Academic Journal

Person-centred colostomy care through caring and emotional perspectives.

Bibliographic Details
Title: Person-centred colostomy care through caring and emotional perspectives.
Authors: Lyu, Chang, Macaden, Leah
Source: British Journal of Nursing; 9/3/2026, Vol. 35 Issue 16, pS22-S28, 7p
Subject Terms: Colostomy nursing, Nurse-patient relationships, Patient autonomy, Dignity, Emotions, Labor (Obstetrics), Reflection (Philosophy), Holistic nursing, Patient-centered care, Trust, Conceptual structures
Abstract: Person-centred care (PCC) emphasises the overall identification of patients as individuals with emotional, social and psychological needs, especially in cases of profound changes in self-image, such as colostomy care. This article is a reflective case analysis of the care received by Mr Z. Mr Z is a retired professional who experienced emotional withdrawal after a permanent colostomy. This case analysis draws on the experience and insights gained during a clinical placement in the gastrointestinal surgery ward, highlighting the subtle but transformative role that emotional labour and relationship consistency can produce in person-centred care. Guided by three theoretical frameworks (the Fundamentals of Care Framework, the theory of Emotional Labour, and Bassot's Integrated Reflective Cycle), the authors critically examine how trust is established over time, how patients gradually re-engage in their care, and how nurses manage emotional boundaries while maintaining their presence. Even in an emotionally silent environment, person-centred care can be promoted through micro-adjustments to tone, timing and non-verbal communication. This reflective analysis emphasises the significance of emotional labour, which is usually not recognised in clinical care, and demonstrates how it can help reshape patients' autonomy and dignity. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Nursing is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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DbLabel: Complementary Index
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PubType: Academic Journal
PubTypeId: academicJournal
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IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Person-centred colostomy care through caring and emotional perspectives.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Lyu%2C+Chang%22">Lyu, Chang</searchLink><br /><searchLink fieldCode="AR" term="%22Macaden%2C+Leah%22">Macaden, Leah</searchLink>
– Name: TitleSource
  Label: Source
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  Data: British Journal of Nursing; 9/3/2026, Vol. 35 Issue 16, pS22-S28, 7p
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Colostomy+nursing%22">Colostomy nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse-patient+relationships%22">Nurse-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+autonomy%22">Patient autonomy</searchLink><br /><searchLink fieldCode="DE" term="%22Dignity%22">Dignity</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+%28Obstetrics%29%22">Labor (Obstetrics)</searchLink><br /><searchLink fieldCode="DE" term="%22Reflection+%28Philosophy%29%22">Reflection (Philosophy)</searchLink><br /><searchLink fieldCode="DE" term="%22Holistic+nursing%22">Holistic nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Patient-centered+care%22">Patient-centered care</searchLink><br /><searchLink fieldCode="DE" term="%22Trust%22">Trust</searchLink><br /><searchLink fieldCode="DE" term="%22Conceptual+structures%22">Conceptual structures</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Person-centred care (PCC) emphasises the overall identification of patients as individuals with emotional, social and psychological needs, especially in cases of profound changes in self-image, such as colostomy care. This article is a reflective case analysis of the care received by Mr Z. Mr Z is a retired professional who experienced emotional withdrawal after a permanent colostomy. This case analysis draws on the experience and insights gained during a clinical placement in the gastrointestinal surgery ward, highlighting the subtle but transformative role that emotional labour and relationship consistency can produce in person-centred care. Guided by three theoretical frameworks (the Fundamentals of Care Framework, the theory of Emotional Labour, and Bassot's Integrated Reflective Cycle), the authors critically examine how trust is established over time, how patients gradually re-engage in their care, and how nurses manage emotional boundaries while maintaining their presence. Even in an emotionally silent environment, person-centred care can be promoted through micro-adjustments to tone, timing and non-verbal communication. This reflective analysis emphasises the significance of emotional labour, which is usually not recognised in clinical care, and demonstrates how it can help reshape patients' autonomy and dignity. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of British Journal of Nursing is the property of Mark Allen Holdings Limited and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edb&AN=196690662
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.12968/bjon.2025.0524
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: S22
    Subjects:
      – SubjectFull: Colostomy nursing
        Type: general
      – SubjectFull: Nurse-patient relationships
        Type: general
      – SubjectFull: Patient autonomy
        Type: general
      – SubjectFull: Dignity
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Labor (Obstetrics)
        Type: general
      – SubjectFull: Reflection (Philosophy)
        Type: general
      – SubjectFull: Holistic nursing
        Type: general
      – SubjectFull: Patient-centered care
        Type: general
      – SubjectFull: Trust
        Type: general
      – SubjectFull: Conceptual structures
        Type: general
    Titles:
      – TitleFull: Person-centred colostomy care through caring and emotional perspectives.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Lyu, Chang
      – PersonEntity:
          Name:
            NameFull: Macaden, Leah
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 03
              M: 09
              Text: 9/3/2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 09660461
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            – Type: volume
              Value: 35
            – Type: issue
              Value: 16
          Titles:
            – TitleFull: British Journal of Nursing
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