Effect of Educational Guidelines on Nurses Performance for patients Undergoing Colonoscopy

Document Type : Original Article

Authors

1 Demonstrator, Medical Surgical Nursing, Faculty of Nursing, Tanta University, Egypt.

2 Professor of Medical- Surgical Nursing ,Faculty of Nursing, Tanta University, Egypt.

3 Professor of Internal Medicine, Faculty of Medicine, Tanta University, Egypt

4 Assist Professor of Medical- Surgical Nursing, Faculty of Nursing, Tanta University, Egypt

Abstract

Back ground: Colorectal cancer (CRC) is the second most common cause of cancer
death worldwide, after lung cancer , so early cancer detection permits costs reduction
for treatment and increase the survival rate, colonoscopy is the only invasive
procedure with the double capability of optically screen the entire colonic mucosa and
perform a polypectomy procedure .The removal of polyps is associated with a
reduction of 60% of deaths. Design: Quasi- experimental study. Setting: The study
conducted in the endoscopy unit at Tanta International Teaching Hospital and Internal
Medicine Hospital affiliated to Tanta University Hospital. Subjects: The sample
consisted of all nurses (33nurses) who are working in the previously mentioned
settings (22 nurses from Internal Medicine Hospital and 11nurse from Tanta
International Teaching Hospital) . Tools: Two tools were enrolled in the study for
data collection: Tool (I)"Structured Interview Schedule", Tool (II) :
Results: shows that none of the studied nurses in I.M.H
and T.I.T.H group satisfactory at practice before educational guidelines (0.00%)
compared to the majority (90.9% and 77.3%) at I.M.H and the majority (100%, 81.8
%) at T.I.T.H had satisfactory immediately and one-month post educational
guidelines. Conclusion: the educational guidelines improved the knowledge and
practice score of the nurses towards patients undergoing colonoscopy with a highly
statistically significant difference throughout periods of study as P value 0.001.
Recommendation: designing and implementation service training program for
nurses in the GIT endoscopy unit to improve their knowledge and practices and
decrease complications for patients undergoing colonoscopy.