/sectors where nurses provide direct clinical
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1 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Registered Nurses’ Association of Ontario: Supporting Adults Who Anticipate or Live with an Ostomy, Second
Edition April 2019
Systematic Review Search Strategy Concurrent with the review of existing guidelines, a systematic review for recent literature relevant to the scope of the guideline was conducted by a health sciences librarian. In addition, panel members were asked to review personal libraries to identify key articles not found through the above search strategies. Articles identified by panel members were included in the search results if two nursing research associates independently determined the articles had not been identified by the literature search and met the inclusion criteria. Databases Searched: CINAHL, Cochrane Central, Cochrane Central Register of Controlled Trials, Embase, Medline, Medline Ahead of Print and In Process, Inclusion Criteria:
The following criteria were used to guide the literature search:
A primary focus on the following interventions for adults (18 years or older) who
anticipate or live with an ostomy and the prioritized outcomes per topic:
1. Intervention - Access to nurses specialized in wound, ostomy and
leakage, quality of life, hospital length of stay, readmission rates to
hospital
2. Intervention - Ostomy care programs
Outcomes – Patient satisfaction, hospital length of stay, readmission
rates to hospital, staff satisfaction
3. Intervention - Prevention of parastomal hernia development
Outcome – Parastomal hernia rates
4. Intervention - Quality of life assessment
Outcomes – Psychological health status, self-identity
Studies focused on pediatric population (younger than 18 years)
Dissertations, commentaries, narratives, discussion papers, case studies, expert
reports, consensus documents, studies with a specific methodology
Studies not published in English
Unpublished (grey literature)
Lab studies in any type of animal
Studies published prior to 2012
Articles related to building or validating assessment/screening tools
Articles with a specific focus on effectiveness of certain pharmacologic or
surgical interventions
3 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Search Terms Question: Q1. Should access to ET nurse versus usual care be used to improve outcomes in adults anticipating or living with ostomies? Databases:
Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Embase
Cochrane Central
CINAHL Database(s): Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma*.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 exp ostomy/nu
13 exp Intestinal Diseases/nu
14 Skin Care/nu
15 Specialties, Nursing/
16 (nurs* adj4 wound*).mp.
17 (nurs* adj4 ostom*).mp.
18 (nurs* adj4 continen*).mp.
19 (nurs* adj4 enterostom*).mp.
20 (nurs* adj4 stoma*).mp.
21 (nurs* adj4 cecostom*).mp.
22 (nurs* adj4 colostom*).mp.
4 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
23 (nurs* adj4 duodenostom*).mp.
24 (nurs* adj4 ileostom*).mp.
25 (nurs* adj4 jejunostom*).mp.
26 (nurs* adj4 WOC).mp.
27 (nurs* adj4 ET).mp.
28 (speciali* adj4 wound*).mp.
29 (speciali* adj4 ostom*).mp.
30 (speciali* adj4 continen*).mp.
31 (speciali* adj4 enterostom*).mp.
32 (speciali* adj4 stoma*).mp.
33 (speciali* adj4 cecostom*).mp.
34 (speciali* adj4 colostom*).mp.
35 (speciali* adj4 duodenostom*).mp.
36 (speciali* adj4 ileostom*).mp.
37 (speciali* adj4 jejunostom*).mp.
38 (speciali* adj4 WOC).mp.
39 (speciali* adj4 ET).mp.
40 (therap* adj4 wound*).mp.
41 (therap* adj4 ostom*).mp.
42 (therap* adj4 continen*).mp.
43 (therap* adj4 enterostom*).mp.
44 (therap* adj4 stoma*).mp.
45 (therap* adj4 cecostom*).mp.
46 (therap* adj4 colostom*).mp.
47 (therap* adj4 duodenostom*).mp.
48 (therap* adj4 ileostom*).mp.
49 (therap* adj4 jejunostom*).mp.
50 (therap* adj4 WOC).mp.
51 (therap* adj4 ET).mp.
52 WOCN.mp.
53 CWOCN.mp.
5 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
54 CWON.mp.
55 or/12-54
56 11 and 55
57 limit 56 to last 5 years
6 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Database(s): Embase
Search Strategy:
# Searches
1 ostomy/
2 exp enterostomy/
3 ostom*.mp.
4 stoma*.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 exp nurse specialist/
13 (nurs* adj4 wound*).mp.
14 (nurs* adj4 ostom*).mp.
15 (nurs* adj4 continen*).mp.
16 (nurs* adj4 enterostom*).mp.
17 (nurs* adj4 stoma*).mp.
18 (nurs* adj4 cecostom*).mp.
19 (nurs* adj4 colostom*).mp.
20 (nurs* adj4 duodenostom*).mp.
21 (nurs* adj4 ileostom*).mp.
22 (nurs* adj4 jejunostom*).mp.
23 (nurs* adj4 WOC).mp.
24 (nurs* adj4 ET).mp.
25 (speciali* adj4 wound*).mp.
26 (speciali* adj4 ostom*).mp.
27 (speciali* adj4 continen*).mp.
28 (speciali* adj4 enterostom*).mp.
29 (speciali* adj4 stoma*).mp.
7 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
30 (speciali* adj4 cecostom*).mp.
31 (speciali* adj4 colostom*).mp.
32 (speciali* adj4 duodenostom*).mp.
33 (speciali* adj4 ileostom*).mp.
34 (speciali* adj4 jejunostom*).mp.
35 (speciali* adj4 WOC).mp.
36 (speciali* adj4 ET).mp.
37 (therap* adj4 wound*).mp.
38 (therap* adj4 ostom*).mp.
39 (therap* adj4 continen*).mp.
40 (therap* adj4 enterostom*).mp.
41 (therap* adj4 stoma*).mp.
42 (therap* adj4 cecostom*).mp.
43 (therap* adj4 colostom*).mp.
44 (therap* adj4 duodenostom*).mp.
45 (therap* adj4 ileostom*).mp.
46 (therap* adj4 jejunostom*).mp.
47 (therap* adj4 WOC).mp.
48 (therap* adj4 ET).mp.
49 WOCN.mp.
50 CWOCN.mp.
51 CWON.mp.
52 or/12-51
53 11 and 52
54 limit 53 to last 5 years
Database(s): EBM Reviews - Cochrane Central Register of Controlled Trials
Search Strategy:
# Searches
1 ostomy/
8 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
2 exp enterostomy/
3 ostom*.mp.
4 stoma*.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 exp nurse specialist/
13 Specialties, Nursing/
14 exp ostomy/nu
15 exp Intestinal Diseases/nu
16 Skin Care/nu
17 (nurs* adj4 wound*).mp.
18 (nurs* adj4 ostom*).mp.
19 (nurs* adj4 continen*).mp.
20 (nurs* adj4 enterostom*).mp.
21 (nurs* adj4 stoma*).mp.
22 (nurs* adj4 cecostom*).mp.
23 (nurs* adj4 colostom*).mp.
24 (nurs* adj4 duodenostom*).mp.
25 (nurs* adj4 ileostom*).mp.
26 (nurs* adj4 jejunostom*).mp.
27 (nurs* adj4 WOC).mp.
28 (nurs* adj4 ET).mp.
29 (speciali* adj4 wound*).mp.
30 (speciali* adj4 ostom*).mp.
31 (speciali* adj4 continen*).mp.
32 (speciali* adj4 enterostom*).mp.
9 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
33 (speciali* adj4 stoma*).mp.
34 (speciali* adj4 cecostom*).mp.
35 (speciali* adj4 colostom*).mp.
36 (speciali* adj4 duodenostom*).mp.
37 (speciali* adj4 ileostom*).mp.
38 (speciali* adj4 jejunostom*).mp.
39 (speciali* adj4 WOC).mp.
40 (speciali* adj4 ET).mp.
41 (therap* adj4 wound*).mp.
42 (therap* adj4 ostom*).mp.
43 (therap* adj4 continen*).mp.
44 (therap* adj4 enterostom*).mp.
45 (therap* adj4 stoma*).mp.
46 (therap* adj4 cecostom*).mp.
47 (therap* adj4 colostom*).mp.
48 (therap* adj4 duodenostom*).mp.
49 (therap* adj4 ileostom*).mp.
50 (therap* adj4 jejunostom*).mp.
51 (therap* adj4 WOC).mp.
52 (therap* adj4 ET).mp.
53 WOCN.mp.
54 CWOCN.mp.
55 CWON.mp.
56 or/12-55
57 11 and 56
58 limit 57 to last 5 years
Interface - EBSCOhost Research Databases
Search Screen - Advanced Search
Database - CINAHL with Full Text
10 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
# Query Limiters/Expanders
S62 S12 AND S60 Limiters - Published
Date: 20140101-
20181231
Search modes -
Boolean/Phrase
S61 S12 AND S60 Search modes -
Boolean/Phrase
S60 S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21
OR S22 OR S23 OR S24 OR S25 OR S26 OR S27 OR S28 OR S29 OR
S30 OR S31 OR S32 OR S33 OR S34 OR S35 OR S36 OR S37 OR S38
OR S39 OR S40 OR S41 OR S42 OR S43 OR S44 OR S45 OR S46 OR
S47 OR S48 OR S49 OR S50 OR S51 OR S52 OR S53 OR S54 OR S55
OR S56 OR S57 OR S58 OR S59
Search modes -
Boolean/Phrase
S59 CWON Search modes -
Boolean/Phrase
S58 CWOCN Search modes -
Boolean/Phrase
S57 WOCN Search modes -
Boolean/Phrase
S56 (therap* N4 ET) Search modes -
Boolean/Phrase
S55 (therap* N4 WOC) Search modes -
Boolean/Phrase
S54 (therap* N4 jejunostom*) Search modes -
Boolean/Phrase
S53 (therap* N4 ileostom*) Search modes -
Boolean/Phrase
S52 (therap* N4 duodenostom*) Search modes -
Boolean/Phrase
S51 (therap* N4 colostom*) Search modes -
Boolean/Phrase
S50 (therap* N4 cecostom*) Search modes -
Boolean/Phrase
11 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
S49 (therap* N4 stoma*) Search modes -
Boolean/Phrase
S48 (therap* N4 enterostom*) Search modes -
Boolean/Phrase
S47 (therap* N4 continen*) Search modes -
Boolean/Phrase
S46 (therap* N4 ostom*) Search modes -
Boolean/Phrase
S45 (therap* N4 wound*) Search modes -
Boolean/Phrase
S44 (speciali* N4 ET) Search modes -
Boolean/Phrase
S43 (speciali* N4 WOC) Search modes -
Boolean/Phrase
S42 (speciali* N4 jejunostom*) Search modes -
Boolean/Phrase
S41 (speciali* N4 ileostom*) Search modes -
Boolean/Phrase
S40 (speciali* N4 duodenostom*) Search modes -
Boolean/Phrase
S39 (speciali* N4 colostom*) Search modes -
Boolean/Phrase
S38 (speciali* N4 cecostom*) Search modes -
Boolean/Phrase
S37 (speciali* N4 stoma*) Search modes -
Boolean/Phrase
S36 (speciali* N4 enterostom*) Search modes -
Boolean/Phrase
S35 (speciali* N4 continen*) Search modes -
Boolean/Phrase
S34 (speciali* N4 ostom*) Search modes -
Boolean/Phrase
S33 (speciali* N4 wound*) Search modes -
Boolean/Phrase
12 Supporting Adults Who Anticipate or Live with an Ostomy
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S32 (nurs* N4 ET) Search modes -
Boolean/Phrase
S31 (nurs* N4 WOC) Search modes -
Boolean/Phrase
S30 (nurs* N4 jejunostom*) Search modes -
Boolean/Phrase
S29 (nurs* N4 ileostom*) Search modes -
Boolean/Phrase
S28 (nurs* N4 duodenostom*) Search modes -
Boolean/Phrase
S27 (nurs* N4 colostom*) Search modes -
Boolean/Phrase
S26 (nurs* N4 cecostom*) Search modes -
Boolean/Phrase
S25 (nurs* N4 stoma*) Search modes -
Boolean/Phrase
S24 (nurs* N4 enterostom*) Search modes -
Boolean/Phrase
S23 (nurs* N4 continen*) Search modes -
Boolean/Phrase
S22 (nurs* N4 ostom*) Search modes -
Boolean/Phrase
S21 (nurs* N4 wound*) Search modes -
Boolean/Phrase
S20 (MH "Wound, Ostomy and Continence Nursing+") Search modes -
Boolean/Phrase
S19 (MH "Wound, Ostomy and Continence Nursing") Search modes -
S41 S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21 OR S22 OR S23 OR S24 OR S25 OR S26 OR S27 OR S28 OR S29 OR S30 OR S31 OR S32 OR S33 OR S34 OR S35 OR S36 OR S37 OR S38 OR S39 OR S40
Search modes - Boolean/Phrase
S40 (nurs* or doctor* or physician* or specialist* or therapist* or WOCN or CWOCN or CWON or dietician* or pharmacist* or surgeon*)
Search modes - Boolean/Phrase
S39 multiple N4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or communicat*)
Search modes - Boolean/Phrase
S38 series N4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or communicat*)
Search modes - Boolean/Phrase
S37 follow up Search modes - Boolean/Phrase
S36 (aftercar* or after-car*) Search modes - Boolean/Phrase
22 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
S18 (MH "Health Personnel") OR (MH "Allied Health Personnel") OR (MH "Dietetic Technicians, Registered") OR (MH "Dietitians") OR (MH "Health Educators") OR (MH "Interns and Residents") OR (MH "Medical Assistants") OR (MH "Occupational Therapists") OR (MH "Occupational Therapy Assistants") OR (MH "Pharmacy Technicians") OR (MH "Physician Assistants")
S1 (MH "Ostomy Equipment and Supplies") Search modes - Boolean/Phrase
23 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Question: Q3 Preventing hernias in adults anticipating or living with ostomies Databases:
Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Embase
Cochrane Central
CINAHL Database(s): Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 exp Hernia/
13 hernia*.mp.
14 encephalocel*.mp.
15 gastroschis*.mp.
16 rectocel*.mp.
17 or/12-16
18 11 and 17
19 limit 18 to last 5 years
Database(s): Embase
Search Strategy:
# Searches
1 ostomy/
24 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
2 exp enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 exp hernia/
13 hernia*.mp.
14 encephalocel*.mp.
15 gastroschis*.mp.
16 rectocel*.mp.
17 or/12-16
18 11 and 17
19 limit 18 to last 5 years
Database(s): EBM Reviews - Cochrane Central Register of Controlled Trials
Search Strategy:
# Searches
1 ostomy/
2 exp enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
25 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
11 or/1-10
12 exp hernia/
13 hernia*.mp.
14 encephalocel*.mp.
15 gastroschis*.mp.
16 rectocel*.mp.
17 or/12-16
18 11 and 17
19 limit 18 to last 5 years
Interface - EBSCOhost Research Databases
Search Screen - Advanced Search
Database - CINAHL with Full Text
# Query
S19 S12 AND S18
S18 S13 OR S14 OR S15 OR S16 OR S17
S17 rectocel*
S16 gastroschis*
S15 encephalocel*
S14 hernia*
S13 (MH "Hernia+")
S12 S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR S11
S11 jejunostom*
S10 ileostom*
S9 duodenostom*
S8 colostom*
S7 cecostom*
S6 enterostom*
S5 stoma*
S4 ostom*
S3 (MH "Enterostomy")
S2 (MH "Ostomy")
S1 (MH "Ostomy Equipment and Supplies")
26 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Question: Q4 Should the use of standardized assessment tool for QOL to customize care plan (for education and referral) versus usual care be used to improve outcomes in adults anticipating or living with ostomies? Databases:
Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Embase
Cochrane Central
CINAHL Database(s): Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 is.fs. [instrumentation]
13 standardi#ed.mp.
14 algorithms/
15 systemati#ed.mp.
16 instrument*.mp.
17 algorithm*.mp.
18 protocol*.mp.
19 exp Data Collection/
20 VALIDATION STUDIES AS TOPIC/ or VALIDATION STUDIES/
21 exp "reproducibility of results"/
27 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
22 (rating? or scale?).mp.
23 or/12-22
24 11 and 23
25 exp "Outcome and Process Assessment (Health Care)"/
26 exp Neuropsychological Tests/
27 exp Nursing Assessment/
28 Needs Assessment/
29 Program Evaluation/
30 assess*.mp.
31 evaluat*.mp.
32 test???.mp.
33 outcome?.mp.
34 25 or 26 or 27 or 28 or 29 or 30 or 31 or 32 or 33
35 24 and 34
36 exp "Activities of Daily Living"/
37 self care/
38 sickness impact profile/
39 patient acuity/
40 health status indicators/
41 exp Disability Evaluation/
42 Health Status/
43 quality of life/
44 exp Verbal Behavior/
45 mobility limitation/
46 exp Walking/
47 exp Muscle Strength/
48 Lifting/
49 exp Transportation/
50 exp Automobile Driving/
51 Baths/
52 exp Hygiene/
28 Supporting Adults Who Anticipate or Live with an Ostomy
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53 Accidental Falls/
54 Feeding Behavior/
55 Fasting/
56 exp Eating/
57 exp Diet/
58 Cooking/
59 Housekeeping/
60 exp Interpersonal Relations/
61 exp Family/
62 Friends/
63 exp Social Environment/
64 Social Isolation/
65 exp Work/
66 exp Employment/
67 Career Choice/
68 exp Occupations/
69 exp Educational Status/
70 exp Education/
71 exp Income/
72 exp Socioeconomic Factors/
73 exp Community Participation/
74 exp Leisure Activities/
75 exp Exercise/
76 exp Physical Fitness/
77 exp fatigue/
78 exp Behavioral Symptoms/
79 exp Mood Disorders/
80 exp Anxiety Disorders/
81 exp Emotions/
82 exp Adaptation, Psychological/
83 pleasure?.mp.
29 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
84 career*.mp.
85 employ*.mp.
86 job.mp.
87 (work or workplace?).mp.
88 participat*.mp.
89 activities.mp.
90 aodl.mp.
91 self care.mp.
92 adl.mp.
93 activity.mp.
94 (independent or independence).mp.
95 self-determin*.mp.
96 patient acuit*.mp.
97 (illness adj4 severit*).mp.
98 (sickness adj4 impact*).mp.
99 disabilit*.mp.
100 capacit*.mp.
101 (qualit* adj4 life).mp.
102 qol.mp.
103 lifestyle?.mp.
104 mobilit*.mp.
105 ambulat*.mp.
106 walk*.mp.
107 gait?.mp.
108 navigat*.mp.
109 strength*.mp.
110 lifting.mp.
111 transportation*.mp.
112 driving.mp.
113 self manag*.mp.
114 (bath??? or wash???).mp.
30 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
115 hygien*.mp.
116 home care.mp.
117 skin care?.mp.
118 (slip? or fall?).mp.
119 accident*.mp.
120 social.mp.
121 psychosocial.mp.
122 socializ*.mp.
123 unemploy*.mp.
124 socioeconom*.mp.
125 educat*.mp.
126 occupation*.mp.
127 income.mp.
128 financ*.mp.
129 povert*.mp.
130 (salar* or wage?).mp.
131 fatigu*.mp.
132 lassitud*.mp.
133 exert*.mp.
134 (physical* adj4 (fit or active)).mp.
135 adapt*.mp.
136 adjust*.mp.
137 (anxiet* or anxious*).mp.
138 depress*.mp.
139 mood*.mp.
140 leisure*.mp.
141 recreat*.mp.
142 sport*.mp.
143 emotion*.mp.
144 exp Self Concept/
145 exp Sexual Behavior/
31 Supporting Adults Who Anticipate or Live with an Ostomy
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146 sexual*.mp.
147 body image.mp.
148 dysphor*.mp.
149 self esteem.mp.
150 self image.mp.
151 or/36-150
152 35 and 151
153 limit 152 to last 5 years
Database(s): Ovid MEDLINE(R) Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE(R) Daily and Ovid MEDLINE(R)
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 exp "Activities of Daily Living"/
12 self care/
13 sickness impact profile/
14 patient acuity/
15 health status indicators/
16 exp Disability Evaluation/
17 Health Status/
18 quality of life/
19 exp Verbal Behavior/
20 mobility limitation/
32 Supporting Adults Who Anticipate or Live with an Ostomy
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21 exp Walking/
22 exp Muscle Strength/
23 Lifting/
24 exp Transportation/
25 exp Automobile Driving/
26 Baths/
27 exp Hygiene/
28 Accidental Falls/
29 Feeding Behavior/
30 Fasting/
31 exp Eating/
32 exp Diet/
33 Cooking/
34 Housekeeping/
35 exp Interpersonal Relations/
36 exp Family/
37 Friends/
38 exp Social Environment/
39 Social Isolation/
40 exp Work/
41 exp Employment/
42 Career Choice/
43 exp Occupations/
44 exp Educational Status/
45 exp Education/
46 exp Income/
47 exp Socioeconomic Factors/
48 exp Community Participation/
49 exp Leisure Activities/
50 exp Exercise/
51 exp Physical Fitness/
33 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
52 exp fatigue/
53 exp Behavioral Symptoms/
54 exp Mood Disorders/
55 exp Anxiety Disorders/
56 exp Emotions/
57 exp Adaptation, Psychological/
58 pleasure?.mp.
59 career*.mp.
60 employ*.mp.
61 job.mp.
62 (work or workplace?).mp.
63 participat*.mp.
64 activities.mp.
65 aodl.mp.
66 self care.mp.
67 adl.mp.
68 activity.mp.
69 (independent or independence).mp.
70 self-determin*.mp.
71 patient acuit*.mp.
72 (illness adj4 severit*).mp.
73 (sickness adj4 impact*).mp.
74 disabilit*.mp.
75 capacit*.mp.
76 (qualit* adj4 life).mp.
77 qol.mp.
78 lifestyle?.mp.
79 mobilit*.mp.
80 ambulat*.mp.
81 walk*.mp.
82 gait?.mp.
34 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
83 navigat*.mp.
84 strength*.mp.
85 lifting.mp.
86 transportation*.mp.
87 driving.mp.
88 self manag*.mp.
89 (bath??? or wash???).mp.
90 hygien*.mp.
91 home care.mp.
92 skin care?.mp.
93 (slip? or fall?).mp.
94 accident*.mp.
95 social.mp.
96 psychosocial.mp.
97 socializ*.mp.
98 unemploy*.mp.
99 socioeconom*.mp.
100 educat*.mp.
101 occupation*.mp.
102 income.mp.
103 financ*.mp.
104 povert*.mp.
105 (salar* or wage?).mp.
106 fatigu*.mp.
107 lassitud*.mp.
108 exert*.mp.
109 (physical* adj4 (fit or active)).mp.
110 adapt*.mp.
111 adjust*.mp.
112 (anxiet* or anxious*).mp.
113 depress*.mp.
35 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
114 mood*.mp.
115 leisure*.mp.
116 recreat*.mp.
117 sport*.mp.
118 emotion*.mp.
119 exp Self Concept/
120 exp Sexual Behavior/
121 sexual*.mp.
122 body image.mp.
123 dysphor*.mp.
124 self esteem.mp.
125 self image.mp.
126 or/11-125
127 Critical Pathways/
128 Patient Care Planning/
129 Patient Care Team/
130 Program Development/
131 Program Evaluation/
132 Aftercare/
133 pilot projects/
134 health personnel/ or exp allied health personnel/ or exp medical staff/ or exp nurses/ or exp nursing staff/ or
nutritionists/ or occupational therapists/ or physical therapists/ or exp physicians/
135 pathway*.mp.
136 path?.mp.
137 (protocol* adj4 (post* or care)).mp.
138 (process* adj4 (post* or care*)).mp.
139 (plan* adj4 (post* or care*)).mp.
140 program*.mp.
141 multidisciplin*.mp.
142 interdisciplin*.mp.
143 intradisciplin*.mp.
144 transdisciplin*.mp.
36 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
145 multiprofession*.mp.
146 interprofession*.mp.
147 intraprofession*.mp.
148 transprofession*.mp.
149 (aftercar* or after-car*).mp.
150 follow-up.mp.
151 or/127-150
152 or/1-10
153 126 and 151 and 152
154 limit 153 to last 5 years
Database(s): Embase
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 standardi#ed.mp.
13 exp algorithm/
14 systemati#ed.mp.
15 instrument*.mp.
16 algorithm*.mp.
17 protocol*.mp.
37 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
18 exp data collection method/
19 instrument validation/ or validation study/
20 reproducibility/
21 (rating? or scale?).mp.
22 or/12-21
23 11 and 22
24 exp treatment outcome/
25 exp psychologic test/
26 exp nursing assessment/
27 needs assessment/
28 exp program evaluation/
29 assess*.mp.
30 evaluat*.mp.
31 test???.mp.
32 outcome?.mp.
33 24 or 25 or 26 or 27 or 28 or 29 or 30 or 31 or 32
34 23 and 33
35 pleasure?.mp.
36 career*.mp.
37 employ*.mp.
38 job.mp.
39 (work or workplace?).mp.
40 participat*.mp.
41 activities.mp.
42 aodl.mp.
43 self care.mp.
44 adl.mp.
45 activity.mp.
46 (independent or independence).mp.
47 self-determin*.mp.
48 patient acuit*.mp.
38 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
49 (illness adj4 severit*).mp.
50 (sickness adj4 impact*).mp.
51 disabilit*.mp.
52 capacit*.mp.
53 (qualit* adj4 life).mp.
54 qol.mp.
55 lifestyle?.mp.
56 mobilit*.mp.
57 ambulat*.mp.
58 walk*.mp.
59 gait?.mp.
60 navigat*.mp.
61 strength*.mp.
62 lifting.mp.
63 transportation*.mp.
64 driving.mp.
65 self manag*.mp.
66 (bath??? or wash???).mp.
67 hygien*.mp.
68 home care.mp.
69 skin care?.mp.
70 (slip? or fall?).mp.
71 accident*.mp.
72 social.mp.
73 psychosocial.mp.
74 socializ*.mp.
75 unemploy*.mp.
76 socioeconom*.mp.
77 educat*.mp.
78 occupation*.mp.
79 income.mp.
39 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
80 financ*.mp.
81 povert*.mp.
82 (salar* or wage?).mp.
83 fatigu*.mp.
84 lassitud*.mp.
85 exert*.mp.
86 (physical* adj4 (fit or active)).mp.
87 adapt*.mp.
88 adjust*.mp.
89 (anxiet* or anxious*).mp.
90 depress*.mp.
91 mood*.mp.
92 leisure*.mp.
93 recreat*.mp.
94 sport*.mp.
95 emotion*.mp.
96 sexual*.mp.
97 body image.mp.
98 dysphor*.mp.
99 self esteem.mp.
100 self image.mp.
101 daily life activity/
102 exp "care and caring"/
103 exp general health status assessment/
104 exp health status indicator/
105 exp disability/
106 exp health status/
107 exp "quality of life"/
108 health status/ or fitness/ or functional status/ or physical mobility/
109 exp walking/
110 strength/ or exp hand strength/ or muscle strength/
40 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
111 exp "traffic and transport"/
112 bath/
113 hygiene/ or exp personal hygiene/
114 falling/
115 exp feeding behavior/
116 exp diet restriction/
117 eating/
118 exp diet/
119 exp cooking/
120 housekeeping/
121 exp human relation/
122 exp family/
123 friend/
124 exp social environment/
125 exp work/
126 exp employment/
127 exp occupation/
128 educational status/
129 education/ or exp academic achievement/
130 income/ or exp household income/
131 exp socioeconomics/
132 community participation/
133 exp recreation/
134 exp "physical activity, capacity and performance"/
135 exp fatigue/
136 behavior/ or behavior change/ or exp coping behavior/ or exp emotion/ or habit/ or exp health behavior/ or
illness behavior/ or exp sexual behavior/ or exp social behavior/ or exp verbal behavior/
137 exp mood disorder/
138 exp anxiety disorder/
139 exp self concept/
140 or/35-139
141 34 and 140
41 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
142 limit 141 to last 5 years
143 limit 142 to conference abstract status
144 142 not 143
Database(s): Embase
Search Strategy:
# Searches
1 ostomy/
2 exp enterostomy/
3 ostom*.mp.
4 (stoma or stomas).mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 clinical pathway/
13 patient care planning/
14 program development/
15 mandatory program/
16 voluntary program/
17 education program/
18 exp health program/
19 exp aftercare/
20 pilot study/
21 pathway*.mp.
22 path?.mp.
23 (protocol* adj4 (post* or care)).mp.
24 (process* adj4 (post* or care*)).mp.
25 (plan* adj4 (post* or care*)).mp.
42 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
26 program*.mp.
27 multidisciplin*.mp.
28 interdisciplin*.mp.
29 intradisciplin*.mp.
30 transdisciplin*.mp.
31 multiprofession*.mp.
32 interprofession*.mp.
33 intraprofession*.mp.
34 transprofession*.mp.
35 (aftercar* or after-car*).mp.
36 follow-up.mp.
37 (series adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or
communicat*)).mp.
38 (multiple adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or
communicat*)).mp.
39 (WOCN or CWOCN or CWON).mp.
40 or/12-39
41 11 and 40
42 pleasure?.mp.
43 career*.mp.
44 employment.mp.
45 job.mp.
46 (work or workplace?).mp.
47 aodl.mp.
48 self care.mp.
49 adl.mp.
50 (independent or independence).mp.
51 self-determin*.mp.
52 patient acuit*.mp.
53 (illness adj4 severit*).mp.
54 (sickness adj4 impact*).mp.
55 disabilit*.mp.
43 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
56 "quality of life".mp.
57 qol.mp.
58 lifestyle?.mp.
59 mobilit*.mp.
60 ambulat*.mp.
61 walk*.mp.
62 gait?.mp.
63 navigat*.mp.
64 strength*.mp.
65 lifting.mp.
66 driving.mp.
67 self manag*.mp.
68 (bath??? or wash???).mp.
69 (personal adj3 hygien*).mp.
70 home care.mp.
71 skin care?.mp.
72 (slip? or fall?).mp.
73 accident*.mp.
74 social.mp.
75 psychosocial.mp.
76 socializ*.mp.
77 unemploy*.mp.
78 socioeconom*.mp.
79 occupation*.mp.
80 income.mp.
81 financ*.mp.
82 povert*.mp.
83 (salar* or wage?).mp.
84 fatigu*.mp.
85 lassitud*.mp.
86 exert*.mp.
44 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
87 (physical* adj4 (fit or active)).mp.
88 (anxiet* or anxious*).mp.
89 depress*.mp.
90 mood*.mp.
91 leisure*.mp.
92 recreation.mp.
93 sport*.mp.
94 emotion*.mp.
95 sexual*.mp.
96 body image.mp.
97 dysphor*.mp.
98 self esteem.mp.
99 self image.mp.
100 daily life activity/
101 exp "care and caring"/
102 exp general health status assessment/
103 exp health status indicator/
104 exp disability/
105 exp health status/
106 exp "quality of life"/
107 fitness/ or functional status/ or physical mobility/
108 exp walking/
109 strength/ or exp hand strength/ or muscle strength/
110 exp "traffic and transport"/
111 bath/
112 exp personal hygiene/
113 falling/
114 exp feeding behavior/
115 exp diet restriction/
116 eating/
117 exp diet/
45 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
118 exp cooking/
119 housekeeping/
120 exp human relation/
121 exp family/
122 friend/
123 exp social environment/
124 exp work/
125 exp employment/
126 exp occupation/
127 educational status/
128 education/ or exp academic achievement/
129 income/ or exp household income/
130 exp socioeconomics/
131 community participation/
132 exp recreation/
133 exp "physical activity, capacity and performance"/
134 exp fatigue/
135 behavior/ or behavior change/ or exp coping behavior/ or exp emotion/ or habit/ or exp health behavior/ or
illness behavior/ or exp sexual behavior/ or exp social behavior/ or exp verbal behavior/
136 exp mood disorder/
137 exp anxiety disorder/
138 exp self concept/
139 or/42-138
140 41 and 139
141 limit 140 to last 5 years
142 limit 141 to conference abstract status
143 141 not 142
144 limit 143 to english language
46 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
Database(s): EBM Reviews - Cochrane Central Register of Controlled Trials February 2018
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 stoma?.mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 is.fs. [instrumentation]
13 standardi#ed.mp.
14 algorithms/ or exp Algorithms/
15 systemati#ed.mp.
16 instrument*.mp.
17 algorithm*.mp.
18 protocol*.mp.
19 exp Data Collection/ or exp data collection method/
20 VALIDATION STUDIES AS TOPIC/ or VALIDATION STUDIES/ or instrument validation/ or validation study/
21 exp "reproducibility of results"/ or reproducibility/
22 (rating? or scale?).mp.
23 or/12-22
24 11 and 23
25 exp "Outcome and Process Assessment (Health Care)"/ or exp treatment outcome/
26 exp Neuropsychological Tests/ or exp Psychological Tests/
27 exp Nursing Assessment/
28 Needs Assessment/
29 exp Program Evaluation/
47 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
30 assess*.mp.
31 evaluat*.mp.
32 test???.mp.
33 outcome?.mp.
34 25 or 26 or 27 or 28 or 29 or 30 or 31 or 32 or 33
35 24 and 34
36 exp "Activities of Daily Living"/ or daily life activity/
37 self care/ or exp "care and caring"/
38 sickness impact profile/
39 patient acuity/
40 health status indicators/ or exp Health Status Indicators/
41 exp Disability Evaluation/ or exp disability/
42 Health Status/ or exp general health status assessment/
43 quality of life/ or exp "quality of life"/
44 exp Verbal Behavior/
45 mobility limitation/ or fitness/ or functional status/ or physical mobility/
46 exp Walking/
47 strength/ or exp hand strength/ or exp Muscle Strength/
48 Lifting/
49 exp Transportation/ or exp "traffic and transport"/
50 exp Automobile Driving/
51 Baths/ or bath/
52 exp Hygiene/ or hygiene/ or exp personal hygiene/
53 Accidental Falls/ or falling/
54 exp Feeding Behavior/
55 Fasting/
56 exp Eating/
57 exp Diet/ or exp diet restriction/
58 exp Cooking/
59 Housekeeping/
60 exp Interpersonal Relations/ or exp human relation/
48 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
61 exp Family/
62 Friends/ or friend/
63 exp Social Environment/
64 Social Isolation/
65 exp Work/
66 exp Employment/
67 Career Choice/
68 exp Occupations/ or exp Occupations/
69 exp Educational Status/
70 education/ or exp academic achievement/
71 exp Income/ or exp household income/
72 exp Socioeconomic Factors/ or exp socioeconomics/
73 exp Consumer Participation/
74 exp Leisure Activities/ or exp recreation/
75 exp Exercise/ or exp "physical activity, capacity and performance"/
76 exp Physical Fitness/
77 exp fatigue/
78
exp Behavioral Symptoms/ or behavior/ or behavior change/ or exp Adaptation, Psychological/ or exp Emotions/
or habit/ or exp health behavior/ or illness behavior/ or exp sexual behavior/ or exp social behavior/ or exp
verbal behavior/
79 exp Mood Disorders/ or exp Mood Disorders/
80 exp Anxiety Disorders/ or exp Anxiety Disorders/
81 exp Emotions/
82 exp Adaptation, Psychological/
83 pleasure?.mp.
84 career*.mp.
85 employ*.mp.
86 job.mp.
87 (work or workplace?).mp.
88 participat*.mp.
89 activities.mp.
90 aodl.mp.
49 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
91 self care.mp.
92 adl.mp.
93 activity.mp.
94 (independent or independence).mp.
95 self-determin*.mp.
96 patient acuit*.mp.
97 (illness adj4 severit*).mp.
98 (sickness adj4 impact*).mp.
99 disabilit*.mp.
100 capacit*.mp.
101 (qualit* adj4 life).mp.
102 qol.mp.
103 lifestyle?.mp.
104 mobilit*.mp.
105 ambulat*.mp.
106 walk*.mp.
107 gait?.mp.
108 navigat*.mp.
109 strength*.mp.
110 lifting.mp.
111 transportation*.mp.
112 driving.mp.
113 self manag*.mp.
114 (bath??? or wash???).mp.
115 hygien*.mp.
116 home care.mp.
117 skin care?.mp.
118 (slip? or fall?).mp.
119 accident*.mp.
120 social.mp.
121 psychosocial.mp.
50 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
122 socializ*.mp.
123 unemploy*.mp.
124 socioeconom*.mp.
125 educat*.mp.
126 occupation*.mp.
127 income.mp.
128 financ*.mp.
129 povert*.mp.
130 (salar* or wage?).mp.
131 fatigu*.mp.
132 lassitud*.mp.
133 exert*.mp.
134 (physical* adj4 (fit or active)).mp.
135 adapt*.mp.
136 adjust*.mp.
137 (anxiet* or anxious*).mp.
138 depress*.mp.
139 mood*.mp.
140 leisure*.mp.
141 recreat*.mp.
142 sport*.mp.
143 emotion*.mp.
144 exp Self Concept/
145 exp Sexual Behavior/
146 sexual*.mp.
147 body image.mp.
148 dysphor*.mp.
149 self esteem.mp.
150 self image.mp.
151 or/36-150
152 35 and 151
51 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
153 limit 152 to last 5 years
Database(s): EBM Reviews - Cochrane Central Register of Controlled Trials
Search Strategy:
# Searches
1 Ostomy/
2 exp Enterostomy/
3 ostom*.mp.
4 (stoma or stomas).mp.
5 enterostom*.mp.
6 cecostom*.mp.
7 colostom*.mp.
8 duodenostom*.mp.
9 ileostom*.mp.
10 jejunostom*.mp.
11 or/1-10
12 Critical Pathways/ or clinical pathway/
13 Patient Care Planning/
14 Patient Care Team/
15 Program Development/
16 Program Evaluation/
17 mandatory program/ or voluntary program/ or education program/ or exp health program/
18 Aftercare/
19 pilot projects/ or pilot study/
20
health personnel/ or exp allied health personnel/ or exp medical staff/ or exp nurses/ or exp nursing staff/ or
nutritionists/ or occupational therapists/ or physical therapists/ or exp physicians/ or health care personnel/ or
medical personnel/ or physician/ or physician assistant/ or resident/ or hospital personnel/ or medical staff/ or
paramedical personnel/ or dietitian/ or exp Nurses/ or nursing assistant/ or nursing staff/ or occupational
therapist/ or occupational therapy assistant/ or pharmacist/ or pharmacy technician/
21 pathway*.mp.
22 path?.mp.
23 (protocol* adj4 (post* or care)).mp.
52 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
24 (process* adj4 (post* or care*)).mp.
25 (plan* adj4 (post* or care*)).mp.
26 program*.mp.
27 multidisciplin*.mp.
28 interdisciplin*.mp.
29 intradisciplin*.mp.
30 transdisciplin*.mp.
31 multiprofession*.mp.
32 interprofession*.mp.
33 intraprofession*.mp.
34 transprofession*.mp.
35 (aftercar* or after-car*).mp.
36 follow-up.mp.
37 (series adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or
communicat*)).mp.
38 (multiple adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or
communicat*)).mp.
39 (nurs* or doctor* or physician* or specialist* or therapist* or WOCN or CWOCN or CWON or dietician* or
pharmacist* or surgeon*).mp.
40 or/12-39
41 11 and 40
42 exp "Activities of Daily Living"/ or daily life activity/
43 self care/ or exp "care and caring"/
44 sickness impact profile/
45 patient acuity/
46 health status indicators/ or exp Health Status Indicators/
47 exp Disability Evaluation/ or exp disability/
48 Health Status/ or exp general health status assessment/
49 quality of life/ or exp "quality of life"/
50 exp Verbal Behavior/
51 mobility limitation/ or fitness/ or functional status/ or physical mobility/
52 exp Walking/
53 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
53 strength/ or exp hand strength/ or exp Muscle Strength/
54 Lifting/
55 exp Transportation/ or exp "traffic and transport"/
56 exp Automobile Driving/
57 Baths/ or bath/
58 exp Hygiene/ or hygiene/ or exp personal hygiene/
59 Accidental Falls/ or falling/
60 exp Feeding Behavior/
61 Fasting/
62 exp Eating/
63 exp Diet/ or exp diet restriction/
64 exp Cooking/
65 Housekeeping/
66 exp Interpersonal Relations/ or exp human relation/
67 exp Family/
68 Friends/ or friend/
69 exp Social Environment/
70 Social Isolation/
71 exp Work/
72 exp Employment/
73 Career Choice/
74 exp Occupations/ or exp Occupations/
75 exp Educational Status/
76 education/ or exp academic achievement/
77 exp Income/ or exp household income/
78 exp Socioeconomic Factors/ or exp socioeconomics/
79 exp Consumer Participation/
80 exp Leisure Activities/ or exp recreation/
81 exp Exercise/ or exp "physical activity, capacity and performance"/
82 exp Physical Fitness/
83 exp fatigue/
54 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
84
exp Behavioral Symptoms/ or behavior/ or behavior change/ or exp Adaptation, Psychological/ or exp Emotions/
or habit/ or exp health behavior/ or illness behavior/ or exp sexual behavior/ or exp social behavior/ or exp
verbal behavior/
85 exp Mood Disorders/ or exp Mood Disorders/
86 exp Anxiety Disorders/ or exp Anxiety Disorders/
87 exp Emotions/
88 exp Adaptation, Psychological/
89 pleasure?.mp.
90 career*.mp.
91 employ*.mp.
92 job.mp.
93 (work or workplace?).mp.
94 participat*.mp.
95 activities.mp.
96 aodl.mp.
97 self care.mp.
98 adl.mp.
99 activity.mp.
100 (independent or independence).mp.
101 self-determin*.mp.
102 patient acuit*.mp.
103 (illness adj4 severit*).mp.
104 (sickness adj4 impact*).mp.
105 disabilit*.mp.
106 capacit*.mp.
107 (qualit* adj4 life).mp.
108 qol.mp.
109 lifestyle?.mp.
110 mobilit*.mp.
111 ambulat*.mp.
112 walk*.mp.
113 gait?.mp.
55 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
114 navigat*.mp.
115 strength*.mp.
116 lifting.mp.
117 transportation*.mp.
118 driving.mp.
119 self manag*.mp.
120 (bath??? or wash???).mp.
121 hygien*.mp.
122 home care.mp.
123 skin care?.mp.
124 (slip? or fall?).mp.
125 accident*.mp.
126 social.mp.
127 psychosocial.mp.
128 socializ*.mp.
129 unemploy*.mp.
130 socioeconom*.mp.
131 educat*.mp.
132 occupation*.mp.
133 income.mp.
134 financ*.mp.
135 povert*.mp.
136 (salar* or wage?).mp.
137 fatigu*.mp.
138 lassitud*.mp.
139 exert*.mp.
140 (physical* adj4 (fit or active)).mp.
141 adapt*.mp.
142 adjust*.mp.
143 (anxiet* or anxious*).mp.
144 depress*.mp.
56 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
145 mood*.mp.
146 leisure*.mp.
147 recreat*.mp.
148 sport*.mp.
149 emotion*.mp.
150 exp Self Concept/
151 exp Sexual Behavior/
152 sexual*.mp.
153 body image.mp.
154 dysphor*.mp.
155 self esteem.mp.
156 self image.mp.
157 or/42-156
158 41 and 157
159 limit 158 to last 5 years
160 limit 159 to english language
Interface - EBSCOhost Research Databases Search Screen - Advanced Search Database - CINAHL with Full Text March 29, 2018
# Query Limiters/Expanders
S137 S12 AND S81 AND S135 Limiters - Published Date: 20120101-20181231 Search modes - Boolean/Phrase
S136 S12 AND S81 AND S135 Search modes - Boolean/Phrase
S135 S107 OR S108 OR S109 OR S110 OR S111 OR S112 OR S113 OR S114 OR S115 OR S116 OR S117 OR S118 OR S119 OR S120 OR S121 OR S122 OR S123 OR S124 OR S125 OR S126 OR S127 OR S128 OR S129 OR S130 OR S131 OR S132 OR S133 OR S134
Search modes - Boolean/Phrase
S134 (nurs* or doctor* or physician* or specialist* or therapist* or WOCN or CWOCN or CWON or dietician* or pharmacist* or surgeon*)
Search modes - Boolean/Phrase
S133 multiple N4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or communicat*)
Search modes - Boolean/Phrase
S132 series N4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or communicat*)
Search modes - Boolean/Phrase
S131 follow up Search modes - Boolean/Phrase
S130 (aftercar* or after-car*) Search modes - Boolean/Phrase
S112 (MH "Health Personnel") OR (MH "Allied Health Personnel") OR (MH "Dietetic Technicians, Registered") OR (MH "Dietitians") OR (MH "Health Educators") OR (MH "Interns and Residents") OR (MH "Medical Assistants") OR (MH "Occupational Therapists") OR (MH "Occupational Therapy Assistants") OR (MH "Pharmacy Technicians") OR (MH "Physician Assistants")
S97 (MH "Patient Assessment+") OR (MH "Patient History Taking+") OR (MH "Wound Assessment+") OR (MH "Health Screening+") OR (MH "Geriatric Assessment+") OR (MH "Functional Assessment+") OR (MH "Disability Evaluation+") OR (MH "Monitoring, Physiologic+") OR (MH "Nutritional Assessment") OR (MH "Nursing Diagnosis") OR (MH "Nursing Assessment") OR (MH "Occupational Therapy Assessment") OR (MH "Risk Assessment")
S81 S13 OR S14 OR S15 OR S16 OR S17 OR S18 OR S19 OR S20 OR S21 OR S22 OR S23 OR S24 OR S25 OR S26 OR S27 OR S28 OR S29 OR S30 OR S31 OR S32 OR S33 OR S34 OR S35 OR S36 OR S37 OR S38 OR S39 OR S40 OR S41 OR S42 OR S43 OR S44 OR S45 OR S46 OR S47 OR S48 OR S49 OR S50 OR S51 OR S52 OR S53 OR S54 OR S55 OR S56 OR S57 OR S58 OR S59 OR S60 OR S61 OR S62 OR S63 OR S64 OR S65 OR S66 OR S67 OR S68 OR S69 OR S70 OR S71 OR S72 OR S73 OR S74 OR S75 OR S76 OR S77 OR S78 OR S79 OR S80
Search modes - Boolean/Phrase
S80 role* N4 (function* or maintain*) Search modes - Boolean/Phrase
S79 autonomy or autonomous* Search modes - Boolean/Phrase
S78 independen* N4 (function* or life* or living or live or lives or lived)
Search modes - Boolean/Phrase
S77 handicap* Search modes - Boolean/Phrase
S76 psychosocial Search modes - Boolean/Phrase
S75 lifestyle* Search modes - Boolean/Phrase
S74 qol Search modes - Boolean/Phrase
S73 qualit* N4 life Search modes - Boolean/Phrase
S72 disabilit* or disabl* Search modes - Boolean/Phrase
S71 participation Search modes - Boolean/Phrase
S70 civic* Search modes - Boolean/Phrase
S69 politic* Search modes - Boolean/Phrase
S68 religio* Search modes - Boolean/Phrase
S67 communit* Search modes - Boolean/Phrase
S66 spiritual* Search modes - Boolean/Phrase
S65 arts or artist* Search modes - Boolean/Phrase
S64 hobby or hobbies Search modes - Boolean/Phrase
S63 pastime* Search modes - Boolean/Phrase
S62 sport* Search modes - Boolean/Phrase
S61 recreat* Search modes - Boolean/Phrase
S60 leisure* Search modes - Boolean/Phrase
S59 social?? or socializ* Search modes - Boolean/Phrase
S58 socioeconomic Search modes - Boolean/Phrase
S57 economic Search modes - Boolean/Phrase
S56 (absentis* or absentee*) Search modes - Boolean/Phrase
S55 volunteer* Search modes - Boolean/Phrase
S54 apprentice* Search modes - Boolean/Phrase
S53 school or schools Search modes - Boolean/Phrase
S52 student or students Search modes - Boolean/Phrase
S51 productivity Search modes - Boolean/Phrase
S50 (work* or job or employ*) N4 (abilit* or able or capacit*) Search modes - Boolean/Phrase
S49 salar* or wage or wages or waged Search modes - Boolean/Phrase
S48 occupation* Search modes - Boolean/Phrase
S47 unemploy* Search modes - Boolean/Phrase
S46 jobless Search modes - Boolean/Phrase
S45 job or jobs Search modes - Boolean/Phrase
S44 employment Search modes - Boolean/Phrase
S43 career* Search modes - Boolean/Phrase
S42 childcare* Search modes - Boolean/Phrase
S41 lover* Search modes - Boolean/Phrase
S40 spouse or spouses Search modes - Boolean/Phrase
S39 interpersonal Search modes - Boolean/Phrase
S38 intimate N4 (relation* or partner*) Search modes - Boolean/Phrase
S37 friend* Search modes - Boolean/Phrase
S36 assist* N4 (other* or peer* or coworker* or person* or people) Search modes - Boolean/Phrase
59 Supporting Adults Who Anticipate or Live with an Ostomy
BEST PRACTICE GUIDELINES - www.RNAO.ca
S35 caregiv* Search modes - Boolean/Phrase
S34 parent* Search modes - Boolean/Phrase
S33 household* Search modes - Boolean/Phrase
S32 housekeep* Search modes - Boolean/Phrase
S31 homemak* Search modes - Boolean/Phrase
S30 (home or house) N4 (maint* or clean* or keeping) Search modes - Boolean/Phrase