{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:12:23Z","timestamp":1788437543003,"version":"build-2803163510"},"reference-count":11,"publisher":"Mark Allen Group","issue":"16","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Nurs"],"published-print":{"date-parts":[[2026,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Neurogenic bowel dysfunction significantly affects those living with spinal cord injury (SCI). Guidelines position colostomy as a last resort, but this is not reflected in current practice. Pathways and professional attitudes are inconsistent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>Explore the attitudes of health professionals towards colostomy as an option for people living with SCI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Online questionnaire for health professionals; descriptive statistics and thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>122 responses. Indications for colostomy: increasing independence (87%), intractable bowel difficulties (82%), patient choice (80%). Concerns regarded complications (71% overall), decisional regret (35% overall) and access to specialist nursing\/lack of patient education (each 32% overall). Free-text analysis revealed themes of \u2018Lives transformed\u2019, \u2018Patient-centred choice\u2019, \u2018Right services, right reasons\u2019, \u2018Colostomy concerns\u2019, \u2018Health professionals\u2019 knowledge gaps\u2019, \u2018Differing perspectives\u2019 and \u2018Patient education is key\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Attitudes to colostomy are shifting, however concerns and inconsistencies in pathways, knowledge and support persist. Guidance needs to evolve to reflect current practice and incorporate patient perspectives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.12968\/bjon.2026.0081","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:13:13Z","timestamp":1788433993000},"source":"Crossref","is-referenced-by-count":0,"title":["Colostomy formation for neurogenic bowel dysfunction after spinal cord injury: a national survey"],"prefix":"10.12968","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1988-2106","authenticated-orcid":false,"given":"Michelle","family":"Boucher","sequence":"first","affiliation":[{"name":"Lead Stoma Care Clinical Nurse Specialist, Salisbury NHS Trust; Senior Research Leader, National Institute for Health Research"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_3_1_1","doi-asserted-by":"publisher","DOI":"10.1179\/2045772315y.0000000006"},{"key":"e_1_3_3_2_1","unstructured":"Boucher ML. An exploration of how the timing of colostomy following spinal cord injury impacts on the individual. Doctoral Thesis. Bournemouth University. 2022. https:\/\/eprints.bournemouth.ac.uk\/37276\/1\/BOUCHER%2C%20Michelle%20Louise_Ph.D._2022.pdf (accessed 11 August 2026)"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16885"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101529"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.137"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2012.66"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1383904"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2021.1883385"},{"key":"e_1_3_3_9_1","unstructured":"Multidisciplinary Association of Spinal Cord Injury Professionals. MASCIP guidelines for management of neurogenic bowel dysfunction in individuals with a spinal cord injury and other central neurological conditions. 2021. https:\/\/mascip.co.uk\/download\/management-of-neurogenic-bowel-dysfunction (accessed 11 August 2026)"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41394-020-00377-z"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs5.50339"}],"container-title":["British Journal of Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/pdf\/10.12968\/bjon.2026.0081","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T11:13:20Z","timestamp":1788434000000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.magonlinelibrary.com\/doi\/10.12968\/bjon.2026.0081"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":11,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2026,9,3]]}},"alternative-id":["10.12968\/bjon.2026.0081"],"URL":"https:\/\/doi.org\/10.12968\/bjon.2026.0081","relation":{},"ISSN":["0966-0461","2052-2819"],"issn-type":[{"value":"0966-0461","type":"print"},{"value":"2052-2819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]}}}