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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Professionals' experiences with paediatric colonoscopy: an interview study
1Department of Care Science, Malmö University, Faculty of Health and Society, SE-205 06 Malmö, Sweden.
BMC Nursing
|March 27, 2019
Summary
Nurses report challenges in preparing children for colonoscopies, citing a need for more knowledge and time. Improving the pre-colonoscopy experience for pediatric inflammatory bowel disease (IBD) patients is essential.
Area of Science:
- Pediatric Gastroenterology
- Nursing Practice
- Inflammatory Bowel Disease (IBD) Management
Background:
- Colonoscopy is vital for diagnosing pediatric inflammatory bowel disease (IBD), with adolescents accounting for 25% of cases.
- Achieving a safe, informative, and child-friendly colonoscopy with minimal distress is a recognized challenge.
- The pre-colonoscopy procedure, particularly bowel preparation, significantly impacts the overall patient experience.
Purpose of the Study:
- To explore and describe nurses' lived experiences with the pre-colonoscopy bowel cleansing procedure in pediatric patients.
- To identify key challenges and themes encountered by nurses during pediatric bowel preparation for colonoscopy.
Main Methods:
- A qualitative research design was employed.
- Thematic content analysis was used to analyze interview data.
- Fifteen nurses from a children's hospital participated in semi-structured interviews focusing on bowel cleansing with polyethylene glycol (PEG) in children.
Main Results:
- Four primary themes emerged from the nurses' experiences: lack of knowledge, challenges in providing information, a sense of responsibility without adequate control, and experiencing the procedure as assembly-line-like.
- Nurses highlighted difficulties in effectively communicating information about the bowel preparation process to children and their families.
- The findings indicate a perceived lack of autonomy and time constraints within the current pre-colonoscopy workflow.
Conclusions:
- Nurses expressed a need for increased time and enhanced educational opportunities to improve their involvement and confidence in pediatric colonoscopy preparation.
- Addressing the identified themes could lead to improved pre-procedural care, potentially reducing patient distress and enhancing procedural success.
- Further research into optimizing nursing roles and resources for pediatric colonoscopy preparation is warranted.
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