Insights into the status of the quality of nursing care in patients with inflammatory bowel disease: A nationwide survey (The MAPEA Project)
Abstract
BACKGROUND AND AIMS: This study aimed to provide a comprehensive nationwide assessment of the status of nursing management in inflammatory bowel disease (IBD). METHODS: A nationwide observational cross-sectional survey study was conducted. Nurses involved in the care of patients with IBD completed the 90-item Nursing Care Quality in IBD Assessment (NCQ-IBD) questionnaire which classifies the level of quality of care from A (highest) to D (lowest). RESULTS: A total of 71 f questionnaires were analyzed. In this study, category A was achieved in 2 (2.8%) cases, category B in 53 (74.6%), and category C in 16 (22.5%). Of the list of 27 professional competencies identified for a specialized IBD nurse, 23 (85.2%) were met by more than 70% of participants. Regarding the presence of specific nursing IBD care only 28 (39.4%) worked for more than 4.5days/week. About 88.7% of nurses used clinical practice guidelines or protocols and 74.6% applied scales for assessing anxiety and depression, but just 18.8% and 25.4% evaluated IBD classification and activity indexes, respectively. Only 53.5% of participants reported to have available training plan in IBD. In the last 5 years, 25.4% of professionals had participated in more than five research projects, 9.9% had presented more than five communications in meetings, and 14.1% had published more than three articles. CONCLUSIONS: Nursing care was highly satisfactory. Signage on nursing consultation doors, administrative support, holiday coverage, encouraging research, and primarily increasing the ratio of nurses working full-time, are areas for improvement.