Risks and Safety of Advanced Therapies and Biologics in Inflammatory Bowel Disease: A Review for Nurses
Advanced therapies, including biologics, are a core component of managing inflammatory bowel disease, which is increasing in prevalence. These therapies may offer an improved safety and tolerability profile compared with conventional treatments. However, they can interact with a patient's immune system via different mechanisms. Healthcare providers need to be aware of the possible adverse effects, such as infection and immune-mediated reactions, as well as risk management methods, such as patient screening and vaccination. As central members of the multidisciplinary team, nurses have an important role in educating patients...
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Original Article Source Type: research

A conceptual framework for rescheduling elective pediatric gastroenterology procedures following covid-19 pandemic lockdown
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Departments Source Type: research

Position statement on care of ostomy patients during covid-19 pandemic
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Departments Source Type: research

Our aging patients: are we prepared?
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Departments Source Type: research

Two approaches to pneumoperitoneum: surgery and conservative
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Departments Source Type: research

Comparison of Quality of Life and Caregiving Burden of 2- to 4-Year-Old Children Post Liver Transplant and Their Parents
This study found that 59.6% of the children with transplants were male and 38.3% had their organ donated by their mother. There was a positive relationship between the quality of life of the parents and the quality of life and subdimensions of the children. There was a negative relationship between parental quality of life and care burden. This study found that the quality of life of children with liver transplants and their parents was low and, as the quality of life of children was impaired, the caregiving burden of parents increased. Healthcare professionals' awareness of the effect of caregivers' care load on quality o...
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Features Source Type: research

Achieving Hepatitis C Elimination By Using Person-Centered, Nurse-Led Models of Care: A Discussion of Four International Case Studies
Nurse-led models of care are an important strategy in the management of patients with chronic disease because of the person-centered approach that allows the needs of the individual to be prioritized and addressed in accessible settings. Hepatitis C is caused by a blood-borne virus that can cause liver disease and liver cancer; it predominantly affects marginalized populations, including people who inject drugs. Since 2013, all oral, direct-acting antiviral regimens have been available to cure hepatitis C. Nurses are well placed to be involved in the delivery of hepatitis C testing and treatment because of their extensive ...
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Features Source Type: research

A Balancing Act: Managing Workload While Improving Nurse and Patient Satisfaction
High workload and unpredictable shift end times can contribute to employee turnover, dissatisfaction, and low staff engagement. The aim of this project was to improve nurse and patient satisfaction within a hospital-based outpatient gastrointestinal endoscopy unit while moving from an existing three-shift procedure staffing model to a two-shift model with defined expectations and predictable shift end times. The shift modification led to an 82% decrease in nurse turnover rates after the first 6 months. There was a 12% decrease in the number of nurses calling in ill to work. Nurse satisfaction, compared to 2 years prior, de...
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Features Source Type: research

Ulcerative Colitis as an Independent Risk Factor for Hepatic Steatosis
In conclusion, we showed for the first time that ulcerative colitis is an independent risk factor for hepatic steatosis measured by transient elastography. (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Features Source Type: research

Nutritional Assessment and Malnutrition in Patients With Cirrhosis
We sought to determine the incidence and outcomes of malnutrition in patients with cirrhosis. We performed a retrospective chart review of 134 patients listed for liver transplant (LT) to assess the presence and degree of malnutrition identified by the Subjective Global Assessment score at the time of initial transplant evaluation, follow-up nutrition visits, and at the time of transplant. Number of admissions/readmissions to the hospital, reason for hospitalization(s), and length of stay were determined. Malnutrition was prevalent at initial nutrition visit (51.9%) and underdiagnosed. By the time of transplant, 61% of the...
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Features Source Type: research

Lessons in diversity, equity, and inclusion
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - July 1, 2020 Category: Nursing Tags: Editorial Source Type: research

Standards of infection prevention in reprocessing flexible gastrointestinal endoscopes
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: SGNA Standards of Practice Source Type: research

Standards of clinical nursing practice and role delineations in the gastroenterology setting
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: SGNA Standards of Practice Source Type: research

Perspectives on autoimmune hepatitis
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Clinical Case Study Source Type: research

Health-Related Quality of Life in Irritable Bowel Syndrome: A Systematic Review and Meta-analysis
Irritable bowel syndrome (IBS) affects up to 20% of the global population and is associated with impaired health-related quality of life (HRQoL). This systematic review and meta-analysis aimed to investigate differences in HRQoL of those with IBS compared with healthy controls and to examine whether HRQoL improves following psychological intervention. Online databases were searched for articles from 2002 to 2017. Studies were screened and data extracted according to predetermined criteria. A total of 4,154 citations were identified from which 36 were eligible for inclusion. Eight studies compared HRQoL of those with IBS (n...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Focus on Clinical Assessment: Assessing Abdominal Pain
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: CE Test Source Type: research

Assessing abdominal pain
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Departments Source Type: research

Diffused vascular malformation of the entire colon: unusual etiology of gastrointestinal bleeding in pediatrics
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Departments Source Type: research

Efficacy of Sedation by Midazolam in Association With Meperidine or Fentanyl and Role of Patient Distress During Elective Colonoscopy
Meperidine and fentanyl are opioids currently used in addition to midazolam for sedation and analgesia during colonoscopy in Italy. The aim of the study was to assess the impact of patients' psychological state before elective colonoscopy on the efficacy of the sedation regimens. Eighty outpatients who underwent an elective colonoscopy were included in our study. The Hospital Anxiety and Depression Scale questionnaire was self-administered to evaluate basal anxiety and depression state. The rate of baseline discomfort was evaluated by a standard 100-mm visual analog scale. Sedation was obtained alternatively with a midazol...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

The Lived Experience of Inpatients With Acute Recurrent Pancreatitis: A Qualitative Research Study From West China
The incidence of acute pancreatitis (AP) has increased year by year. Approximately 20%–30% of these patients will have further subsequent attacks, described as acute recurrent pancreatitis (ARP). Patients who are repeatedly admitted to hospitals suffer significant psychological problems and mental hardships. In the current study, we aimed to illuminate the lived experience of inpatients with ARP from Chongqing, China. A purposive sample of 13 ARP patients was recruited from the First Affiliated Hospital of Chongqing Medical University. Semistructured and in-depth qualitative interviews were adopted in this phenomenol...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Differences in Factors Affecting the Quality of Life Over Time After the Gastrectomy in Patients With Stage I Gastric Cancer
This study examined QoL of patients with Stage I gastric cancer over time following gastrectomy and the effects of QoL subdomains on the patients' overall QoL over time after surgery. Data were collected from 138 patients with Stage I gastric cancer who had undergone gastrectomy within the previous 3 years. Data were classified into 3 groups according to the length of postsurgery time: 12 months or less (Group 1), 13–24 months (Group 2), and 25–36 months (Group 3). A confirmatory factor analysis was performed to examine the effects of QoL subdomains. Quality of life of patients with Stage I gastric cancer impro...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

A Bibliometric Analysis of Cirrhosis Nursing Research on Web of Science
The aims and objectives of this study were to (1) analyze the bibliometric characteristics of articles on Web of Science from 1986 to the present using literature mining and information visualization technologies developed by CiteSpace software, (2) reflect the current situation in this field as far as possible, and (3) provide evidence for improving research on nursing and clinical liver cirrhosis in Mainland China. No bibliometric analysis exists on Web of Science regarding cirrhosis nursing research. The status of current research, including hotspots and trends, has been assessed in this study through a bibliometric ana...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Optimal Colonoscopic Surveillance Interval After Normal Baseline Screening Colonoscopy
The optimal colonoscopic surveillance interval in the Chinese population is unclear. The present study aimed to assess the optimal colonoscopic surveillance interval after normal baseline screening colonoscopy to avoid overuse or underuse of colonoscopy. This retrospective study included individuals with normal baseline colonoscopy who had undergone at least 2 follow-up colonoscopy examinations at the Digestive Endoscopy Center of our hospital between 2000 and 2013. The risk factors for adenoma and the optimal colonoscopic surveillance interval were assessed. A total of 1,005 individuals (419 men; mean age, 49.34 ± ...
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Peer-Led Education Expedites Deprescribing Proton Pump Inhibitors for Appropriate Veterans
Costly proton pump inhibitors have been widely prescribed since the 1990s for prevention and treatment of ulcers and gastroesophageal reflux disease. Evidence published since 2012 demonstrates risks associated with taking proton pump inhibitors for longer than 8 weeks. Primary care providers mostly deprescribe proton pump inhibitors for persons not meeting criteria for long-term use. Many patients resist discontinuation. (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Features Source Type: research

Never alone: the spirit of sgna
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - May 1, 2020 Category: Nursing Tags: Guest Editorial Source Type: research

Standard of infection prevention in the gastroenterology setting
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: SGNA Standards of Practice: SGNA Position Statement Source Type: research

Management of endoscopic accessories, valves, and water and irrigation bottles in the gastroenterology setting
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: SGNA Position Statement Source Type: research

Guidelines for the role of the registered nurse navigator in the gastroenterology setting
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: SGNA Guideline Source Type: research

SGNA'S 47TH ANNUAL COURSE Leverage Resources, Create Momentum, May 15-19, 2020 | Louisville, Kentucky
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Abstract Source Type: research

A Clinical Review of Primary Biliary Cholangitis
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: CE Tests Source Type: research

A Clinical Review of Primary Biliary Cholangitis
Primary biliary cholangitis is a slowly progressive immune-mediated cholestatic disease that causes a destruction of the intrahepatic bile ducts and may lead to cirrhosis of the liver, end-stage liver disease, and the need for liver transplantation. The disease is among the most common reasons why adults require liver transplantation. The primary signs of the disease include the presence of antimitochondrial and antinuclear antibodies, elevated alkaline phosphatase, hyperbilirubinemia, hypercholesterolemia, and histologic features, such as intense inflammation with a florid duct lesion and hepatic fibrosis. The patient's q...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Nursing Management of Hepatic Encephalopathy
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: CE Tests Source Type: research

Nursing Management of Hepatic Encephalopathy
This article provides a background of hepatic encephalopathy, its relation to liver disease as well as its prevalence in the United States. A literature review provides an overview of HE discussing the pathophysiology, evidence-based diagnosis, and grading of the disease severity as well as treatment options and interventions. A large emphasis of the article is placed on nursing's role of identifying and managing hepatic encephalopathy. The authors hope to provide clinical nurses with the tools and information needed to provide evidence-based care to this patient population. Pharmacologic therapies, as well as nutrition fo...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Effects of Auricular Acupressure on Women With Irritable Bowel Syndrome
The purpose of this study was to examine the effect of auricular acupressure on bowel symptoms, stress, mental health, and heart rate variability in women with irritable bowel syndrome (IBS). A quasi-experimental study design with a nonequivalent control group assessed a total sample of 56 women diagnosed with IBS according to Rome III criteria. There were 29 women in the experimental group who received auricular acupressure; 27 women were in the control group. Semen sinapis albae seeds were used to administer acupressure to four auricular points: endocrine, large intestine, lung, and Shenmen for 5 days/week for 4 weeks; t...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Gi pre-calls make a difference
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Departments: Insider Perspective Source Type: research

Laparoscopic versus open surgery for suspected appendicitis
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Departments: Cochrane Corner Source Type: research

Parkinson's disease accompanied by primary biliary cirrhosis: a case report
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Departments: Clinical Case Study Source Type: research

The Prevalence and Correlates of Prehospital Delay and Health Belief in Chinese Patients With Colorectal Cancer
The objective of this study was to describe prehospital delay and health beliefs in Chinese patients with colorectal cancer. A total of 756 adult Chinese patients with a first-time diagnosis of colorectal cancer were recruited during 2016 in Guangzhou, China. All patients completed the Chinese-language version of a questionnaire developed specifically for this study as well as the Chinese-language version of the Champion Health Belief Model Scale. The results of this study showed that the median length of the prehospital delay was 12 weeks and that the average delay was 18.29 (SD = 14.66) weeks. The rate of prehospital del...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Fatigue, Physical Activity, and Mental Health in People Living With Inflammatory Bowel Disease, Fibromyalgia, and in Healthy Controls: A Comparative Cross-Sectional Survey
This study aimed to identify biopsychosocial factors associated with fatigue, physical activity, and perceived benefits of and barriers to exercise in adults with inflammatory bowel disease and to compare them with those with fibromyalgia and healthy controls. A cross-sectional online survey was conducted. Hierarchical linear regressions were used to examine correlates of fatigue and physical activity. Analysis of variance and Kruskal–Wallis tests were used to compare levels of fatigue and physical activity between the groups. Overall, 387 participants completed the study (inflammatory bowel disease: n = 232; fibromy...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Risk Factors of Dysphagia Among Community-Dwelling Middle-Aged Women: Focused on Oropharyngeal Phase
This study aimed to characterize a population of middle-aged South Korean women at risk of developing dysphagia and to identify relevant risk factors. This study describes a cross-sectional survey. Data on the general characteristics of the participants, risk factors for dysphagia, depression, and dental pain were collected and analyzed using descriptive statistics and logistic regression analysis. Among the 247 participants, 80 (32.4%) were assigned to the dysphagia “risk” group. Logistic regression indicated that perceived health status, low body mass index, dental pain, and depression were significant risk f...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Colorectal Cancer Screening Practices Among Texas Nurse Practitioners and Physician Assistants
The purpose of this study was two-fold: (1) To describe and compare Texas Nurse Practitioners' and Physician Assistants' knowledge and use of current screening guidelines for individuals at varying risk for colorectal cancer and (2) to compare their recommendations for referral for genetic counseling for persons at increased risk for colorectal or endometrial cancer. The study used a descriptive correlational comparative design. A self-administered web-based survey was sent to the members of the Texas Nurse Practitioner Association and the Texas Academy of Physician Assistants. The questionnaire consisted of 44 items categ...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Effects of the Enhanced Recovery Program on the Recovery and Stress Response in Patients With Cancer Undergoing Pancreatoduodenectomy
In conclusion, despite its fast track nature, ERAS is not associated with increased stress in patients undergoing pancreatoduodenectomy and is associated with decreased pain. (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Experiences With Traditional Chinese Medicine Among Patients With Inflammatory Bowel Disease: A Qualitative Study
Despite the increasing number of inflammatory bowel disease (IBD) patients using traditional Chinese medicine (TCM), relatively few studies have examined their experiences with TCM in the Chinese healthcare context. The aim of this study was to explore these experiences from the perspective of IBD patients. Adopting a qualitative descriptive method, IBD patients from several comprehensive hospitals in Hangzhou, Zhejiang were recruited through purposive sampling. Data were collected using semistructured interviews and analyzed by a conventional content analysis method. The results are presented thematically. Fourteen IBD pa...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Is Sleep Quality Impaired and Is There Increased Risk of Obstructive Sleep Apnea Syndrome in Patients With Compensated Liver Cirrhosis?
The objective of this study was to identify the prevalence of poor sleep, excessive daytime sleepiness, and increased risk for obstructive sleep apnea syndrome in adults with Child–Pugh Class A liver cirrhosis; to investigate the association between poor sleep quality, daytime sleepiness, and risk for obstructive sleep apnea syndrome; and to verify the relationship between these 3 variables and clinical, laboratory, and sociodemographic data. A cross-sectional study was conducted with 100 individuals at the outpatient clinic of a university hospital in the interior of Sao Paulo, Brazil. Questionnaires were used in th...
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Features Source Type: research

Celebrating the international year of the nurse and midwife 2020
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - March 1, 2020 Category: Nursing Tags: Editorial Source Type: research

A rare cause of upper gastrointestinal bleeding: acute esophageal necrosis
No abstract available (Source: Gastroenterology Nursing)
Source: Gastroenterology Nursing - January 1, 2020 Category: Nursing Tags: Department: Clinical Case Study Source Type: research

The Role of an Inflammatory Bowel Disease Nurse in the Follow-Up of Patients From a Latin American Inflammatory Bowel Disease Program
Inflammatory bowel disease requires long-term treatment to maintain disease control. Favorable follow-up of patients indicates attention from a multidisciplinary team, in which the nurse's responsibilities have great importance. The aim of this observational, descriptive study was to describe the role of an inflammatory bowel disease nurse in the management of patients in a tertiary center in Chile, including all patients in follow-up between January 2016 and April 2017. Inflammatory bowel disease nurse contacts were recorded and classified. Demographic data, clinical variables, and patient satisfaction were also analyzed....
Source: Gastroenterology Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research

The Chronic Liver Disease Nurse Role in Australia: Describing 10 Years of a New Role in Cirrhosis Management
Cirrhosis of the liver is increasing, with growing patient numbers in hospital outpatient departments, as well as increasing admissions due to decompensated liver disease. Decompensated cirrhosis of the liver is a common and debilitating illness causing disability, readmissions to hospital, and decreased quality of life, and can lead to liver cancer. The advent of the chronic liver disease nurse (CLDN) position in our hospital in 2009 was the first role in Australia dedicated to providing care to patients with cirrhosis. The role incorporates the care of patients with stable compensated disease, case management of patients...
Source: Gastroenterology Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research

Quality Improvement Initiative: The Administration of Early Nutrition Following Percutaneous Endoscopic Gastrostomy Tube Placement in Children
It is common practice for providers to wait up to 24 hours to begin enteral feedings using a newly placed gastrostomy tube in children. As a quality improvement initiative, guidelines were developed to begin early enteral nutrition 4 hours following gastrostomy tube placement. These patient care guidelines standardized electronic ordering, dosing, and feeding administration instructions. Healthcare professionals from the departments of gastroenterology, case management, and nutrition were asked to evaluate the new process by completing a questionnaire. Changes were made to the quality improvement initiative on the basis of...
Source: Gastroenterology Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research

Attitudes About Coping With Fatigue in Patients With Gastric Cancer: A Q-Methodology Study
This study aimed to identify subjectivity concerning coping with fatigue in Korean patients with gastric cancer. Q-methodology was used to examine subjective perceptions regarding coping with fatigue among Korean patients with gastric cancer. A convenience sample of 33 participants, who had been hospitalized in 2 university hospitals in South Korea, was recruited to participate in the study and 37 selected Q-samples were classified into a normal forced distribution using a 9-point bipolar grid. The obtained data were analyzed by using PC-QUANL for Windows. Three factors representing distinct attitudes about coping with fat...
Source: Gastroenterology Nursing - January 1, 2020 Category: Nursing Tags: Features Source Type: research