{"title":"Enhancing Patient Care and Efficiency in Gastroenterology Nursing Through Standardized Discharge Instructions.","authors":"Pravina Khant","doi":"10.1097/SGA.0000000000000970","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000970","url":null,"abstract":"<p><p>This quality improvement initiative at Hartford HealthCare Endoscopy Unit was designed to enhance both patient outcomes and operational efficiency by implementing standardized, procedure-specific discharge instructions. Standardized discharge instructions reduce complications, increase patient satisfaction, and decrease readmissions. The goal was to improve patient satisfaction metrics (Press Ganey overall satisfaction and instruction regarding recovery). To address inconsistencies in postprocedure care, the team employed the Plan-Do-Study-Act model to develop and implement structured discharge instruction documents. The instructions were reviewed for health literacy and translated into Spanish and Polish to ensure clear patient understanding. A key advancement was the seamless integration of these instructions into the electronic health record system via an interface between EndoWriter and the Epic electronic health record system, enabling patient access to personalized instructions through the MyChart portal. Preliminary outcomes demonstrated improvement across two measurement periods. The \"Instructions Regarding Recovery\" satisfaction score increased from 87.20% in calendar year 2022 to 89.17% in calendar year 2024 and similarly improved from 90.16% in calendar year 2024 to 92.64% in calendar year 2025. This initiative demonstrates the value of combining standardized, evidence-based, patient-centered education with electronic health record integration to improve postprocedure care, quality, and efficiency.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220220","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}
Kenneth Romito, Christy V Mitchell, Laura A Taylor
{"title":"Words Matter: Examining \"Don\" and \"Doff\" in the Age of Plain Language.","authors":"Kenneth Romito, Christy V Mitchell, Laura A Taylor","doi":"10.1097/SGA.0000000000000990","DOIUrl":"10.1097/SGA.0000000000000990","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167343","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}
{"title":"Anticipating the Unexpected: Preoccupation With Failure in Gastroenterology Nursing.","authors":"Heather C Blanchard","doi":"10.1097/SGA.0000000000001002","DOIUrl":"10.1097/SGA.0000000000001002","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149080581","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}
{"title":"Deference to Expertise in Gastroenterology: A High‑Reliability, Team‑Centered Approach to Safer Care.","authors":"Meridith A Jacob","doi":"10.1097/SGA.0000000000000986","DOIUrl":"10.1097/SGA.0000000000000986","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024662","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}
{"title":"High Prevalence of Fatigue is Linked to Depression in Inflammatory Bowel Disease.","authors":"Javier Ivanovychs Carrillo Rojas, Sarahí Ontiveros López, Francisca Martínez Silva, Viridiana Montsserrat Mendoza Martínez, Guillermo Meléndez-Mier, Nallely Bueno Hernández","doi":"10.1097/SGA.0000000000000968","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000968","url":null,"abstract":"<p><p>Fatigue is a common symptom in patients with inflammatory bowel disease (IBD). However, the prevalence is underestimated because it is not intentionally assessed during routine medical evaluation. Our study aimed to evaluate the prevalence and factors associated with fatigue in patients with IBD. A cross-sectional study was conducted in patients with ulcerative colitis and Crohn disease. We evaluated fatigue using the validated IBD questionnaire; a score of ≥1 in both sections was considered indicative of fatigue, and the severity increased with a higher score. A total of 109 patients were included in the study. Fatigue was reported in 102 (94%) patients, affecting 95% of men and 92% of women. The prevalence was 97% in Crohn disease and 92% in ulcerative colitis patients. Fatigue is more common in patients with active diseases, anemia, and those who are overweight or obese. Depression, hypoalbuminemia, and active disease were significantly associated with greater severity of fatigue; however, depression was the only independent predictor (β = 16.094, p = .018). Nine out of 10 patients present some degree of fatigue, regardless of demographic characteristics, and depression is closely related to its severity.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016811","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}
{"title":"Leading Transformation in Endoscope Cleaning With Kotter's Change Model.","authors":"Bethany I Atwood","doi":"10.1097/SGA.0000000000000988","DOIUrl":"10.1097/SGA.0000000000000988","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016784","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}
{"title":"The Effect of Stress Ball and 4-7-8 Breathing Technique on Preprocedure Fear, Anxiety, and Physiological Parameters in Elderly Patients Undergoing Endoscopy: A Randomized Controlled Study.","authors":"Ayşe Gül Parlak, Mehtap Çullu, Zeliha Özkaraca","doi":"10.1097/SGA.0000000000000977","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000977","url":null,"abstract":"<p><p>This study aimed to investigate the effect of two different practices (stress ball and 4-7-8 breathing technique) on preprocedure fear, anxiety, and physiological parameters in patients undergoing endoscopy. This randomized controlled trial randomly assigned 75 patients undergoing endoscopy to three groups: the stress ball (n = 25), the 4-7-8 breathing technique (n = 25), and the control (n = 25). The data were collected using a Patient Information Form, the Visual Analog Scale, the State-Trait Anxiety Inventory, and a Physiological Parameters Form. While no significant difference was found between the fear scores (p = .095) and anxiety scores (p = .255) among the groups before the intervention, fear and anxiety scores were significantly lower in the stress ball and 4-7-8 breathing technique groups after the intervention (p < .001). On the other hand, the rise in preintervention and postintervention fear (p = .001) and anxiety (p = .041) scores in the control group was statistically significant. The drop in the anxiety score of the stress ball group after the intervention was significantly lower than that of the 4-7-8 breathing technique group (p < .001). The stress ball and the 4-7-8 breathing technique may be effective in alleviating the preprocedure fear and anxiety in the elderly patients undergoing endoscopy.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919597","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}
{"title":"Influenza Vaccination Coverage, Attitudes, Beliefs, and Influencing Factors Among Patients with Liver Disease in Greece.","authors":"Paschalina Dafnou, Theodoula Adamakidou, Nikoletta Margari, Ioannis Elefsiniotis, Chrysoula Tsiou, Konstantinos Giakoumidakis, Eleni Dokoutsidou","doi":"10.1097/SGA.0000000000000959","DOIUrl":"10.1097/SGA.0000000000000959","url":null,"abstract":"<p><p>Vaccination rates remain low despite the influenza vaccine's proven safety and efficacy in protecting vulnerable groups, such as individuals diagnosed with liver disease. This cross-sectional study investigated influenza vaccination coverage, attitudes, beliefs, and influencing factors among 152 patients with liver disease in Greece. Over half (53.6%) were diagnosed with hepatitis, and 40.4% with cirrhosis. Overall, 58.6% of participants received the seasonal influenza vaccine. Multivariate logistic regression showed that older age (OR = 1.07, 95% CI: 1.02-1.11, p = .002), prior pneumococcal vaccination (OR = 17.98, 95% CI: 6.66-48.52, p < .001), and COVID-19 vaccination (OR = 5.77, 95% CI: 1.17-28.46, p = .031) were significantly associated with influenza vaccination in the current season. Similarly, older age (OR = 1.09, 95% CI: 1.04-1.14, p < .001) and pneumococcal vaccination (OR = 25.75, 95% CI: 9.20-72.05, p < .001) were linked to annual influenza vaccination. About half of the participants are vaccinated yearly. These findings highlight the need for targeted public health strategies to improve vaccination rates among patients with liver disease. Gastroenterology healthcare professionals, as trusted information sources, can play a key role in promoting vaccine uptake and improving immunization coverage in this high-risk population.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"310-321"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548728","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}
Gastroenterology NursingPub Date : 2026-09-01Epub Date: 2026-07-16DOI: 10.1097/SGA.0000000000000971
Mariam M Sarain
{"title":"Commitment to Resilience: Bridging Lessons Between Surgical Suites and Gastroenterology Practice.","authors":"Mariam M Sarain","doi":"10.1097/SGA.0000000000000971","DOIUrl":"10.1097/SGA.0000000000000971","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"347-350"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470190","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}
Gastroenterology NursingPub Date : 2026-09-01Epub Date: 2026-08-25DOI: 10.1097/SGA.0000000000000987
Shabnum Ali, Jason Lessandrini
{"title":"An Incidental Finding During PEG Tube Placement in a Patient Lacking Capacity: Ethical Reflections on Procedural Decision-Making.","authors":"Shabnum Ali, Jason Lessandrini","doi":"10.1097/SGA.0000000000000987","DOIUrl":"10.1097/SGA.0000000000000987","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"341-343"},"PeriodicalIF":1.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812863","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}