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Rohatinsky N, Russell B, Peña-Sánchez JN, Boklaschuk S, Bhasin S, Fowler S, Guzowski T, Wicks K, Wicks M. Exploring the Experiences of Virtual Inflammatory Bowel Disease Care in Saskatchewan. Can J Nurs Res 2024; 56:95-108. [PMID: 38062657 PMCID: PMC10804685 DOI: 10.1177/08445621231219299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2024] Open
Abstract
BACKGROUND Individuals with inflammatory bowel disease (IBD) require life-long interactions with the healthcare system. Virtual care (VC) technologies are becoming increasingly utilized for accessing healthcare services. Research related to the use of VC technology for the management of IBD in Canada is limited. This study aimed to examine the VC experiences from the perspectives of individuals with IBD and gastroenterology care providers (GCPs). METHODS A patient-oriented, qualitative descriptive approach was used. Semi-structured interviews were completed with individuals with IBD and GCPs. Data were analyzed using an inductive content analysis approach. RESULTS A total of 25 individuals with IBD and five GCPs were interviewed. Three categories were identified: benefits of virtual IBD care delivery, challenges of virtual IBD care delivery, and optimizing IBD care delivery. Individuals with IBD and GCPs were satisfied with the use of VC technology for appointments. Participants believed VC was convenient and allowed enhanced access to care. However, VC was not considered ideal in some instances, such as during disease flares or first appointments. Thus, a blended use of virtual and in-person appointments was suggested for individualized care. CONCLUSIONS The virtual method of connecting patients and providers is deemed useful for routine appointments and for persons living in rural areas. VC is becoming more common in the IBD care environment. Nurses are in a key position to facilitate and enhance virtual IBD care delivery for the benefit of both individuals living with IBD and providers.
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Affiliation(s)
- Noelle Rohatinsky
- College of Nursing, University of Saskatchewan, Saskatoon, Sask., Canada
| | - Brooke Russell
- College of Nursing, University of Saskatchewan, Saskatoon, Sask., Canada
| | - Juan Nicolás Peña-Sánchez
- Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Canada
| | | | - Sanchit Bhasin
- Division of Gastroenterology, Department of Medicine, Saskatchewan Health Authority, Regina General Hospital, Canada
- Division of Gastroenterology and Hepatology, Department of Medicine, College of Medicine, University of Saskatchewan, Canada
| | - Sharyle Fowler
- Division of Gastroenterology and Hepatology, Department of Medicine, College of Medicine, University of Saskatchewan, Canada
| | - Tomasz Guzowski
- Division of Gastroenterology and Hepatology, Department of Medicine, College of Medicine, University of Saskatchewan, Canada
| | | | - Mike Wicks
- Patient and Family Partner, Saskatchewan, Canada
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Nurmi E, Rantanen A, Paavilainen E, Haapamäki J, Helminen M. A quality assessment of inflammatory bowel disease nursing care in Finland: a nationwide cross-sectional descriptive study. Scand J Gastroenterol 2024; 59:164-168. [PMID: 37899608 DOI: 10.1080/00365521.2023.2276654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/20/2023] [Indexed: 10/31/2023]
Abstract
OBJECTIVES OF THE ARTICLE Inflammatory bowel disease (IBD) nursing has been identified as a crucial component in the IBD service delivery. This article aims to provide a comprehensive overview of the state of IBD nursing care in Finland, and to identify areas that would benefit from further research. MATERIALS AND METHODS Tertiary IBD outpatient clinics nationwide were invited to participate in a cross-sectional descriptive study conducted using an electronic survey. The quality of IBD nursing services was assessed using the Nursing Care Quality in IBD (NCQ-IBD) evaluation tool. RESULTS Of the 34 identified clinics, 27 participated (79.4%) in the study. The NCQ-IBD tool classifies the clinics in four categories, where A indicates the highest level of quality, and D the lowest. In this study, 26 clinics (96.3%) were classified at level C, and one clinic (3.7%) at level D. Nursing responsibilities in IBD management and informing the patients were at a high level of quality, whereas nursing research in IBD was at a low level. An IBD database (i.e. clinical IBD registry) was in use only in 10 clinics. Although training in the clinical aspects of IBD was readily available, there was a lack of training plans for IBD, and clinics seldom held an annual review of the IBD nursing activities and outcomes. There were very few clinics using structured indices and questionnaires, and only 16 clinics (59.3%) applied a written IBD protocol. CONCLUSION In the Finnish IBD nursing service, as measured with the NCQ-IBD tool, several areas for future improvement were identified.
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Affiliation(s)
| | | | - Eija Paavilainen
- Tampere University, Finland
- Etelä-Pohjanmaa Hospital District, Finland
| | | | - Mika Helminen
- Tays Research Services, Tampere University Hospital and Faculty of Social Sciences, Health Sciences, Tampere University, Finland
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Napolitano D, Vincenzo FD, Orgiana N, Schiavoni E, Germini F, Pugliese D, Scaldaferri F. The inflammatory bowel disease care manager: Italian state of the art. Ann Gastroenterol 2024; 37:37-45. [PMID: 38223251 PMCID: PMC10785024 DOI: 10.20524/aog.2023.0852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2023] [Accepted: 11/27/2023] [Indexed: 01/16/2024] Open
Abstract
Background In the inflammatory bowel disease (IBD) multidisciplinary team, a key figure is the IBD care manager, usually an independent practice nurse, responsible for evidence-based assessment, care planning, treatment evaluation, and provision of practical information, health education, and emotional support to patients. The objective of this study was to evaluate the profile of this figure in Italy. Methods A team of experienced nurses created a questionnaire based on the Second N-ECCO declaration, which was administered to nurses who worked in an IBD unit for a period of at least 3 years. A definition of IBD care manager was provided to every participant. The questionnaire consisted of 3 sections: behavioral, knowledge and managerial skills that an IBD care manager should exhibit. Results were studied in relation to the benefits for the patient, organizational advantages, clinical advantages and Italian state of the art. Results Fifty-five nurses participated in the study, from 28 Italian centers. In the evaluation of behavioral skills of IBD care managers, "management and support of the pregnant patient" was the lowest scored item, while "patient privacy" obtained higher scores. In the evaluation of knowledge, "knowledge of intimacy and sexuality" obtained the lowest scores, while "knowledge of psychophysical and social impact of the disease" obtained a higher score. In managerial skills "management of pain" obtained the lowest scores. Conclusion Our study confirmed that IBD care managers are invaluable nursing figures within the multidisciplinary team that cares for IBD patients, providing benefits to both patients' clinics and management.
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Affiliation(s)
- Daniele Napolitano
- UOS Malattie Infiammatorie Croniche Intestinali, Centro di Malattie dell’Apparato Digerente (CEMAD), Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, Roma (Daniele Napolitano, Federica Di Vincenzo, Elisa Schiavoni, Daniela Pugliese, Franco Scaldaferri)
| | - Federica Di Vincenzo
- UOS Malattie Infiammatorie Croniche Intestinali, Centro di Malattie dell’Apparato Digerente (CEMAD), Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, Roma (Daniele Napolitano, Federica Di Vincenzo, Elisa Schiavoni, Daniela Pugliese, Franco Scaldaferri)
| | - Nicoletta Orgiana
- Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Roma (Nicoletta Orgiana)
| | - Elisa Schiavoni
- UOS Malattie Infiammatorie Croniche Intestinali, Centro di Malattie dell’Apparato Digerente (CEMAD), Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, Roma (Daniele Napolitano, Federica Di Vincenzo, Elisa Schiavoni, Daniela Pugliese, Franco Scaldaferri)
| | - Francesco Germini
- Direttore di distretto SocioSanitario, ASL Bari (Francesco Germini), Italy
| | - Daniela Pugliese
- UOS Malattie Infiammatorie Croniche Intestinali, Centro di Malattie dell’Apparato Digerente (CEMAD), Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, Roma (Daniele Napolitano, Federica Di Vincenzo, Elisa Schiavoni, Daniela Pugliese, Franco Scaldaferri)
| | - Franco Scaldaferri
- UOS Malattie Infiammatorie Croniche Intestinali, Centro di Malattie dell’Apparato Digerente (CEMAD), Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Università Cattolica del Sacro Cuore, Roma (Daniele Napolitano, Federica Di Vincenzo, Elisa Schiavoni, Daniela Pugliese, Franco Scaldaferri)
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Rohatinsky N, Russell B, Read KB. The Experiences of Older Adults Living With Inflammatory Bowel Disease: A Scoping Review. Gastroenterol Nurs 2023; 46:296-308. [PMID: 37158397 DOI: 10.1097/sga.0000000000000737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 02/23/2023] [Indexed: 05/10/2023] Open
Abstract
The prevalence of inflammatory bowel disease is rising in persons older than 65 years. Although there is extensive literature on inflammatory bowel disease in older adults from a disease-related outcome, epidemiological, and treatment perspective, the older adult perspective on inflammatory bowel disease-related care needs and experiences is not well represented. This scoping review examines the existing literature regarding the care experiences of older adults living with inflammatory bowel disease. A systematic search was conducted using 3 concepts: older adults, inflammatory bowel disease, and patient experience. Seven publications met the inclusion criteria. Reported data include study design and methods, sample characteristics, and findings relevant to the research question. Two themes were identified: preferences for interactions with healthcare personnel and peer support networks, and barriers to accessing care for inflammatory bowel disease needs. An overarching concept across all studies was the need and request for individualized, patient-centered care where patient preferences are considered. This review highlights the need for more research on the older adult age group to guide evidence-informed practice that meets their individual inflammatory bowel disease care needs.
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Affiliation(s)
- Noelle Rohatinsky
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Brooke Russell
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Kevin B Read
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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