Concept analysis of ostomy acceptance based on Rodgers approach

Background & Aim: The definition of ostomy acceptance is not well defined in the literature. In addition, the concepts of ostomy acceptance, ostomy adjustment and adaptation are sometimes used interchangeably. The aim of this study was to determine the concept of ostomy acceptance, the difference between this concept and ostomy adjustment and to determine a specific definition for these concepts. Methods: This review study was conducted by Rodgers concept analysis method. The literature published between 1945 and 2020 on ostomy acceptance was reviewed. Based on Rodgers evolutionary approach, which is based on the analysis of raw data in the literature, the databases ProQuest, PubMed, science direct and Scopus were selected for the search and the keywords ostomy, colostomy, ileostomy, urostomy, adjustment, acceptance, coping, adaptation and Persian equivalents of these words were used. In total, the full text of 28 articles and one book were reviewed by thematic analysis. Results: Acceptance of ostomy means recognizing that as a part of the body and returning to a normal life. Coping with ostomy, applying coping strategies and adapting to ostomy are the antecedents for acceptance, and adjustment and quality of life are consequences for ostomy acceptance. Patients must first accept the ostomy as a part of their body and then go through the stages of adjusting to the ostomy. Conclusion: Applying the concepts of acceptance, coping, adaptation and adjustment instead leads to confusion for users of scientific texts. This study can help nurses, researchers, and other members of the treatment team to design, plan, and perform appropriate interventions for patients with ostomy by identifying differences in these concepts.