Gastroenterology NursingPub Date : 2026-05-01Epub Date: 2025-10-22DOI: 10.1097/SGA.0000000000000927
Yingyu Liu, Xuping Pan
{"title":"Effect of Cognitive Behavior Therapy on the Mental Health of Patients With Irritable Bowel Syndrome: A Systematic Review.","authors":"Yingyu Liu, Xuping Pan","doi":"10.1097/SGA.0000000000000927","DOIUrl":"10.1097/SGA.0000000000000927","url":null,"abstract":"<p><p>Irritable bowel syndrome (IBS) is a common functional gastrointestinal (GI) disorder that is frequently exacerbated by stress leading to a detrimental effect on the quality of life (QOL). This systematic review assessed the efficacy of cognitive behavioral therapy (CBT) as a therapeutic approach for irritable bowel syndrome (IBS), taking into account GI symptoms, psychological distress, sleep quality, and quality of life. Additionally, variables such as anxiety levels, depression, and inflammatory markers were assessed to provide a comprehensive evaluation of patient outcome. Database search from 2000 - 2023 yielded the identification and analysis of 12 research trials out of 1,703 articles. The studies varied in study design, participant demographics, CBT technique, intervention duration, and outcome measurement instruments. Despite variability, the majority of studies demonstrated a significant positive impact of CBT interventions on IBS. The quality of life, GI symptoms, psychological distress, and sleep disturbances all improved. However, inconsistencies in certain outcome measures and a paucity of long-term follow-up were observed in some studies. Our findings highlighted the potential of CBT as a valued therapeutic intervention for IBS, demonstrating significant improvements in various aspects of the condition.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"190-201"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145344761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2026-05-01Epub Date: 2026-05-26DOI: 10.1097/SGA.0000000000000935
Kenneth Romito, Christy V Mitchell, Bethany Atwood, Elena Brown, Daniel Fedderson, Crystal Belew
{"title":"Implementing Audits to Improve High-Level Disinfection of Flexible Endoscopes.","authors":"Kenneth Romito, Christy V Mitchell, Bethany Atwood, Elena Brown, Daniel Fedderson, Crystal Belew","doi":"10.1097/SGA.0000000000000935","DOIUrl":"10.1097/SGA.0000000000000935","url":null,"abstract":"<p><p>Flexible endoscopes used in gastrointestinal procedures possess long, narrow channels that complicate decontamination and high-level disinfection. Infections may occur even with proper execution of all reprocessing stages, particularly as the endoscope ages or in the presence of biofilm. Effective reprocessing improves when the nurses and associates handling endoscopes are knowledgeable and well-trained, have sufficient time to complete all steps correctly, and work in a clean environment equipped with the right tools. Audits evaluate endoscope reprocessing to confirm the presence of necessary conditions and verify the correctness of procedures. This article details the implementation of endoscope reprocessing audits in five clinical sites, which resulted in an increase of all audited items being compliant in 296 out of 325 audits to 317 out of 325 audits. A consistent improvement in the audit compliance score through audit and feedback indicates the project's moderate influence on overall endoscope reprocessing, consistent with the anticipated impact described in the literature.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"49 3","pages":"202-210"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054188","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":"An Exploration of Help-seeking Experiences of Patients With Inflammatory Bowel Disease From Healthcare Professionals: A Qualitative Descriptive Study.","authors":"Clodagh Byron, Elaine Lehane, Aileen Burton, Nicola Cornally","doi":"10.1097/SGA.0000000000000933","DOIUrl":"10.1097/SGA.0000000000000933","url":null,"abstract":"<p><p>Inflammatory bowel disease (IBD) presents ongoing physical, psychological, and social challenges that can significantly affect quality of life. Despite this, little is known about how individuals with IBD seek help from healthcare professionals. This study used a qualitative descriptive design and latent pattern content analysis of semi-structured interviews (n = 8) to explore how individuals living with IBD seek help from healthcare professionals to manage challenges associated with their condition. The study adheres to the COREQ guidelines. Many participants delayed seeking help until symptoms interfered with daily activities, raised concern about severity, or others encouraged them to seek care. Reasons for delaying help-seeking included not seeing the symptoms as emergent, competing demands and priorities, or uncertainty about whether symptoms were IBD-related. Decisions around who to seek help from were shaped by prior experiences and perceived effectiveness of previous healthcare encounters. Physical symptoms often had a negative effect on participants' psychological wellbeing. While some participants accessed online support, another emphasized the need for integrated psychological care within IBD services. Findings highlight that patients with IBD frequently navigate physical, psychological, and social challenges but predominantly seek help for physical symptoms. This study strengthens the need for routine inclusion of psychological support within specialist IBD care.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"49 3","pages":"135-146"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054088","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 : 2026-05-01Epub Date: 2026-05-26DOI: 10.1097/SGA.0000000000000974
{"title":"Bridging the Gap: The Need for a Nurse-Led Transition of Care Education Program to Improve Outcomes for Pediatric Patients on Home TPN.","authors":"","doi":"10.1097/SGA.0000000000000974","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000974","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"49 3","pages":"E3"},"PeriodicalIF":0.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054085","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 : 2026-05-01Epub Date: 2026-04-27DOI: 10.1097/SGA.0000000000000960
Ava Warfel
{"title":"Bridging the Gap: The Need for a Nurse-Led Transition-of-Care Education Program to Improve Outcomes for Pediatric Patients on Home Parenteral Nutrition (HPN).","authors":"Ava Warfel","doi":"10.1097/SGA.0000000000000960","DOIUrl":"10.1097/SGA.0000000000000960","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"211-214"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13218571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2026-05-01Epub Date: 2026-05-26DOI: 10.1097/SGA.0000000000000932
Emi Iwai, Masami Tamada
{"title":"Ethical Issues Perceived by Nurses Involved in Endoscopic Practices in Japan.","authors":"Emi Iwai, Masami Tamada","doi":"10.1097/SGA.0000000000000932","DOIUrl":"10.1097/SGA.0000000000000932","url":null,"abstract":"<p><p>Endoscopy departments tend to prioritize task efficiency, which may sometimes limit individualized and patient-centered nursing care. Structured workflows and time constraints can make it challenging for nurses to fully address patients' needs and ethical concerns. However, the ethical issues specific to endoscopic nursing remain largely unexplored. This study aims to clarify ethical issues perceived by nurses involved in endoscopic practices. A qualitative study was conducted with 14 nurses working in departments performing endoscopic practices in 3 hospitals in Japan. Data were collected using semi-structured interviews and analyzed using qualitative content analysis. Eight key ethical issues emerged: (1) Lack of Ethical Consideration in Physical Restraints; (2) Unalleviated Patient Pain; (3) Undervalued Patient Autonomy; (4) Disregard for Patient Dignity and Privacy; (5) Involvement Amid Professional Uncertainty and Ethical Concerns; (6) Inability to Provide Ideal Nursing Care; (7) Lack of Respect for Nurses; and (8) Inequity in Patient-Centered Care Delivery. These findings indicate that endoscopy departments face ethical challenges, including inadequate informed consent, routine sedation and restraints, time constraints, and a physician-centered hierarchy. Addressing these issues requires enhancing ethical sensitivity and competence, fostering interdepartmental and interprofessional collaboration, developing systems for patient-centered care, and setting ethical practice goals.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"49 3","pages":"179-189"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148054032","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 : 2026-05-01Epub Date: 2026-05-26DOI: 10.1097/SGA.0000000000000930
Roji Moni Borah, Mini George
{"title":"\"In Vino Veritas, in Aqua Sanitas\": A Mixed-method Study to Explore the Factors of Alcohol Relapse Using Q-Methodology.","authors":"Roji Moni Borah, Mini George","doi":"10.1097/SGA.0000000000000930","DOIUrl":"10.1097/SGA.0000000000000930","url":null,"abstract":"<p><p>Three million deaths worldwide are attributed to alcohol use each year. Primarily, the liver is most impacted. Chronic liver disease patients have a significant relapse risk. Seven out of 10 start drinking again, a process that appears to be influenced by multiple factors. The aim of this study was to explore the factors of alcohol relapse in chronic liver disease patients. The study was conducted in a tertiary hospital using Q-methodology, a mixed-method that aids statistically rigorous examination of subjective expressions. Forty consenting participants matching the eligibility criteria purposively were enrolled. Data was gathered by sorting 25-statements (CVI 0.98-1; r = 0.88) about alcohol relapse on a Q-grid, developed after two Delphi rounds. Principal component analysis and varimax rotation were performed in PQ software. Post-interviews validated the Q-sorting. Three-factor analysis explained 43% of variance with 30 significant sorts (13 for factor 1, 7 for factor 2, 10 for factor 3), 0 confounded, and 10 non-significant. Factors were labeled as alcohol craving and dependence, intrapersonal and interpersonal influences, and ineffective coping strategies in high-risk situations. Knowledge of the factors of relapse among cirrhotic patients can inform nurses to render targeted interventions to the individual needs of the patients while supporting them through their recovery.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"49 3","pages":"147-162"},"PeriodicalIF":1.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148053954","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}