IN THIS ISSUE OF JWOCN

This issue of the Journal of Wound, Ostomy and Continence Nursing focuses on multiple issues that impact our daily practice. The Ostomy Care section focuses on the impact of ostomy surgery on Muslim patients. Fatma Vural, Deniz Harputlu, Ozgul Karayurt, Gulseren Suler, Aylin Edeer, Ceylanim Ucer, and Deniz Onay from Dokuz Eylul University in Izmir, Turkey, report findings from a phenomenological study that evaluated the experience of living with an ostomy and its impact on sexual function and sexuality. You will want to read this important article to reaffirm your awareness of the body image and sexual function challenges associated with stoma surgery and to enhance your understanding of how these challenges influence persons practicing the Islamic faith.

Fareed Iqbal, Omar Kujan, Douglas Bowley, Michael Keighley, and Carolynne Vaizey report outcomes of a systematic literature review examining health-related quality of life in Muslim patients living in Western societies. This prestigious author group is based in London, Birmingham, United Kingdom, and the Al-Faribi College in Riyadh, Saudi Arabia. This article also qualifies as must read for any WOC nurse seeking to understand the cultural implications of adapting to an ostomy for persons of the Islamic faith. Betul Akgul and Ayise Karadag from Ankara and Istanbul, Turkey, report findings from their descriptive study of the impact of a fecal ostomy on Muslim patients' acts of worship. You will want to read this article to see how creation of a fecal ostomy influences multiple acts of worship central to the Islamic faith including daily prayers, fasting, and pilgrimage.

In a View From Here, Denise Hibbert summarizes her experiences providing care to Muslim patients at AlFaisal University in Riyadh, Saudi Arabia. Her insightful and practical tips for assisting Muslim patients to adjust to life with an ostomy provide the perfect summation for this issue's special focus on the impact of ostomy surgery on Muslim patients living in both Western and Middle Eastern societies.

This issue's Wound Care section opens with the WOCN Society's second evidence- and consensus-based algorithm, "Compression for Primary Prevention, Treatment, and Prevention of Recurrence of Venous Leg Ulcers." Written by Catherine Ratliff, Stephanie Yates, Laurie McNichol, and Mikel Gray, this article qualifies as must read for every WOC nurse who manages patients with chronic venous insufficiency and/or venous leg ulcers. Reading the article is just the first step of this experience; the essential second step is to download this second WOCN Society algorithm and adapt its highly user-friendly format to your practice!

Lisa Green, Desi Ratcliffe, Kathleen Masters, and Lachel Story report findings of a study of a structured educational intervention designed to teach patients receiving care in an ambulatory wound care clinic about nutrition and wound healing. You will want to read this article to determine whether you might adapt this innovative program to patients managed in your ambulatory wound care service. Nahla Tayyib, Fiona Coyer, and Peter Lewis report a descriptive study of RNs' attitudes toward facilitators and barriers to pressure injury prevention in a critical care unit. This article is a must read for any WOC nurse challenged by the need to ensure ongoing adherence to and incorporation of pressure injury prevention strategies into daily practice in a critical care unit.

Brecht Serraes and Dimitri Beeckman (Editorial Consultant to the Journal) report a multicenter cohort study that evaluated pressure injury incidence in a group of elderly nursing home residents when placed on a suite of static air support surfaces, a mattress overlay, heel wedge, and seating cushion. You will want to read this clinically relevant and informative study to determine the effect of this collection of pressure-redistributing devices in a group of bedbound or chairbound elders at increased risk for pressure injury development.

This issue's Continence Care section opens with a scoping literature review of evidence related to nocturnal enuresis in adults from Megan Howlett, William Gibson, Kathleen Hunter, Thane Chambers, and Adrian Wagg. You will want to read this article not only to refresh your knowledge of nocturnal enuresis in adults but also to learn more about the emerging technique of the scoping literature review.

Manuela Mandl, Ruud Halfens, and Christa Lohrmann report results of a classification tree analysis of interactions among factors influencing urinary, fecal, and double urinary and fecal incontinence in aged nursing home residents and hospitalized patients. You will want to read this clinically relevant study to determine the unique factors that contribute to incontinence not only in the acute care facility but also in the nursing home. You will also want to read this research report to learn more about this cutting-edge research method, the classification tree analysis. Adelia Lucio, Carlos D'ancona, Maria Perissinotto, Linda McLean, Benito Damasceno, and Maria Lopes present outcomes of a randomized clinical trial that compared intravaginal electrical stimulation, transcutaneous tibial nerve stimulation, and pelvic floor muscle training with sham electrical stimulation for multiple sclerosis and lower urinary tract symptoms. This article qualifies as must read for any advanced practice RN or continence nurse specialist who wishes to learn more about the various techniques for neuromuscular modulation for patients with neurogenic bladder dysfunction associated with multiple sclerosis.

This issue's Continence Care section closes with an article from Sarah Reuvers, Willemijn Zonneveld, Marja Bakel, Hein Putter, Melianthe Nicolai, Bob Pelger, and Henk Elzevier who report findings from a descriptive study of indwelling urinary catheter-related problems in men undergoing laparoscopic radical prostatectomy. This article is a must read for any WOC nurse interested in learning more about the variety of challenges patients confront when wearing an indwelling catheter for a prolonged period of time in the hospital and home environment.

In addition to these articles focusing on wound, ostomy, and continence problems confronting our daily practice, Kim Saunders provides a thoughtful View From Here detailing her experiences building and justifying a WOC nursing team (and WOC Nursing Service) in a large health system in the Southeastern United States. This View From Here is a must-read article for every WOC nurse faced with the daunting challenge of justifying the outcomes of their practice and of growing a WOC nursing service into the type of indispensable service traditionally controlled by physician colleagues.

This issue's Clinical Challenges feature article focuses on another essential element of pressure injury prevention, thwarting medical device-related pressure injuries in patients with acute respiratory distress syndrome managed by prone positioning. You will want to read this article to determine if the solution posed by the authors is right for your critically ill patient population.