Clinical governance

Stoma care is primarily based on experience. It is a fundamental area of nursing practice that all registered nurses should have the competence to undertake. It has been recognized that many of the core nursing skills in stoma care are being carried out by healthcare assistants and carers (Black [25], [26]). Therefore, there is an increasing demand for education in this area. Due to the increasing demand for good, effective stoma care, many courses and conferences now exist to improve patient care and enhance professional knowledge and skills. The Association of Stoma Care Nurses (ASCN) UK has issued national clinical guidelines (ASCN [10]) recommending that pre‐operative counselling and stoma siting should be undertaken by a clinical nurse specialist with appropriate stoma care qualifications. Each organization will have local arrangements for who should perform this function based on the local governance structure, but it is clear that training and competency assessment are essential.