Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000742
Eileen Rose Dauz
{"title":"I AM, YOU ARE, WE ARE SGNA.","authors":"Eileen Rose Dauz","doi":"10.1097/SGA.0000000000000742","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000742","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9564340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000749
{"title":"Cyclic Vomiting Syndrome and Cannabis Hyperemesis Syndrome: The State of the Science.","authors":"","doi":"10.1097/SGA.0000000000000749","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000749","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01Epub Date: 2023-04-18DOI: 10.1097/SGA.0000000000000713
Mary Paz, Riya Galdi, Kyle Staller, Andrea Thurler, Christopher Vélez
The advanced practice provider collaborates with other clinicians and works to educate, advocate, and increase access for patients in the clinical setting. Research has shown that advanced practice providers working collaboratively with physicians yield improved quality of care and outcomes; however, the current level of understanding of this role in gastroenterology has not been explored in detail. Across two academic institutions, we conducted 16 semi-structured interviews to examine how the environment of the gastroenterology department aligns with the professional satisfaction of its advanced practice providers. Thematic saturation was achieved, revealing four themes: (1) productivity of the working relationship; (2) inconsistent understandings of the advanced practice provider role in clinical care; (3) mixed advanced practice provider experience relating to colleague support; and (4) autonomy impacts satisfaction. These themes highlight not only a reasonable degree of advanced practice provider satisfaction, but also the need to engage with colleagues regarding the advanced practice provider role in care to allow for better integration into the overall gastroenterology healthcare team. The results from different institutions suggest the need to interview gastroenterology advanced practice providers in different settings to better understand whether similar themes exist.
{"title":"The Role of the Advanced Practice Provider in a Subspecialty Practice: Satisfaction and Professionalism, Including COVID-19 Impacts.","authors":"Mary Paz, Riya Galdi, Kyle Staller, Andrea Thurler, Christopher Vélez","doi":"10.1097/SGA.0000000000000713","DOIUrl":"10.1097/SGA.0000000000000713","url":null,"abstract":"<p><p>The advanced practice provider collaborates with other clinicians and works to educate, advocate, and increase access for patients in the clinical setting. Research has shown that advanced practice providers working collaboratively with physicians yield improved quality of care and outcomes; however, the current level of understanding of this role in gastroenterology has not been explored in detail. Across two academic institutions, we conducted 16 semi-structured interviews to examine how the environment of the gastroenterology department aligns with the professional satisfaction of its advanced practice providers. Thematic saturation was achieved, revealing four themes: (1) productivity of the working relationship; (2) inconsistent understandings of the advanced practice provider role in clinical care; (3) mixed advanced practice provider experience relating to colleague support; and (4) autonomy impacts satisfaction. These themes highlight not only a reasonable degree of advanced practice provider satisfaction, but also the need to engage with colleagues regarding the advanced practice provider role in care to allow for better integration into the overall gastroenterology healthcare team. The results from different institutions suggest the need to interview gastroenterology advanced practice providers in different settings to better understand whether similar themes exist.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238553/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10060277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000750
Clostridioides difficile infection in older adults can result in severe infection, difficulty in treating, and complicated disease process, yet few studies have examined the characteristics of hospitalized older adults and recurrent Clostridioides difficile infection. A retrospective cohort study was conducted to explore the characteristics of hospitalized adults 55 years and older with initial Clostridioides difficile infection and recurrences by extracting routinely documented data in the electronic health record. A sample of 1,199 admissions on 871 patients was included, with a recurrence rate of 23.9% ( n = 208). During the first admission, there were 79 deaths (9.1%). Clostridioides difficile infection recurrence was more prevalent in patients between 55 and 64 years old, and if discharged to a skilled nursing facility or with home health services. Chronic diseases significantly more prevalent in recurrent Clostridioides difficile infection included hypertension, heart failure, and chronic kidney disease. On initial admission, no laboratory abnormalities were significantly associated with recurrent Clostridioides difficile infection. This study indicates the need for utilizing routinely captured electronic health record data during acute hospitalizations to aid in targeting care to reduce morbidity, mortality, and recurrence.
{"title":"Characteristics of Hospitalized Adults 55 and Older With Clostridioides difficile Infection.","authors":"","doi":"10.1097/SGA.0000000000000750","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000750","url":null,"abstract":"Clostridioides difficile infection in older adults can result in severe infection, difficulty in treating, and complicated disease process, yet few studies have examined the characteristics of hospitalized older adults and recurrent Clostridioides difficile infection. A retrospective cohort study was conducted to explore the characteristics of hospitalized adults 55 years and older with initial Clostridioides difficile infection and recurrences by extracting routinely documented data in the electronic health record. A sample of 1,199 admissions on 871 patients was included, with a recurrence rate of 23.9% ( n = 208). During the first admission, there were 79 deaths (9.1%). Clostridioides difficile infection recurrence was more prevalent in patients between 55 and 64 years old, and if discharged to a skilled nursing facility or with home health services. Chronic diseases significantly more prevalent in recurrent Clostridioides difficile infection included hypertension, heart failure, and chronic kidney disease. On initial admission, no laboratory abnormalities were significantly associated with recurrent Clostridioides difficile infection. This study indicates the need for utilizing routinely captured electronic health record data during acute hospitalizations to aid in targeting care to reduce morbidity, mortality, and recurrence.","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10090398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000705
Qingqing Lu, Yang Jiang, Jun Mei, Dongya Chen
Report a 53-year-old male patient presented with chronic diarrhea up to five times per day, with occasional mucus and blood in stool. He had no other symptoms, such as abdominal pain and fever. a disturbance of the intestinal flora was suspected, and his general practitioner prescribed probiot-ics, including Bifidobacteria triplex and Saccharomyces brassi , without improvement in symptoms. He was previously healthy, with no personal or family history. For nearly 20 years, he consumed about 500 ml of “ Acanthopanax gracilistylus wine” every day, which is brewed with sev-eral traditional Chinese medicines including gardenoside. Physical examination showed no abnormality. Laboratory test results showed a
{"title":"CONSUMPTION OF ACANTHOPANAX GRACILISTYLUS WINE LEADS TO DARK PURPLE INTESTINE.","authors":"Qingqing Lu, Yang Jiang, Jun Mei, Dongya Chen","doi":"10.1097/SGA.0000000000000705","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000705","url":null,"abstract":"Report a 53-year-old male patient presented with chronic diarrhea up to five times per day, with occasional mucus and blood in stool. He had no other symptoms, such as abdominal pain and fever. a disturbance of the intestinal flora was suspected, and his general practitioner prescribed probiot-ics, including Bifidobacteria triplex and Saccharomyces brassi , without improvement in symptoms. He was previously healthy, with no personal or family history. For nearly 20 years, he consumed about 500 ml of “ Acanthopanax gracilistylus wine” every day, which is brewed with sev-eral traditional Chinese medicines including gardenoside. Physical examination showed no abnormality. Laboratory test results showed a","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6b/2d/gastnu-46-253.PMC10241425.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10095156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000734
Denise Goddard, Heather M Mason
VOLUME 46 | NUMBER 3 | May/JUNE 2023 Lateral violence is an under-rated issue having a highly negative impact in nursing and the healthcare industry. Lateral violence is an act of aggression that is perpetrated by a nurse(s) against another nurse that may include behaviors such as undermining or withholding information, verbal abuse, sabotage or scapegoating, backstabbing, or physical abuse. Lateral violence creates a hostile work environment resulting in lower productivity, increased absenteeism, low morale, increased turnover, loss of profits, and increased healthcare costs, which are all ultimately detrimental to patient safety. Lateral violence has historically been tolerated as the status quo of nursing, jokingly referred to as nurses “eating their young.”
{"title":"LATERAL VIOLENCE IN THE NURSING PROFESSION.","authors":"Denise Goddard, Heather M Mason","doi":"10.1097/SGA.0000000000000734","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000734","url":null,"abstract":"VOLUME 46 | NUMBER 3 | May/JUNE 2023 Lateral violence is an under-rated issue having a highly negative impact in nursing and the healthcare industry. Lateral violence is an act of aggression that is perpetrated by a nurse(s) against another nurse that may include behaviors such as undermining or withholding information, verbal abuse, sabotage or scapegoating, backstabbing, or physical abuse. Lateral violence creates a hostile work environment resulting in lower productivity, increased absenteeism, low morale, increased turnover, loss of profits, and increased healthcare costs, which are all ultimately detrimental to patient safety. Lateral violence has historically been tolerated as the status quo of nursing, jokingly referred to as nurses “eating their young.”","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10099488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000748
{"title":"Peroral Endoscopic Myotomy: What Nurses Need to Know to Provide Preeminent Perioperative Care.","authors":"","doi":"10.1097/SGA.0000000000000748","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000748","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10171364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1097/SGA.0000000000000729
Dana Zelnik Yovel, Lena Berezovsky, Vered Richter, Tzippora Shalem, Daniel L Cohen, Haim Shirin, Efrat Broide
Past studies have reported differences between pediatric and adult celiac disease patients. We aimed to compare factors associated with adherence to a gluten-free diet between these groups. An anonymous online questionnaire was sent via the Israeli Celiac Association and social networks to celiac patients. The Biagi questionnaire was used to assess dietary adherence. A total of 445 subjects participated. Mean age was 25.7 ± 17.5 years and 71.9% were female. Subjects were divided into six groups according to age at diagnosis: younger than 6 years (134 patients, 30.7%), 6-12 (79 patients, 18.1%), 12-18 (41 patients, 9.4%), 18-30 (81 patients, 18.5%), 30-45 (79 patients, 18.1%), and 45 years and above (23 patients, 5.3%). There were several significant differences between childhood- and adulthood-diagnosed patients. Pediatric patients were less likely to be noncompliant with a gluten-free diet (3.7% vs. 9.4%, p < .001). They were also more frequently followed by a gastroenterologist ( p < .001), a dietitian ( p < .001), and participated in a celiac support group ( p = .002). In logistic regression analyses, longer duration of disease was associated with poor compliance. In conclusion, pediatric-diagnosed celiac patients are more adherent to a gluten-free diet than those diagnosed in adulthood, with better social support and nutritional follow-up possibly contributing.
过去的研究报告了儿童和成人乳糜泻患者之间的差异。我们的目的是比较这些组之间坚持无谷蛋白饮食的相关因素。通过以色列乳糜泻协会和社交网络向乳糜泻患者发送了一份匿名在线问卷。Biagi问卷用于评估饮食依从性。共有445名受试者参与。平均年龄25.7±17.5岁，女性占71.9%。根据确诊年龄分为6岁以下134例(30.7%)、6-12岁79例(18.1%)、12-18岁41例(9.4%)、18-30岁81例(18.5%)、30-45岁79例(18.1%)、45岁及以上23例(5.3%)。儿童期和成年期诊断的患者有几个显著的差异。儿科患者不适应无麸质饮食的可能性较小(3.7% vs. 9.4%， p < 0.001)。他们也更频繁地接受胃肠病学家(p < 0.001)、营养师(p < 0.001)的随访，并参加乳糜泻支持小组(p = 0.002)。在logistic回归分析中，疾病持续时间越长，依从性越差。总之，儿科诊断的乳糜泻患者比成年诊断的乳糜泻患者更坚持无麸质饮食，这可能与更好的社会支持和营养随访有关。
{"title":"Factors Associated With Adherence to a Gluten-Free Diet in Celiac Patients Diagnosed in Childhood as Compared to Adulthood.","authors":"Dana Zelnik Yovel, Lena Berezovsky, Vered Richter, Tzippora Shalem, Daniel L Cohen, Haim Shirin, Efrat Broide","doi":"10.1097/SGA.0000000000000729","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000729","url":null,"abstract":"<p><p>Past studies have reported differences between pediatric and adult celiac disease patients. We aimed to compare factors associated with adherence to a gluten-free diet between these groups. An anonymous online questionnaire was sent via the Israeli Celiac Association and social networks to celiac patients. The Biagi questionnaire was used to assess dietary adherence. A total of 445 subjects participated. Mean age was 25.7 ± 17.5 years and 71.9% were female. Subjects were divided into six groups according to age at diagnosis: younger than 6 years (134 patients, 30.7%), 6-12 (79 patients, 18.1%), 12-18 (41 patients, 9.4%), 18-30 (81 patients, 18.5%), 30-45 (79 patients, 18.1%), and 45 years and above (23 patients, 5.3%). There were several significant differences between childhood- and adulthood-diagnosed patients. Pediatric patients were less likely to be noncompliant with a gluten-free diet (3.7% vs. 9.4%, p < .001). They were also more frequently followed by a gastroenterologist ( p < .001), a dietitian ( p < .001), and participated in a celiac support group ( p = .002). In logistic regression analyses, longer duration of disease was associated with poor compliance. In conclusion, pediatric-diagnosed celiac patients are more adherent to a gluten-free diet than those diagnosed in adulthood, with better social support and nutritional follow-up possibly contributing.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10439187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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