Effect of Designed Guidelines on Nurses' Performance and Patients' outcome Regarding Upper Gastrointestinal Endoscopy

Abstract

Abstract: Upper gastrointestinal endoscopy is a diagnostic and therapeutic procedure that provide good view of the mucosal surfaces of the upper gastrointestinal tract and management of many gastrointestinal conditions. Improving the outcomes of upper gastrointestinal endoscopic patients requires the best efforts of nurses in multiple settings and roles, working collaboratively with other health team. The aim of this study was to evaluate the effect of designed guidelines on nurses’ performance and patients' outcome regarding upper gastrointestinal endoscopy. Design: A quasi- experimental design was utilized to achieve the aim of this study. Setting: The study was conducted at gastrointestinal endoscopy unit at Ain Shams University Hospital. Sample: A convenient sample of all staff nurses working in gastrointestinal endoscopic unit. In addition, a purposive sample of 60 adult patients undergoing upper gastrointestinal endoscopic procedure was selected according to certain inclusion criteria and was divided into control and study group of patients. Tools of data collection: Self-administered questionnaire sheet for nurses, observational checklist for nurses and Patients’ outcome evaluation tool. Results: The results of this study showed that, total satisfactory level of nurses’ performance (knowledge and practice) regarding caring of upper gastrointestinal endoscopic patient and Patients’ outcomes (complications and satisfaction) improved post implementation of the designed guidelines for nurses caring for upper gastrointestinal endoscopic patients. Conclusion: Total satisfactory level of nurses' performance (knowledge and practice) and Patients’ outcomes (complications and satisfaction) improved post implementation of the designed guidelines for nurses caring for upper GI endoscopic patients. Recommendations: The study recommended the importance of implementing an educational training program to improve nurses’ performance regarding caring of upper gastrointestinal endoscopic patients and improving patients’ outcomes.