Registered Nurses’ Association of Ontario: Supporting ... · Outcomes – Peristomal dermatitis,...

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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 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

Transcript of Registered Nurses’ Association of Ontario: Supporting ... · Outcomes – Peristomal dermatitis,...

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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care to adults who anticipate or live with an ostomy

Primary focus on Nurses (RN, RPN, NP, CNS)

Secondary focus on other health-care providers (whose scope of practice

overlaps with nursing)

Applicable to context of developing countries

Peer-reviewed

Study methodology limited to any study design (quantitative, qualitative, mixed

methods, and reviews)

Exclusion Criteria:

The following criteria were used to exclude literature from the search:

Topic NOT related to the following interventions for adults 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

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

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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.

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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.

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54 CWON.mp.

55 or/12-54

56 11 and 55

57 limit 56 to last 5 years

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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.

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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/

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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.

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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

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# 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

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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

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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 -

Boolean/Phrase

S18 (MH "Wound Ostomy and Continence Nurses Society") Search modes -

Boolean/Phrase

S17 (MH "Skin Care/NU") Search modes -

Boolean/Phrase

S16 (MH "Ostomy Care+") Search modes -

Boolean/Phrase

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S15 (MH "Wound Care+") Search modes -

Boolean/Phrase

S14 (MH "Intestinal Diseases+/NU") Search modes -

Boolean/Phrase

S13 (MH "Ostomy+/NU") Search modes -

Boolean/Phrase

S12 S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR

S11

Search modes -

Boolean/Phrase

S11 jejunostom* Search modes -

Boolean/Phrase

S10 ileostom* Search modes -

Boolean/Phrase

S9 duodenostom* Search modes -

Boolean/Phrase

S8 colostom* Search modes -

Boolean/Phrase

S7 cecostom* Search modes -

Boolean/Phrase

S6 enterostom* Search modes -

Boolean/Phrase

S5 stoma* Search modes -

Boolean/Phrase

S4 ostom* Search modes -

Boolean/Phrase

S3 (MH "Enterostomy") Search modes -

Boolean/Phrase

S2 (MH "Ostomy") Search modes -

Boolean/Phrase

S1 (MH "Ostomy Equipment and Supplies") Search modes -

Boolean/Phrase

Question: Q2. Should using ostomy care program versus not using ostomy care program improve organizational outcomes? 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

14 Supporting Adults Who Anticipate or Live with an Ostomy

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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 Critical Pathways/

13 Patient Care Planning/

14 Patient Care Team/

15 Program Development/

16 Program Evaluation/

17 Aftercare/

18 pilot projects/

19 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/

20 pathway*.mp.

21 path?.mp.

22 (protocol* adj4 (post* or care)).mp.

23 (process* adj4 (post* or care*)).mp.

24 (plan* adj4 (post* or care*)).mp.

25 program*.mp.

26 multidisciplin*.mp.

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27 interdisciplin*.mp.

28 intradisciplin*.mp.

29 transdisciplin*.mp.

30 multiprofession*.mp.

31 interprofession*.mp.

32 intraprofession*.mp.

33 transprofession*.mp.

34 (aftercar* or after-car*).mp.

35 follow-up.mp.

36 (series adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or

communicat*)).mp.

37 (multiple adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or

communicat*)).mp.

38 (nurs* or doctor* or physician* or specialist* or therapist* or WOCN or CWOCN or CWON or dietician* or

pharmacist* or surgeon*).mp.

39 or/12-38

40 11 and 39

41 exp Patient Satisfaction/

42 "Length of Stay"/

43 Patient Readmission/

44 Job Satisfaction/

45 "Attitude of Health Personnel"/

46 (patient* adj4 satisf*).mp.

47 (patient* adj4 prefer*).mp.

48 length of stay.mp.

49 ("time in" adj4 hospital*).mp.

50 ("time spent in" adj4 hospital*).mp.

51 ("days in" adj4 hospital*).mp.

52 ("days spent in" adj4 hospital*).mp.

53 readmission*.mp.

54 readmit*.mp.

55 re-admission*.mp.

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56 re-admit*.mp.

57 satisf*.mp.

58 or/41-57

59 40 and 58

60 limit 59 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 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 health care personnel/

22 medical personnel/ or physician/ or physician assistant/ or resident/

23 hospital personnel/ or medical staff/

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24 paramedical personnel/ or dietitian/ or exp nurse/ or nursing assistant/ or nursing staff/ or occupational therapist/

or occupational therapy assistant/ or pharmacist/ or pharmacy technician/

25 pathway*.mp.

26 path?.mp.

27 (protocol* adj4 (post* or care)).mp.

28 (process* adj4 (post* or care*)).mp.

29 (plan* adj4 (post* or care*)).mp.

30 program*.mp.

31 multidisciplin*.mp.

32 interdisciplin*.mp.

33 intradisciplin*.mp.

34 transdisciplin*.mp.

35 multiprofession*.mp.

36 interprofession*.mp.

37 intraprofession*.mp.

38 transprofession*.mp.

39 (aftercar* or after-car*).mp.

40 follow-up.mp.

41 (series adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or

communicat*)).mp.

42 (multiple adj4 (visit* or appointment* or consult* or contact* or phone* or telephone* or telemed* or

communicat*)).mp.

43 (nurs* or doctor* or physician* or specialist* or therapist* or WOCN or CWOCN or CWON or dietician* or

pharmacist* or surgeon*).mp.

44 or/12-43

45 11 and 44

46 patient satisfaction/

47 "length of stay"/

48 hospital readmission/

49 job satisfaction/

50 exp health personnel attitude/

51 (patient* adj4 satisf*).mp.

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52 (patient* adj4 prefer*).mp.

53 length of stay.mp.

54 ("time in" adj4 hospital*).mp.

55 ("time spent in" adj4 hospital*).mp.

56 ("days in" adj4 hospital*).mp.

57 ("days spent in" adj4 hospital*).mp.

58 readmission*.mp.

59 readmit*.mp.

60 re-admission*.mp.

61 re-admit*.mp.

62 satisf*.mp.

63 or/46-62

64 45 and 63

65 limit 64 to last 5 years

66 limit 65 to conference abstract status

67 65 not 66

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.

11 or/1-10

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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.

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.

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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 Patient Satisfaction/

43 "Length of Stay"/

44 Patient Readmission/ or hospital readmission/

45 Job Satisfaction/

46 "Attitude of Health Personnel"/ or exp Attitude of Health Personnel/

47 (patient* adj4 satisf*).mp.

48 (patient* adj4 prefer*).mp.

49 length of stay.mp.

50 ("time in" adj4 hospital*).mp.

51 ("time spent in" adj4 hospital*).mp.

52 ("days in" adj4 hospital*).mp.

53 ("days spent in" adj4 hospital*).mp.

54 readmission*.mp.

55 readmit*.mp.

56 re-admission*.mp.

57 re-admit*.mp.

58 satisf*.mp.

59 or/42-58

60 41 and 59

61 limit 60 to last 5 years

Search History Interface - EBSCOhost Research Databases

Search Screen - Advanced Search

Database - CINAHL with Full Text

21 Supporting Adults Who Anticipate or Live with an Ostomy

BEST PRACTICE GUIDELINES - www.RNAO.ca

# Query Limiters/Expanders

S62 S42 AND S60 Limiters - Published Date: 20120101-20181231 Search modes - Boolean/Phrase

S61 S42 AND S60 Search modes - Boolean/Phrase

S60 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 satisf* Search modes - Boolean/Phrase

S58 re-admit* Search modes - Boolean/Phrase

S57 re-admission* Search modes - Boolean/Phrase

S56 readmit* Search modes - Boolean/Phrase

S55 readmission* Search modes - Boolean/Phrase

S54 "days spent in" N4 hospital* Search modes - Boolean/Phrase

S53 "days in" N4 hospital* Search modes - Boolean/Phrase

S52 "time spent in" N4 hospital* Search modes - Boolean/Phrase

S51 "time in" N4 hospital* Search modes - Boolean/Phrase

S50 length of stay Search modes - Boolean/Phrase

S49 patient* N4 prefer* Search modes - Boolean/Phrase

S48 patient* N4 satisf* Search modes - Boolean/Phrase

S47 (MH "Attitude of Health Personnel+") Search modes - Boolean/Phrase

S46 (MH "Job Satisfaction") OR (MH "Personal Satisfaction") Search modes - Boolean/Phrase

S45 (MH "Readmission") Search modes - Boolean/Phrase

S44 (MH "Length of Stay") Search modes - Boolean/Phrase

S43 (MH "Patient Satisfaction") Search modes - Boolean/Phrase

S42 S12 AND S41 Search modes - Boolean/Phrase

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

S35 transprofession* Search modes - Boolean/Phrase

S34 intraprofession* Search modes - Boolean/Phrase

S33 interprofession* Search modes - Boolean/Phrase

S32 multiprofession* Search modes - Boolean/Phrase

S31 transdisciplin* Search modes - Boolean/Phrase

S30 intradisciplin* Search modes - Boolean/Phrase

S29 interdisciplin* Search modes - Boolean/Phrase

S28 multidisciplin* Search modes - Boolean/Phrase

S27 program* Search modes - Boolean/Phrase

S26 plan* N4 (post* or care) Search modes - Boolean/Phrase

S25 process* N4 (post* or care) Search modes - Boolean/Phrase

S24 protocol* N4 (post* or care) Search modes - Boolean/Phrase

S23 path Search modes - Boolean/Phrase

S22 pathway* Search modes - Boolean/Phrase

S21 (MH "Interns and Residents") Search modes - Boolean/Phrase

S20 (MH "Physicians+") Search modes - Boolean/Phrase

S19 (MH "Nurses+") OR (MH "Nursing Assistants") 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")

Search modes - Boolean/Phrase

S17 (MH "Pilot Studies") Search modes - Boolean/Phrase

S16 (MH "After Care") Search modes - Boolean/Phrase

S15 (MH "Program Development+") Search modes - Boolean/Phrase

S14 (MH "Multidisciplinary Care Team+") Search modes - Boolean/Phrase

S13 (MH "Protocols+") Search modes - Boolean/Phrase

S12 S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR S11

Search modes - Boolean/Phrase

S11 jejunostom* Search modes - Boolean/Phrase

S10 ileostom* Search modes - Boolean/Phrase

S9 duodenostom* Search modes - Boolean/Phrase

S8 colostom* Search modes - Boolean/Phrase

S7 cecostom* Search modes - Boolean/Phrase

S6 enterostom* Search modes - Boolean/Phrase

S5 stoma* Search modes - Boolean/Phrase

S4 ostom* Search modes - Boolean/Phrase

S3 (MH "Enterostomy") Search modes - Boolean/Phrase

S2 (MH "Ostomy") Search modes - Boolean/Phrase

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

BEST PRACTICE GUIDELINES - www.RNAO.ca

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

BEST PRACTICE GUIDELINES - www.RNAO.ca

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

BEST PRACTICE GUIDELINES - www.RNAO.ca

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

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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

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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

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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.

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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

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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

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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

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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

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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

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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

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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

S129 transprofession* Search modes - Boolean/Phrase

57 Supporting Adults Who Anticipate or Live with an Ostomy

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S128 intraprofession* Search modes - Boolean/Phrase

S127 interprofession* Search modes - Boolean/Phrase

S126 multiprofession* Search modes - Boolean/Phrase

S125 transdisciplin* Search modes - Boolean/Phrase

S124 intradisciplin* Search modes - Boolean/Phrase

S123 interdisciplin* Search modes - Boolean/Phrase

S122 multidisciplin* Search modes - Boolean/Phrase

S121 program* Search modes - Boolean/Phrase

S120 plan* N4 (post* or care) Search modes - Boolean/Phrase

S119 process* N4 (post* or care) Search modes - Boolean/Phrase

S118 protocol* N4 (post* or care) Search modes - Boolean/Phrase

S117 path Search modes - Boolean/Phrase

S116 pathway* Search modes - Boolean/Phrase

S115 (MH "Interns and Residents") Search modes - Boolean/Phrase

S114 (MH "Physicians+") Search modes - Boolean/Phrase

S113 (MH "Nurses+") OR (MH "Nursing Assistants") 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")

Search modes - Boolean/Phrase

S111 (MH "Pilot Studies") Search modes - Boolean/Phrase

S110 (MH "After Care") Search modes - Boolean/Phrase

S109 (MH "Program Development+") Search modes - Boolean/Phrase

S108 (MH "Multidisciplinary Care Team+") Search modes - Boolean/Phrase

S107 (MH "Protocols+") Search modes - Boolean/Phrase

S106 S95 AND S104 Limiters - Published Date: 20120101-20181231 Search modes - Boolean/Phrase

S105 S95 AND S104 Search modes - Boolean/Phrase

S104 S96 OR S97 OR S98 OR S99 OR S100 OR S101 OR S102 OR S103

Search modes - Boolean/Phrase

S103 outcome* Search modes - Boolean/Phrase

S102 test* Search modes - Boolean/Phrase

S101 evaluat* Search modes - Boolean/Phrase

S100 assess* Search modes - Boolean/Phrase

S99 (MH "Program Evaluation") Search modes - Boolean/Phrase

S98 (MH "Needs Assessment") Search modes - Boolean/Phrase

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")

Search modes - Boolean/Phrase

S96 (MH "Outcomes (Health Care)+") Search modes - Boolean/Phrase

S95 S82 AND S94 Search modes - Boolean/Phrase

S94 S83 OR S84 OR S85 OR S86 OR S87 OR S88 OR S89 OR S90 OR S91 OR S92 OR S93

Search modes - Boolean/Phrase

S93 rating* or scale* Search modes - Boolean/Phrase

S92 protocol* Search modes - Boolean/Phrase

S91 algorithm* Search modes - Boolean/Phrase

S90 instrument* Search modes - Boolean/Phrase

S89 systematised or systematized Search modes - Boolean/Phrase

S88 (MH "Reproducibility of Results") Search modes - Boolean/Phrase

S87 (MH "Validation Studies") Search modes - Boolean/Phrase

S86 (MH "Data Collection Methods+") Search modes - Boolean/Phrase

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S85 (MH "Algorithms") OR (MH "Decision Trees") Search modes - Boolean/Phrase

S84 (MH "Clinical Assessment Tools+") Search modes - Boolean/Phrase

S83 (MH "Research Instruments+") Search modes - Boolean/Phrase

S82 S12 AND S81 Search modes - Boolean/Phrase

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

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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

S29 home N4 care* Search modes - Boolean/Phrase

S28 home N4 manage* Search modes - Boolean/Phrase

S27 (MH "Self Care+") Search modes - Boolean/Phrase

S26 (MH "Quality of Life+") Search modes - Boolean/Phrase

S25 (MH "Health Status+") Search modes - Boolean/Phrase

S24 (MH "Disability Evaluation+") Search modes - Boolean/Phrase

S23 (MH "Health Status Indicators") Search modes - Boolean/Phrase

S22 (MH "Sickness Impact Profile") OR (MH "Symptom Distress Scale")

Search modes - Boolean/Phrase

S21 (MH "Leisure Activities+") OR (MH "Exercise+") OR (MH "Activities of Daily Living+") OR (MH "Physical Activity")

Search modes - Boolean/Phrase

S20 (MH "Socioeconomic Factors+") Search modes - Boolean/Phrase

S19 (MH "Work") Search modes - Boolean/Phrase

S18 (MH "Education+") Search modes - Boolean/Phrase

S17 (MH "Social Isolation+") OR (MH "Social Inclusion") OR (MH "Social Participation")

Search modes - Boolean/Phrase

S16 (MH "Social Environment+") Search modes - Boolean/Phrase

S15 (MH "Family+") Search modes - Boolean/Phrase

S14 (MH "Interpersonal Relations+") Search modes - Boolean/Phrase

S13 (MH "Home Nursing") OR (MH "Home Health Care+") Search modes - Boolean/Phrase

S12 S1 OR S2 OR S3 OR S4 OR S5 OR S6 OR S7 OR S8 OR S9 OR S10 OR S11

Search modes - Boolean/Phrase

S11 jejunostom* Search modes - Boolean/Phrase

S10 ileostom* Search modes - Boolean/Phrase

S9 duodenostom* Search modes - Boolean/Phrase

S8 colostom* Search modes - Boolean/Phrase

S7 cecostom* Search modes - Boolean/Phrase

S6 enterostom* Search modes - Boolean/Phrase

S5 stoma* Search modes - Boolean/Phrase

S4 ostom* Search modes - Boolean/Phrase

S3 (MH "Enterostomy") Search modes - Boolean/Phrase

S2 (MH "Ostomy") Search modes - Boolean/Phrase

S1 (MH "Ostomy Equipment and Supplies") Search modes - Boolean/Phrase