N027 Telephone/email service provided to IBD patients by Canadian IBD nurses
Notice bibliographique
Résumé
Inflammatory bowel disease (IBD) is a chronic disease characterized by periods of illness and remission. The disease course can be unpredictable and challenging to treat. This can have negative impacts on patients’ quality of life and lead to increased health care utilisation. Given the complex and unpredictable disease course, patients’ can require assessment that may not coincide with scheduled office visits. Nurses play an integral role in providing access to health care between office visits. The primary objective of this study was to examine the utilisation of IBD nursing telephone/email service provided to IBD patients during a 14-day period in Canada. Using a survey study design, data were collected by Canadian IBD (CANIBD) Nurses conducting an audit of telephone/email services provided by IBD nurses over a 2-weeks period. Gender, diagnosis, reason and length of call, action taken and probable healthcare utilisation were collected. The nurses’ interactions with IBD patients were compared using paired and independent t-tests. Eighty-four IBD nurses across Canada were invited to participate in the study; 21 nurses participated in the study, including 4 research nurses, 7 adult Registered Nurses (RN), and 2 paediatric RNs, 2 Clinical Nurse Specialists (CNS), 6 Nurse Practitioners (NP) (4 adults and 2 paediatric) with good representation from across the country. Five hundred and Seventy-two encounters were reported: 93 (16%) via email, 443 (77%) via telephone and 36 (6%) telephone conversation following email interaction. The reasons for the telephone/email contact were divided into 8 categories: disease flare, other gastrointestinal (GI) symptoms, medication-related concerns, follow-up with investigation results, scheduling appointments, questions related to insurance coverage, psychosocial concerns, and financial concerns. Because of IBD nurses’ interaction with patients, nurses were able to independently manage 61% of patient inquiries while 19% required additional clinician consultation. For further attention, 20% were scheduled in IBD clinic and 11% required follow-up phone call. A small proportion of IBD nurses in Canada offer telephone/email access to care for IBD patients. Although 84 IBD nurses were invited to participate in this outpatient IBD nursing practice audit, only 21 completed the survey. IBD nurses are a critical point of contact for patients and our study identified and compared common reasons for call in the adult and paediatric settings. Nurses were able independently manage the “reason for call” in 61% of the time. Further research would be valuable to explore the impact that IBD nurses have on the wellbeing of patients with IBD and their healthcare utilisation.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».