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Bowel care: implementing changes toward quality improvement

L M Walker-Dalton

SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses

|March 1, 1995

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Healthcare teams improved nursing practice by developing and implementing a new bowel care protocol. A novel suppository, the "Magic Bullet," proved more effective than previous treatments, enhancing patient care.

Area of Science:

Healthcare innovation
Nursing practice improvement
Patient care enhancement

Background:

Challenges in nursing practice at Hampton Veterans Affairs Medical Center.
Previous use of bisacodyl in oil base suppositories for bowel care.
Need for improved and standardized bowel care protocols.

Purpose of the Study:

To describe the development and implementation of a formalized bowel care program protocol.
To evaluate the effectiveness of novel suppository interventions.
To establish a quality improvement monitor for the bowel care program.

Main Methods:

Two healthcare teams developed and evaluated different suppository formulations.
A "glycerine bomb" suppository was compared to bisacodyl in oil.

Related Experiment Videos

A "Magic Bullet" suppository was approved and replaced the "glycerine bomb."

A formalized bowel care protocol and a quality improvement monitor were implemented.

Main Results:

The "glycerine bomb" suppository demonstrated greater effectiveness than the bisacodyl in oil suppository.
The "Magic Bullet" suppository was approved and adopted, replacing the "glycerine bomb."
A formalized bowel care protocol was successfully implemented.

Conclusions:

Novel suppository development can significantly impact nursing practice and patient outcomes.
Formalized protocols and continuous monitoring are essential for effective bowel care programs.
Ongoing evaluation and adaptation of interventions are necessary to optimize patient care.