P102. Process standards for the management of inflammatory bowel disease by nurses: Perspectives from health professionals and patients
P. Hernández-Sampelayo1, A. Torrejón Herrera2, L. Marín3, L. Oltra4, M. Seoane5, V. García-Sánchez6, F. Casellas2, N. Alfaro7, P. Lázaro7, M.I. Vera8
1Gregorio Marañón Universitary Hospital, Madrid, Spain; 2Vall d'Hebron UniversitaryHospital-Ciberehd, Barcelona, Spain; 3Germans Trias i Pujol Universitary Hospital, Badalona-Barcelona, Spain; 4Manises Hospital, Manises-Valencia, Spain; 5Santiago de Compostela Universitary Hospital (CHUS), Santiago de Compostela, Spain; 6Reina Sofía Universitary Hospital, Córdoba, Spain; 7Advanced Techniques in Health Services Research (TAISS), Madrid, Spain; 8Puerta del Hierro Universitary Hospital, Madrid, Spain
Background: The nursing role in the management of Inflammatory Bowel Disease (IBD) is very important, however, the perspective on how to perform it may differ depending on the collective values.
Objective: To compare process standards, developed by health professionals and patients, for the management of IBD by nurses.
Methods: After a literature search on the management of IBD by nurses, two questionnaires were developed: Questionnaire A, for professionals composed by 178 items as potential indicators of quality of care, and questionnaire B, for patients (123 items). Common for both questionnaires were 117 items.
With the questionnaires, a 2 two-round Delphi was conducted for each collective: Delphi A addressed to 27 IBD health professionals (12 nurses, 12 gastroenterologists, 3 surgeons) and Delphi B to 12 IBD patients.
The items were assessed by two kinds of scale: scale of 1 to 9 (1 not important, 9 very important) and continuous (e.g., number of visits per year).
Results: To monitor the patient by the same gastroenterologist (mean: 9.0 vs. 7.5) and nurse (8.5 vs. 7.5), is valued more by patients than professionals. Both consider relevant to develop clinical protocols to: prescribe, administer and monitor treatment, define care plan, criteria for referring patients with symptoms and nursing action before an outbreak.
Patients prefer that nurses report on care, treatment options and conditions, diagnostic tests performed being the information verbal and complete about the disease, its development and physical exams. Regarding the organization of telecare, both believe that nursing must: receive calls, provide service and response times, and refer to a specialist as needed.
Both considered important that the nurse assists and addresses visits (8.9 vs. 8.6), and visits the hospitalized patients (8.2 vs. 8.0).
Professionals and patients propose to dedicate at least half an hour for the first nursing visit and after an ostomy, and at least 15 minutes on successive visits. Patients consider necessary twice visits than professionals (6 vs. 3 visits/year), while demand faster attention, 2 vs. 5 days of waiting.
Conclusions: The assessment of some process standards on the management of IBD by nurses differs between health professionals and patients. Our findings may help to improve the quality of care, patient-centered care, and ultimately, the patents' outcomes with a multidisciplinary approach.