The Impact of Nurse Education on the Quality of Inpatient Bowel Preparation for Colonoscopy

The Impact of Nurse Education on the Quality of Inpatient Bowel Preparation for Colonoscopy; Randomized Single Blinded Study

Effective bowel preparation is important for examination of the entire colon adequately and for identifying colonic lesions during colonoscopy. However, it is well known that bowel preparation of inpatients is much poorer than that of outpatients. Our goal is to improve bowel preparations with reinforcement of nurse education that explains the steps required for bowel preparation for inpatients undergoing colonoscopies. The education will focus on explaining the purpose of a screening colonoscopy, the rationale for bowel preparation, the pre-colonoscopy diet, and the instructions for completing the laxative. Patients in the control group will receive the standard written bowel preparation instructions, while patients in the intervention group will receive standard written instructions plus a explanation from reinforcement-educated nurse. The investigators hypothesize that patients received a explanation from reinforcement-educated nurses will lead to improved patient compliance and a better bowel preparation. In addition, the investigators hypothesize that a better quality bowel preparation will improve detection of colonic polyps and patients' satisfaction for colonoscopy.

Study Overview

• Status: Completed
• Conditions: Ottawa Scale <6
• Intervention / Treatment: Other: Reinforcement Nurse Education

• Study Type: Interventional
• Enrollment (Actual): 205
• Phase: Phase 3

Contacts and Locations

Study Locations

• Korea, Republic of
  • Daegu, Korea, Republic of, 700-712
    • Eun Soo Kim

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 19 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• all inpatients
• age >18
• referred and scheduled for an elective screening colonoscopy

Exclusion Criteria:

• outpatients
• pregnancy
• breast feeding
• prior history of surgical large bowel resection
• patients allergic to PEG-ELS based laxatives

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Interventional; The investigational, or experimental arm, will receive standard written instructions on preparing for a colonoscopy plus interventional instructions from reinforcement educated nurse such as 'Reinforcement Nurse Education'	Other: Reinforcement Nurse Education; The investigational, or experimental arm, will receive standard written instructions on preparing for a colonoscopy plus instructions from reinforcement educated nurse
No Intervention: Standard preparation instructions; The control arm will receive written instructions on preparing for a colonoscopy per standard of care at Keimyung University Dongsan Medical Center

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of bowel preparation	The primary outcome will be the endoscopist's assessment of the quality of preparation using Boston and Ottawa bowel preparation scale	day 1

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient compliance	Patient compliance with preparation instructions self-reported in a pre-procedure questionnaire	baseline
Colonoscope insertion and withdrawal times	Time from insertion to cecum and time from cecum to anus	day 1
Patient's willingness to do bowel preparation next time	Patient's willingness to do bowel preparation next time self-reported on a pre-procedure questionnaire	baseline
Preparation associated side effects	Presence and severity of preparation associated side effects including: bloating, abdominal pain, and nausea/vomiting	baseline

Collaborators and Investigators

• Sponsor: Keimyung University Dongsan Medical Center
• Investigators: Principal Investigator: Eun Soo Kim, Professor, Keimyung University Dongsan Medical Center

Study record dates

Study Major Dates

• Study Start: July 1, 2013
• Primary Completion (Actual): January 1, 2014
• Study Completion (Actual): January 1, 2014

Study Registration Dates

• First Submitted: July 22, 2013
• First Submitted That Met QC Criteria: July 26, 2013
• First Posted (Estimate): July 30, 2013

Study Record Updates

• Last Update Posted (Estimate): December 30, 2014
• Last Update Submitted That Met QC Criteria: December 25, 2014
• Last Verified: December 1, 2014

More Information

Terms related to this study

• Keywords: Bowel preparation
• Other Study ID Numbers: 2013-05-049-001