Gastroenterology Nursing最新文献

Performing endoscopic retrograde cholangiopancreatography (ERCP) procedures is associated with musculoskeletal (MSK) pain and injury in physicians. Previous studies have explored MSK symptoms among those who assist with endoscopy in general; this study aims to describe the prevalence and predictors of MSK pain and injury specifically among nurses and technicians who assist with ERCP. An anonymous electronic survey was distributed to nurses and technicians involved in ERCP procedures at institutions affiliated with the American Society of Gastrointestinal Endoscopy. Out of 150 respondents, 92.7% reported experiencing at least one MSK symptom, with 61.5% attributing these symptoms to assisting with ERCP. Additionally, 36% reported a diagnosis of MSK conditions, including carpal tunnel syndrome (13.33%), lumbar radiculopathy (7.33%), and De Quervain's tenosynovitis (6%). Only 20% of participants received prior training on ergonomics in endoscopy; 80.7% of the participants expressed interest in injury prevention training. Most of those surveyed report an MSK pain symptom, with more than half attributing this pain to assisting with ERCP procedures. Future studies into specific risk factors for MSK pain and injury in nurses and technicians are advised and can inform policies and procedures for preventing injury.

The endoscopy center is a fast-paced environment where nurses are accountable for patient safety throughout complex, high-risk procedures. Fully competent endoscopy nurses (ENs) have the potential to prevent procedural complications, decrease patient wait times and procedure duration, decrease cost, and help detect colon cancer. Unfortunately, there are many barriers to effective and comprehensive training. ENs are often expected to be competent in working with new equipment or procedures without adequate training. EN training is complicated by high staff turnover and frequent advances in endoscopy tools and procedures. Nursing staff in the endoscopy center have over 30 requirements for initial and ongoing competencies. Due to these challenges, EN competency skill compliance rates dropped to 49% in one practice setting, leading to staffing shortages, risk to patient safety, and restriction of patient access to care. This QI project sought to address this gap in efficient and comprehensive EN training through the implementation of an innovative EN training program encompassing all competency topics and utilizing best practice modalities. Evidence demonstrates effective curriculum for ENs incorporates didactic lessons, structure, and simulation modalities. Simulation-based learning engages cognitive, social, and interprofessional skills in a safe environment with timely feedback.

Proper colonoscopy bowel preparation is critical for effective screening and surveillance of colon cancer and adenomas. Adhering to written multi-step, order-dependent bowel preparation instructions can be complex for patients with low health literacy. This quality improvement project aimed to demonstrate that offering written and video health literacy-directed colonoscopy instructions improves patients' understanding of bowel preparation, compliance, and subsequent bowel cleanliness, as evidenced by reduced phone calls to nursing staff, procedural times, and same-day procedure cancellations. Written instructions, targeted to a Flesch-Kincaid Grade Level 6.5, and an educational video were provided to 1,031 patients undergoing colonoscopy screening or surveillance over 12 weeks. The project resulted in an 83% reduction in phone calls to nursing staff requesting additional instruction. Same-day procedure cancellations increased minimally by 0.2%, but less-than-ideal bowel preparations (fair, poor/inadequate) had a relative decrease of 20%. Procedural times remained relatively unchanged (mean: 29.9; median: 28.5) post-intervention, with 59.9% of procedures completed within 30 minutes. Providing health literacy-directed multimedia instructions can be a convenient, practical, and cost-efficient approach to reducing nursing workflow interruptions, enhancing bowel preparation quality, and increasing patient confidence with colonoscopy preparations.

Endoscopy patients ≥65 years old who often present with risk factors for skin tears, e.g., advanced age, chronic health issues, limited mobility, and compromised integumentary, were the focus of a skin tear prevention intervention. This evidence-based quality improvement project and feasibility study with a pre/post-timed series survey design had three main goals: to design and implement an evidence-based skin tear prevention protocol for endoscopy, evaluate this protocol for usability and effectiveness, and assess endoscopy nurses' skin tear prevention knowledge. A multidisciplinary approach was taken to identify evidence-based skin tear prevention measures appropriate for the endoscopy setting. A feasibility study was used to measure nursing knowledge on skin tear prevention in endoscopy and nurse satisfaction with the skin tear prevention protocol. A pre/post survey was used to measure nursing knowledge at baseline, one month, and three months post-protocol implementation. Over the 3-month study, 537 endoscopy patients ≥65 years old were identified to be at risk for skin tears. Endoscopy nurses implemented 911 skin tear prevention nursing interventions. This project demonstrated an 88% gain in nursing knowledge and a 66% skin tear reduction in endoscopy. The findings provide an optimistic outlook for skin tear prevention in endoscopy settings.

This study was carried out to examine the effects during colonoscopy of watching videos with virtual reality glasses and using a mural curtain on patients' satisfaction, tolerance, comfort, and feeling of embarrassment. In this interventional study, a randomized, controlled, pre/post-procedure was followed. The study was carried out with a total of 120 people, 40of whom watched videos with virtual reality glasses, 40 of whom used a mural curtain, and 40 of whom constituted the control group. The research data were collected using the Patient Information Form, Visual Analog Scale, and Colonoscopy Embarrassment Scale. There was no statistically significant difference among the groups in terms of introductory features and similar characteristics of participants. The analysis results showed that the significant increase in the levels of satisfaction, tolerance, and comfort and the significant decrease in the feeling of embarrassment among the groups resulted from the use of the virtual reality glasses and mural curtain (P < .05). According to the results, the virtual reality glasses and mural curtain applied during the colonoscopy procedure increased the patients' levels of satisfaction, tolerance, and comfort and reduced the feeling of embarrassment.

Social media is constantly evolving. This study assessed 150 TikTok videos related to colorectal cancer (CRC) using the hashtags #colonoscopy, #coloncancer, and #coloncancerawareness, measured video quality engagement metrics, and examined the potential effect of influencers. Two independent raters used the Global Quality Scale (GQS) tool to rate video quality. The study found that videos posted by healthcare professionals (M = 2.89, SD = 1.19) had a significantly higher GQS score (p < .001) compared to personal content creators (M = 1.79, SD = 0.90). Videos with music, including popular trending sounds, had a significantly greater number of views than videos with dialogue alone (p = .05). This study sheds light on the substantial role of influencers in increasing engagement. The hashtags #coloncancer and #coloncancerawareness were more likely to be utilized after a young influencer raised awareness and later died from colon cancer. The relationship was significant χ2 (2, = 6.84), p = .033, and videos had a statistically significantly higher average GQS rating (p = .012). Future research should examine TikTok and influencer collaborations as effective strategies for raising awareness about CRC among young, diverse minority populations at heightened risk, ensuring communication efforts resonate with these communities.

Most endoscopy procedures utilize moderate sedation administered by nurses, which contributes to high levels of patient and staff satisfaction. Despite its advantages, sedation can lead to various complications, including rapid physiological changes in patients, which are often accompanied by clear warning signs. By promptly recognizing and responding to these warning signs, nurses play a crucial role in delivering safe and quality care. Therefore, this study aims to gather data on how endoscopy room nurses perceive and handle sedation-related warning signals, categorize their subjective perceptions, and identify distinct characteristics. This study used Q methodology to investigate nurses' subjectivity concerning the recognition of sedation warning signs during therapeutic endoscopies. Three Q-factors emerged: (1) assuming possibilities of risks based on observations; (2) evaluating patients' capability to withstand sedation based on the mechanisms of the underlying disease; and (3) comparing patient cues to established high-risk patterns, with emphasis on prioritizing safety. This study sheds light on nurses' subjective perceptions of sedation warning signs, emphasizing the need for tailored nursing strategies and educational programs in endoscopy rooms.