Gastroenterology NursingPub Date : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000808
Manar AlElaimat, Jafar Alasad Alshraideh, Muhammad W Darawad
{"title":"Incidence of Enteral Nutrition-Related Diarrhea Among Critically Ill Patients in Intensive Care Units.","authors":"Manar AlElaimat, Jafar Alasad Alshraideh, Muhammad W Darawad","doi":"10.1097/SGA.0000000000000808","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000808","url":null,"abstract":"<p><p>Enteral nutrition is a common nutritional modality in intensive care units. Despite its valuable benefits, it has many complications among which diarrhea is the most important. However, the incidence of enteral nutrition-related diarrhea is variable in the literature, with no established baseline in Jordan. The aim of this study was to investigate the incidence of enteral nutrition-related diarrhea in intensive care units of a major public hospital in Jordan. A prospective cohort design was adopted over 4 months. Using a consecutive sampling technique, 84 critically ill patients receiving enteral nutrition were recruited. King's Stool Chart was used. The incidence of enteral nutrition-related diarrhea calculated per patient and per feeding day was 63.1% and 13.2%, respectively. Significant positive associations were found between the incidence of diarrhea with feeding days (r = .356, p = .001) and intensive care unit length of stay (r = .254, p = .020). The same was found for the frequency of diarrhea (r = .633, p = .000; r = .439, p = .000, respectively). Conversely, a significant negative association was found between baseline serum albumin and frequency of diarrhea (r = -.250, p = .037). Enteral nutrition-related diarrhea is prevalent in Jordanian intensive care units, but it should not be a barrier to enteral nutrition delivery. It would be beneficial for intensive care unit nurses to improve their nutritional practices by following a nurse-led enteral nutrition protocol to guide the enteral nutrition practices utilizing multidisciplinary approaches.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"242-249"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859508","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000818
Linda Morrow, Beverly Greenwald
{"title":"Spread the Word: No Amount of Alcohol is Safe!","authors":"Linda Morrow, Beverly Greenwald","doi":"10.1097/SGA.0000000000000818","DOIUrl":"10.1097/SGA.0000000000000818","url":null,"abstract":"<p><p>Excessive use of alcohol is prevalent in the United States, and there are a variety of adverse health effects. The Global Burden of Diseases, Injuries, and Risk Factors Study determined that no amount of alcohol is safe. The American Cancer Society's 2020 guideline for diet and physical activity for cancer prevention is their first to advise that \"it is best to not drink alcohol.\" There is a need for increased awareness by both laypeople and health care professionals of the health and social hazards associated with alcohol. The Healthcare Professional's Core Resource on Alcohol provides such training. The World Health Organization recommends population-based interventions such as increased alcohol taxes, restrictions or bans on alcohol advertising, and limits on places that sell alcohol. Gastroenterology nurses have a special opportunity to intervene with patients because a variety of gastroenterology conditions are alcohol-related. Our advocacy responsibility is to assist with the initiation of workplace, local, state, and national policies that promote the recommendations that no amount of alcohol is safe.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"260-264"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859513","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000834
Llewellyn Dawn Smith, Wendy Pelton, Merri K Morgan
{"title":"Effects of Cannabis Use on Sedation Requirements for Endoscopic Procedures: A Replication Study.","authors":"Llewellyn Dawn Smith, Wendy Pelton, Merri K Morgan","doi":"10.1097/SGA.0000000000000834","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000834","url":null,"abstract":"<p><p>On July 1, 2021, cannabis became legal in Virginia for adults 21 years of age and older. Cannabis consumption may have significant implications for outcomes related to medical care, including procedural sedation. The purpose of this study was to determine whether self-reported cannabis consumption has any relationship to sedation medication requirements during endoscopic procedures. A retrospective analysis was conducted to examine two groups of surgical patients (self-reported cannabis use versus self-reported non-cannabis use) at a community hospital in the mid-Atlantic region. Results demonstrate that there were no significant differences between groups for either Time to Aldrete ≥8 (p = .486) or Time to Meet Phase II Criteria (p = .762). Equivalent recovery times for both groups may be an indicator that comparable sedation levels were maintained, despite the increased propofol requirements of the cannabis group. Open conversations to establish patient use of cannabis products prior to procedural sedation is important for determining appropriate plans of care related to risk factors and medication dosage requirements during endoscopic evaluations.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"286-290"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859535","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000786
Ahmad Hormati, Mahdiieh Ghoddoosi, Mohammad Reza Pashaei, Mohammad Amin Habibi, Sajjad Ahmadpour
{"title":"Cytomegalovirus Infection or Gastric Cancer? A Case Report and Review of the Literature.","authors":"Ahmad Hormati, Mahdiieh Ghoddoosi, Mohammad Reza Pashaei, Mohammad Amin Habibi, Sajjad Ahmadpour","doi":"10.1097/SGA.0000000000000786","DOIUrl":"10.1097/SGA.0000000000000786","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"299-302"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859532","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000807
Ammar Qureshi, Crystal C Vestal, Marie Tanare, Adewale B Ajumobi
{"title":"Online Educational Module Improves Knowledge of Nurses on Bowel Preparation for Colonoscopy.","authors":"Ammar Qureshi, Crystal C Vestal, Marie Tanare, Adewale B Ajumobi","doi":"10.1097/SGA.0000000000000807","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000807","url":null,"abstract":"<p><p>The effectiveness of colonoscopy is limited by the adequacy of bowel preparation. Nurses are essential in providing bowel cleansing agents and instructions for hospitalized patients before colonoscopy. This study aims to assess and improve the knowledge of nurses on bowel preparation for inpatient colonoscopy. Participants were asked to complete the survey before and after completing an educational module. The module and survey questions were placed in the NetLearning environment of the hospital intranet. A minimum post-test score of 80% was required to pass the course. A total of 1,107 nurses participated in the survey. Overall, the average score improved from 87% to 93% after the module (p < .0495). Knowledge of the different ways of consuming bowel cleansing agents improved from 54.3% to 83.6% (p = .0001). Only 56.2% of nurses knew how to carry out a split-dose bowel preparation regimen, which increased to 80.1% after the educational module (p = .0001). Nurses' knowledge about the different ways of consuming bowel cleansing agents before colonoscopy and the split-dose regimen is inadequate. A simple online educational module significantly improved the knowledge of nurses on bowel preparation for colonoscopy.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"277-285"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859510","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000844
{"title":"Online Educational Module Improves Knowledge of Nurses on Bowel Preparation for Colonoscopy.","authors":"","doi":"10.1097/SGA.0000000000000844","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000844","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"E14"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859511","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 : 2024-07-01Epub Date: 2024-07-28DOI: 10.1097/SGA.0000000000000804
Hongyuan Liu, Jie Chen, Xiangning Li, Juan Pang, Yajun Gao, Juan Gao, Yuan Yuan, Xiaoping Yu, Yaoyao Li, Yu Zhang
{"title":"Prevalence and Influencing Factors of Irritable Bowel Syndrome Among Nurses in China: A Cross-Sectional Study.","authors":"Hongyuan Liu, Jie Chen, Xiangning Li, Juan Pang, Yajun Gao, Juan Gao, Yuan Yuan, Xiaoping Yu, Yaoyao Li, Yu Zhang","doi":"10.1097/SGA.0000000000000804","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000804","url":null,"abstract":"<p><p>The aims of this study were to investigate the prevalence and influencing factors of irritable bowel syndrome among nurses in order to update the epidemiological data. A questionnaire survey was administered to 1,325 clinical nurses. We used a questionnaire for demographic information, the IBS Severity Scoring System, the IBS Quality of Life questionnaire, the Hospital Anxiety and Depression Scale, the Pittsburgh Sleep Quality Index, and the Maslach Burnout Inventory to conduct our survey. Univariate and multivariate analyses were performed to detect factors influencing irritable bowel syndrome among nurses. The prevalence of irritable bowel syndrome was 13.3%, and the severity of symptoms was mostly moderate. The IBS Quality of Life score was significantly reduced (p < .001). Various foods that caused abdominal pain (egg and dairy products [OR = 4.80], greasy food [OR = 5.80], spicy food [OR = 2.66], raw and cold food [OR = 2.43]), a family history of gastrointestinal diseases (OR = 1.64, 95% CI [1.038, 2.587]), drinking weak green tea (OR = 1.71, 95% CI [1.143, 2.552]), mild depression (OR = 1.78, 95% CI [1.005, 3.156]), and the personal accomplishment dimension of occupational burnout (OR = 2.52, 95% CI [1.039, 6.114]) had important effects on nurses suffering from irritable bowel syndrome. On the contrary, exercising 1-2 hours per week (OR = 0.53, 95% CI [0.327, 0.859]) had a protective effect. The prevalence of irritable bowel syndrome among nurses is relatively high and may be influenced by several factors including genetics, diet, exercise, psychology, and occupational burnout.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"47 4","pages":"250-259"},"PeriodicalIF":0.7,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859512","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}