Remote Patient Education for People Living with an Ostomy: An Italian Expert Consensus Using a Modified Delphi Method.
Introduction: Remote education is increasingly used in ostomy care, but its components, timing, governance, and evaluation remain inconsistently defined. This study aimed to develop practice-oriented recommendations for implementing remote patient education for people living with an ostomy. Methods:...
| Publicado en: | Nursing Reports Vol. 16; no. 6; pp. 203 - 232 |
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| Autores principales: | , , , , , , , , , , , , , |
| Formato: | glossary research tables/charts Journal Article |
| Publicado: |
MDPI
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194909420&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194909420 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2039439X EGNT jtl: Nursing Reports issn: 2039439X maglogo: N pubinfo: dt: Jun2026 vid: 16 iid: 6 pid: 97109 pub: MDPI artinfo: ui: 194909420 194909420 194909420 10.3390/nursrep16060203 194909420 ppf: 203 ppct: 29 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Remote Patient Education for People Living with an Ostomy: An Italian Expert Consensus Using a Modified Delphi Method. aug: au: Villa, Giulia Poliani, Andrea Campoli, Alessia Coppola, Annarita Denti, Francesco Carlo Guzzi, Rossella Maculotti, Danila Perrotta, Marina Salazar, Clara Sarritzu, Giovanni Sgherri, Monica Valenti, Antonio Spena, Pier Raffaele Manara, Duilio Fiorenzo affil: Center for Nursing Research and Innovation, Faculty of Medicine and Surgery, Vita-Salute San Raffaele University, 20132 Milan, Italy sug: subj: Ostomy Care Education Patient Education Telemedicine Consensus Human Italy Exploratory Research Qualitative Studies Delphi Technique Descriptive Statistics Summated Rating Scaling Data Analysis Software Ostomy Surgical Stoma Health Education Focus Groups Self Care Remote Consultation Patient Centered Care Program Evaluation Privacy and Confidentiality Teaching Methods Human Dignity After Care Caregivers Questionnaires ab: Introduction: Remote education is increasingly used in ostomy care, but its components, timing, governance, and evaluation remain inconsistently defined. This study aimed to develop practice-oriented recommendations for implementing remote patient education for people living with an ostomy. Methods: An Italian expert consensus using a modified Delphi method and reported according to the ACCORD guidelines was conducted. An expert panel (n = 11), recruited nationally, included stomatherapists (n = 6) and people living with an ostomy (n = 5). Round 1 comprised a remotely conducted focus group to generate and refine statements informed by a targeted literature search. Rounds 2 and 3 were anonymous online surveys in which panelists rated statements on a four-point Likert scale and could provide comments or propose additional items. Consensus was predefined as ≥75% agreement. Results: Response rates were 100% across the three rounds (October–November 2025). The panel achieved consensus on 8 definitions and 14 statements, organized into six domains: (1) model of care and eligibility; (2) privacy and data protection; (3) program structure, outcomes, and evaluation; (4) educational content and teaching strategies; (5) timing, intensity, follow-up, and caregiver involvement; and (6) dignity, relational quality, and professional and organizational requirements. Recommendations supported a hybrid-by-default model with eligibility criteria, privacy-by-design using secure platforms and traceable documentation, structured programs with tailored multimodal content, staged pathways lasting 2–6 months after an initial in-person foundation, dignity-preserving options during remote encounters, professional training in communication and digital empathy, and integration into clinical planning and records. Conclusions: This consensus provides the first ostomy-specific, implementation-focused recommendations for standardizing remote patient education in Italy, with an emphasis on equity, privacy, dignity, evaluation, and workforce competencies. pubtype: Academic Journal doctype: glossary research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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