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postgraduate thesis: An evidence-based bowel preparation guideline to enhance quality of colonic cleansing for adult patients undergoing colonoscopy

TitleAn evidence-based bowel preparation guideline to enhance quality of colonic cleansing for adult patients undergoing colonoscopy
Authors
Issue Date2013
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
Citation
Wong, W. [黃蘊蘊]. (2013). An evidence-based bowel preparation guideline to enhance quality of colonic cleansing for adult patients undergoing colonoscopy. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5088506
AbstractColorectal cancer is one of the most common cancers in Hong Kong and there is an upward trend on the incidence rate. Lots of literatures found that colonoscopy is a relatively effective method for the screening of colorectal cancer. Optimal visualization of entire colonic mucosa is mainly affected by the quality of bowel cleansing. However, poor bowel cleansing is found to be a common problem for patients undergoing colonoscopy. As no evidence-based guideline was found on enhancing the quality of bowel cleansing, this dissertation aims at formulating an evidence-based guideline on it. In constructing this guideline regarding the enhancement of quality of bowel cleansing, a systemic search of relevant literatures was performed in several databases. Six studies were identified and critically appraised by using quality appraisal tool. Scottish Intercollegiate Guideline Network (SIGN). After that, the evidences were summarized, synthesized and translated into four recommendations. An evidence-based guideline to enhance the quality of colonic cleansing for adult patients undergoing colonoscopy was developed and its implementation potential was evaluated. In the phase of implementation, a communication plan was developed to initiate, guide and sustain the change. A pilot test was then established to examine the feasibility of actual implementation. An evaluation plan was made to assess the effectiveness of the proposed guideline on achieving the expected main outcomes, in patient, healthcare provider and system aspects. It is anticipated that with the use of this guideline, the quality of colonic cleansing for adult patients undergoing colonoscopy will be enhanced. The hospital involved will thus improve the quality of care and contribute to the whole health care system.
DegreeMaster of Nursing
SubjectColonoscopy
Dept/ProgramNursing Studies
Persistent Identifierhttp://hdl.handle.net/10722/193035

 

DC FieldValueLanguage
dc.contributor.authorWong, Wan-wan-
dc.contributor.author黃蘊蘊-
dc.date.accessioned2013-12-14T10:12:17Z-
dc.date.available2013-12-14T10:12:17Z-
dc.date.issued2013-
dc.identifier.citationWong, W. [黃蘊蘊]. (2013). An evidence-based bowel preparation guideline to enhance quality of colonic cleansing for adult patients undergoing colonoscopy. (Thesis). University of Hong Kong, Pokfulam, Hong Kong SAR. Retrieved from http://dx.doi.org/10.5353/th_b5088506-
dc.identifier.urihttp://hdl.handle.net/10722/193035-
dc.description.abstractColorectal cancer is one of the most common cancers in Hong Kong and there is an upward trend on the incidence rate. Lots of literatures found that colonoscopy is a relatively effective method for the screening of colorectal cancer. Optimal visualization of entire colonic mucosa is mainly affected by the quality of bowel cleansing. However, poor bowel cleansing is found to be a common problem for patients undergoing colonoscopy. As no evidence-based guideline was found on enhancing the quality of bowel cleansing, this dissertation aims at formulating an evidence-based guideline on it. In constructing this guideline regarding the enhancement of quality of bowel cleansing, a systemic search of relevant literatures was performed in several databases. Six studies were identified and critically appraised by using quality appraisal tool. Scottish Intercollegiate Guideline Network (SIGN). After that, the evidences were summarized, synthesized and translated into four recommendations. An evidence-based guideline to enhance the quality of colonic cleansing for adult patients undergoing colonoscopy was developed and its implementation potential was evaluated. In the phase of implementation, a communication plan was developed to initiate, guide and sustain the change. A pilot test was then established to examine the feasibility of actual implementation. An evaluation plan was made to assess the effectiveness of the proposed guideline on achieving the expected main outcomes, in patient, healthcare provider and system aspects. It is anticipated that with the use of this guideline, the quality of colonic cleansing for adult patients undergoing colonoscopy will be enhanced. The hospital involved will thus improve the quality of care and contribute to the whole health care system.-
dc.languageeng-
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)-
dc.relation.ispartofHKU Theses Online (HKUTO)-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.-
dc.subject.lcshColonoscopy-
dc.titleAn evidence-based bowel preparation guideline to enhance quality of colonic cleansing for adult patients undergoing colonoscopy-
dc.typePG_Thesis-
dc.identifier.hkulb5088506-
dc.description.thesisnameMaster of Nursing-
dc.description.thesislevelMaster-
dc.description.thesisdisciplineNursing Studies-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.5353/th_b5088506-
dc.date.hkucongregation2013-

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