Sammanfattning
Application of the problem-based learning methodology in addressing an ongoing clinical issue of
concern resulted in enhanced patient care and professional satisfaction among nursing staff.
Method
An eight-step model was developed for clinical practice, where it served to integrate and bridge
participants' professional empirical knowledge with their acquisition of new theoretical knowledge by
applying scientific approaches to quality assuring evidence-based improvements in nursing care
delivery.
Results
Nephrostomy: In 2013, 56 patients were admitted with complications from nephrostomy placement.
The average length of stay was 3.14 days (1-15).
Urostomy: Patients reported confidence (median of 7.5 (0-10)), although female patients in particular
were less confident in measuring stoma extent and cutting the wafer for personal peristomal fit.
Catheter care following radical prostatectomy: The oral and written information was generally
acceptable. The focus was on optimising hygiene, and instructing patients on where to seek advice.
Nursing implications
The benefit obtained consisted of satisfied staff, who appreciated the opportunity to improve practice
for the good of the patients, and who were ready to do so again.