Abstract
A colonoscopy is an important preventative, diagnostic, and therapeutic procedure, but its effectiveness largely depends on the adequacy of the pre-procedure bowel preparation. When bowel preps are inadequate, there are increases in missed neoplastic lesions or cancers, inconveniences to the patient with additional hospital stay, and increased risks of procedural adverse events, like perforations. Studies show that inadequate bowel preps lead to incomplete procedures and delays in care for patients. Studies conducted on educational strategies of bowel preps show a link between education and adequacy of bowel preps. This project utilizes in-person verbal and written education for inpatient participants and telephone education for outpatients. This education will reiterate the importance of drinking the entire bowel prep, answer any questions the participant may have, and identify any potential barriers preventing the participant from having an adequate colonoscopy. Data was collected from pre-intervention and post-intervention groups for both inpatient and outpatient colonoscopies using ProvationMD reports charted by the gastroenterologists. 50% of inpatient and 40% of outpatient colonoscopies had inadequate bowel preps in the pre-intervention groups. 35% of inpatient and 10% of outpatient colonoscopies had inadequate preps in the post-intervention groups. A decrease in inadequate bowel preps was noted in the inpatient groups, but it was not a statistically significant difference. A statistically significant decrease in inadequate bowel preps was found for the outpatient groups. This project aimed to increase the adequacy of bowel preps through an educational program. With knowledge gained, pre-procedure education may become a new standard practice with inpatient and outpatient populations.
Sigma Membership
Tau Tau
Lead Author Affiliation
Nebraska Methodist College, Omaha, Nebraska, USA
Type
DNP Capstone Project
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Colonoscopy Preparation, Quality of Bowel Preparation, Patient Education
Advisor
Krumbach, Jillian
Degree
DNP
Degree Grantor
Nebraska Methodist College
Degree Year
2021
Recommended Citation
Beekman, Troy; Leistico, Rebecca; and Krumbach, Jillian, "The impact of education on inpatient and outpatient bowel preparations" (2024). Group: Nebraska Methodist College. 16.
https://www.sigmarepository.org/group_nmc/16
Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.
Rights Holder
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Review Type
Faculty Approved: Degree-based Submission
Acquisition
Self-submission
Full Text of Presentation
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