bluuebunny/crossref_metadata_2025_split huggingface dataset:
N13 Development of an interactive vaccination guide for Canadian Inflammatory Bowel Diseases nurses to use with immunosuppressed patients with IBD: Insights into the process & practical applications
Authors: Watson M , Frost K , Khalil N , Rohatinsky N , Shalhoub S 
Published: January 2025

Abstract

Background
Inflammatory Bowel Disease (IBD) is a chronic, immune-mediated condition requiring complex management, often with immunosuppressive therapies. These therapies increase infection risk, making vaccination vital. Given the complexities of immunosuppressive therapies and vaccine considerations, IBD nurses need support to provide vaccination-related guidance to patients. The Canadian IBD Nurses (CANIBD) group developed an interactive vaccination guide to support IBD nurses in this role and shares the process, lessons learned, and practical applications.

Methods
The interactive vaccination guide, developed by CANIBD and infectious disease specialists, is a web-based resource hosted by Crohn’s and Colitis Canada (https://canibdvaccination.ca/). With greater access to technological resources, such as computers-on-wheels and electronic tablets, the paper-based format became under-utilized. Transitioned to an interactive web-based format in 2024, the guide was redesigned to optimize usability.
The development process involved a scoping review of updates in vaccination, including COVID-19 vaccination guidelines. This review was conducted by 2 IBD nurse practitioners and 2 infectious disease specialists in pediatric and adult care. The CANIBD board members approved a budget for web development after reviewing a business proposal. The project took 12 months to complete, involving multiple virtual meetings among collaborators and web designers.

Results
The vaccination guide includes updated content on: 1) identifying immunocompromised patients; 2) live vaccines; 3) inactivated vaccines; 4) COVID-19 vaccines; 5) travel vaccines; and 6) vaccinations for family members of immunocompromised patients. Designed for ease of use, the guide enables IBD nurses to provide timely, real-time vaccination support to patients and families. It ensures appropriate and comprehensive care plans for immunocompromised patients and is regularly updated as new data emerges.

Conclusion
The vaccination guide has proven valuable for IBD care. Its interactive, question-based design simplifies vaccination recommendations, supporting patients and families in staying protected. By incorporating the latest vaccine updates and addressing family vaccination needs, the guide reduces infection risk, enhances patient care, and reinforces CANIBD’s commitment to advocacy and healthcare collaboration. Future plans include evaluating the guide’s usability and expanding its reach to other healthcare providers, such as physicians and pharmacists.
N15 Why and How To Establish Intestinal Ultrasound in the IBD Nurse Outpatient Clinic
Authors: Kühnel C , Bjerrum J 
Published: January 2025

Abstract

Background
Intestinal ultrasound (IUS) is an emerging, non-invasive imaging modality that has shown potential in the evaluation and management of Inflammatory Bowel Disease (IBD). As the incidence and prevalence escalate and more and more patients receive advanced biologic treatment the pressure on the outpatient clinics continues to increase. Integrating IUS in the IBD nurse outpatient clinic can potentially alleviate these challenges and improve patient care.

Objective
To outline the process of establishing IUS in the IBD nurse outpatient clinic and identify key elements to ensure successful integration.

Methods
The IBD nurse outpatient clinic for IUS was established May 2024 at Herlev Hospital, Denmark. Herlev Hospital is an international IUS training center associated with IBUS and IBUS Nordic (International Bowel Ultrasound Group). The process was initiated January 2022 during which two dedicated IBD nurses started hands-on training once a week at the center. One was subsequently internationally certified via the IBUS curriculum and exam at ECCO February 2024, and proceeded to be the primary IUS-IBD nurse upon which the clinic is based. This process was subsequently evaluated systematically by the two initial IBD nurses, two IUS trainers at the center, and two from the administration (one doctor and one nurse), and they had to reach consensus on key elements in the process.

Results
Six key elements were identified of which three were essential, i.e., education, infrastructure, and organization, see Figure. Education: IUS training and certification, preferably at an international level, is required. Infrastructure: access to a high-end ultrasound machine and dedicated room, time and personal are mandatory. Organization: support from the administration is vital. If one of these three essential key elements is missing the process will most likely be unsuccessful, meaning that no element is more important than the other.

Conclusion
Establishing IUS within the IBD nurse outpatient clinic is feasible if a few but vital elements are present, and it offers potential benefits for both patient care and organization of the IBD outpatient clinic. This initiative highlights the role of advanced nursing practice in the care of patients with IBD and supports the adoption of innovative techniques in routine clinical practice.
N19 Analysis of Decision Conflict and Decisional Regret on treatment choices in patients with Acute Severe Ulcerative Colitis
Authors: Mcbride J , Thomas M , Fitzgerald A L , Robertson H , Turnbull J , Talbot A , Thut J , Whitehead E , Sebastian S 
Published: January 2025

Abstract

Background
Informed choice about treatment options in the setting of Acute Severe Ulcerative Colitis (ASUC) is often challenging for the patient due to state of heightened stress in this acute setting and the ongoing uncertainties about treatment outcomes, it is uncertain whether patients reconcile with their choice made in this acute setting. We aimed to evaluate decisional conflict and decisional regret among ASUC patients and examine whether decisional conflict contributed to regret.

Methods
Patients included in a prospective observational study of ASUC filled two psychometric instruments Decisional Conflict Scale (DCS) and Decisional Regret Scale (DRS). Patients were followed up for 12 months. Differences in DCS scores between patients who underwent colectomy versus those treated with medical therapy were evaluated. Changes in DRS scores at follow up was analysed and factors resulting in high decisional regret scores were evaluated.

Results
Of the 219 patients admitted with ASUC 87 completed the DRS at 12 months. Of these, 70 had no regrets about their treatment, 11 were neutral, and 6 regretted their decision fig1. Among patients who underwent colectomy, 12 patients completed the DCS at 90 days, with 8 agreeing that it was the right decision by 12 months. For biologic treatment, 70 patients completed the DCS at 90 days, with 63 agreeing it was the right choice, and 44 patients completed the DCS at 12 months, with 43 agreeing. A subgroup of 36 patients who were unsure about their treatment choice at 90 days showed a more divided response, with 17 agreeing it was the right choice by 12 months, while 11 remained uncertain.

Conclusion
This study highlights the psychological challenges faced by ASUC patients in their treatment decisions. Decisional conflict is highly prevalent, particularly among those uncertain about their treatment options. These findings suggest the need for developing tailored decision aid tools to facilitate improved shared decision-making processes in ASUC.
N22 Exploring the Competencies of IBD Nurses in Italy: A Cross-sectional Survey
Authors: Schiavoni E , Greco D , Scaldaferri F , Napolitano D 
Published: January 2025

Abstract

Background
Nurses are essential for caring for patients with inflammatory bowel diseases (IBD)1. Their responsibilities encompass patient education, therapeutic management, and emotional support. However, the competencies of IBD Nurses in Italy still need to be studied2. This research assessed Italian IBD Nurses’ fundamental and advanced skills, providing a baseline for future professional development.

Methods
This cross-sectional study used an online survey developed by a multidisciplinary expert panel, including gastroenterologists and IBD nurse specialists. The 53-item survey covered sociodemographics, professional characteristics, institutional context, and competencies (fundamental and advanced) assessed via a 5-point Likert scale based on N-ECCO guidelines. Distributed nationwide from June to August 2024, descriptive statistics summarised participants' profiles, and inferential analyses, including Pearson’s correlations and ANOVA, explored associations between competencies and variables like experience, education, and institutional factors.

Results
The study analysed responses from 50 IBD Nurse, predominantly female (92%), with a mean age of 48.38 years (SD ± 9.7). Fundamental competencies showed consistently higher mean scores compared to advanced competencies. High proficiency was noted in establishing empathetic relationships and recognising the emotional impact of IBD (mean score: 4.06/5). Advanced competencies with the highest scores included caregiver education and multidisciplinary support (3.56/5 and 3.40/5, respectively). However, gaps were identified in paediatric care management (2.30/5) and transitional care (2.46/5). Significant correlations were observed between years of IBD-specific experience and competencies such as therapeutic management and stress handling.

Conclusion
Italian IBD Nurses demonstrate fundamental solid and moderate skills in advanced competencies. Gaps in paediatric and transitional care underscore the need for targeted training. Enhancing educational programs and multidisciplinary collaboration can improve the quality of care for IBD patients. Future studies should address integrating digital health tools to support self-management and patient outcomes.

References
1.McDowell C, Farooq U, Haseeb M. Inflammatory Bowel Disease. In: StatPearls. StatPearls Publishing; 2024. Accessed August 24, 2024. http://www.ncbi.nlm.nih.gov/books/NBK470312/
2.Tanaka M, Kawakami A, Sakagami K, Terai T, Ito H. Influence of multidisciplinary team care with abundant nurse staffing on patient-reported outcomes among patients with inflammatory bowel disease in clinical remission. Health Qual Life Outcomes. 2024;22(1):44. doi:10.1186/s12955-024-02247-w
3.Kemp K, Dibley L, Chauhan U, et al. Second N-ECCO Consensus Statements on the European Nursing Roles in Caring for Patients with Crohn’s Disease or Ulcerative Colitis. Journal of Crohn’s and Colitis. 2018;12(7):760-776. doi:10.1093/ecco-jcc/jjy020
N24 A longitudinal qualitative exploration of symptom clusters in new diagnosed patients with Crohn’s disease
Authors: Chen L , Zhou Y 
Published: January 2025

Abstract

Background
There is a burgeoning recognition that symptoms frequently coexist in ‘symptom clusters’, and comprehending these clusters may enhance the management of unrelieved symptoms in patients with Crohn’s disease. However, the nature and dynamics of the symptom clusters among newly diagnosed Chinese Crohn’s disease patients remain poorly understood.

Methods
A longitudinal qualitative study was adopted to explore the evolution of symptom clusters in newly diagnosed patients with Crohn’s disease within one year. Eighteen patients from two tertiary hospitals in southeast China were recruited through purposive sampling. Semi-structured interviews were conducted on four occasions: soon after diagnosis, 3, 6 and 12 months post-diagnosis. Data analysis of each time point was based on conventional content analysis. Afterwards, the data of each time point were compared longitudinally to capture the trend.

Results
Although some patients were unaware of the relationships among their symptoms, three clusters were identified in their narratives of individual symptoms. These symptom clusters included abdominal pain/ vomiting/ nausea/ sleep disorders (Cluster 1), diarrhea/ urgency/ bloating/ fatigue/ weight loss (Cluster 2), and anxiety/ depression/ fear/ abdominal discomfort/ loose stools (Cluster 3), all of which are shown in figure 1. As the disease duration increased, the number of patients reporting Cluster 1 decreased. Similarly, the Cluster 2 exhibited a gradual decline over time, albeit it was still the most frequently reported cluster by the participants. In addition, the occurrence of Cluster 3 did not change significantly over time.

Conclusion
Overall, the symptom cluster burden in Crohn’s disease patients gradually decreased over time, while the psychological symptoms related cluster remained stable. Due to the brain-gut axis, the psychological distress and gastrointestinal discomforts mutually influence each other, warranting additional attention. Healthcare providers ought to develop tailored interventions, aligned with the distinctive features of symptom clusters present at various stages, in order to mitigate the symptom burden and enhance the quality of life for patients diagnosed with Crohn’s disease. Furthermore, considering the limited awareness of symptom clusters among certain patients, it’s imperative to strengthen symptom related education to increase their health literacy.
N26 Factors associated with Inflammatory Bowel Disease (IBD) helpline (HL) utilisation: Crohn’s Colitis Cure Data Insight’s Program
Authors: Davidson C , Su W K , Wilson W , Rivas C , Antoniades S , Wark G , Su H , Ghaly S , Grafton R , Andrews J M , Connor S J 
Published: January 2025

Abstract

Background
Specialised IBD nurse-led HLs are essential to improve healthcare outcomes through the provision of timely support, proactive symptom, and disease management as well as remote medication management. This study explored patient, disease, and treatment characteristics to understand whether there are specific drivers of HL use.

Methods
Crohn’s Colitis Care (CCCare) is a cloud-based IBD-specific electronic medical record used in Australia and New Zealand. It includes a ‘HL’ tab to enable specific HL encounter documentation. De-identified data feeds into a clinical quality registry (CQR). HL-associated data prospectively entered during clinical practice from September 2023 to September 2024 were retrospectively analysed. Multivariate analysis was performed with a negative binomial regression model to investigate significant predictors influencing HL utilisation.

Results
During the 12-month period, there were a total of 10,705 contacts in a cohort of 7506 eligible people (1.4 per person (pp)), of which 8082 (75.5%) were emails and 2623 (24.5%) telephone calls. People with Crohn’s disease on average had more HL contacts than ulcerative colitis and IBDU (1.6pp vs 1.2pp vs 1.2pp respectively). See Table 1 for details.
People currently on an advanced therapy were more likely to use the HL (OR 2.3, [95% CI 0.51 to 1.13], P&lt;0.001) compared to those who were not receiving an advanced therapy. By contrast, those residing in New Zealand were less likely to use the HL than those residing in Australia (OR 0.2, 95% CI [-2.3 to -1.0], P&lt;0.001), as were people with composite endoscopic and radiologic remission compared to those not in remission (OR 0.8, 95% CI [-0.55 to -0.0002], P&lt;0.05).

Conclusion
As expected, individual’s requiring complex care (on advanced therapy or not in endoscopic and radiologic remission) warrant more frequent contact with healthcare providers. A helpline bridges the gap between IBD services and the community and likely enhances positive outcomes for this population.
N27 Impact of Anaesthetic Nurse Scheduling Patterns on Resuscitation Outcomes after Painless Gastrointestinal Endoscopy in Patients with Inflammatory Bowel Disease
Authors: Hu Y , Zhu T 
Published: January 2025

Abstract

Background
Nurse anesthetists in the post-anesthetic care unit (PACU) of the Gastrointestinal Endoscopy Center monitor and manage complications following endoscopy procedures. We examined the impact of nurse anesthetist scheduling patterns on resuscitation efficiency of inflammatory bowel disease (IBD) patients in the anesthesia recovery room after painless gastrointestinal endoscopy.

Methods
This was a retrospective analysis of IBD patients who underwent resuscitation following painless gastrointestinal endoscopy at a large tertiary care IBD clinic. Two anesthetic nurse practitioner scheduling models were compared: In 2022 (before-reform, BR), the scheduling model consisted of three anesthetic nurse practitioners (N1, N2, N3) with a nurse-to-resuscitation bed ratio of 1.5:1. In 2023 (after-reform, AR), the scheduling template was adjusted to reduce one N2 anesthesia nurse (nurse-to-resuscitation bed ratio of 1:1). The number of consultations, length of stay, complications, anesthesia nurses' satisfaction and patient satisfaction were compared between BR and AR groups.

Results
211 and 246 patients with IBD were resuscitated in the PACU after painless gastrointestinal endoscopy in 2022 and 2023, respectively. The median length of stay in the PACU decreased significantly from 27.30 min (25.10–28.98) before the reform to 22.30 min (20.20–24.70) after the reform (p&lt;0.001). There was no significant difference in the occurrence of complications following the implementation of the reform (hypoxemia, hypotension, nausea and vomiting, abdominal distension, pain, coughing, hypersomnia) (p=0.354). The anesthesia nurse practitioners were more satisfied with the reformed scheduling pattern, which mirrored the improved satisfaction among IBD patients.

Conclusion
The reformed anesthesia nurse scheduling model yielded improved resuscitation efficiency, reduced costs, and improved satisfaction of nurse anesthetists and IBD patients. Further studies are required to validate these findings.

References
[1].Elmunzer BJ, Anderson MA, Mishra G, Rex DK, Yadlapati R, Shaheen NJ. Quality Indicators Common to All Gastrointestinal Endoscopic Procedures. Am J Gastroenterol. 2024 .
[2].ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force, , Calderwood AH, et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc. 2014. 79(3): 363-72.
[3].Luckowski A. Safety priorities in the PACU. Nursing. 2019. 49(4): 62-65.
[4].Dolinger M, Torres J, Vermeire S. Crohn's disease. Lancet. 2024. 403(10432): 1177-1191.
N38 Exploring the role of the IBD surgical link nurse in a tertiary referral centre
Authors: Baby J , Okpeh C , Sahnan K , Tozer P , Worley G , Younge L 
Published: January 2025

Abstract

Background
An inflammatory bowel disease (IBD) surgical link nurse (SLN) role was introduced during the Covid -19 pandemic to improve monitoring and safety netting for IBD patients awaiting surgery. Objectives include maintaining a database and working with the MDT and scheduling team to prioritise and manage operating lists, and avoid patients being removed form waiting lists inappropriately. Bi-weekly meetings facilitate MDT review with surgical, nursing, and dietetic input allowing for timely therapeutic optimisation of advanced therapies, facilitate preoperative optimisation and coordinate care among the MDT and scheduling team, often including primary and secondary care outside of our trust as appropriate. The IBD SLN also undertakes virtual clinics and provides advice line support for patients awaiting surgery providing monitoring, reassurance, education, and empowerment. We wanted to capture clinical activity and outcomes from the SLN role, including utilisation of service, by reviewing the IBD surgical monitoring database for the previous 12 months.

Methods
Three referral systems for entering the patient to the IBD surgical link nurse monitoring database were reviewed. Direct referral from colorectal surgeons, patient-initiated referrals via the existing IBD advice line service, and the IBD email service acting as a referral system for primary care, other secondary care centres, multi-disciplinary team, and advanced therapy service to highlight to the IBD SLN patients who there are concerns about. All referrals are assessed and categorised by the IBD SLN and added to the IBD surgical monitoring database.

Results
Between October 2023 to September 2024, 208 referrals were received. The majority of referrals came from colorectal surgeons. 131 virtual support sessions have been conducted for pre-operative support and education. 74 patients underwent colorectal surgeries and 4 patients declined surgery. Currently, 122 patients are on the IBD surgical monitoring database for active monitoring. Patient feedback is being collected regarding their experiences of the service.

Conclusion
The IBD SLN role supports patients while awaiting surgery. The IBD SLN acts as a support and point of access for patients and family to discuss surgery and related issues. This role has improved communication between primary care and within the MDT. The IBD surgical monitoring database strengthens safety netting and avoids unnecessary delay or cancellation in surgeries. This comprehensive monitoring system and the SLN role helps provide timely surgical care, optimises waiting lists, facilitates efficient and equitable utilisation of theatre lists, and helps to avoid unnecessary outpatient and emergency department attendance.
N39 Point of care ultrasound in Inflammatory Bowel Disease patients, being introduced in an Irish context - key stakeholder's perspectives
Authors: O Sullivan C , Hegarty J , Sugrue K , Gleeson S , McCarthy J , Buckley M , Moran C , Sheehan D , McDonald C , Burton A 
Published: January 2025

Abstract

Background
Point of care ultrasound is a real-time, non-invasive imaging modality used across many disciplines for several years, including in Inflammatory Bowel Disease (IBD) patients in central Europe. However, it is only recently beginning to be introduced in an Irish context. This study aims to explore the perspectives of key stakeholders in IBD in Ireland, towards the introduction of point of care ultrasound (PoCUS) amongst IBD patients. The secondary aim is to clarify if key stakeholders are supportive of nurse performed PoCUS in IBD if a referral pathway was to become available in an Irish context.

Methods
A quantitative cross sectional, descriptive online survey was developed to collect anonymous responses from key stakeholders in the IBD clinical care context in Ireland. The email inviting potential respondents to consider participation in the survey was distributed by two professional bodies – The Irish Society of Gastroenterology and Inflammatory Bowel Disease Nurses Association of Ireland. Analysis included a descriptive modelling of the data using logistic regression.

Results
In completing the survey, 25% of respondents confirmed that they had an ultrasound service for IBD patients while 44% (n=42) have future plans to develop one. Among the surveyed doctors, only 9% (n=9) have undergone training in PoCUS, while 79% of all respondents express intentions to pursue training or are open to considering it in the future. On average, respondents disagreed that PoCUS will replace Colonoscopy and MRI in the future, with a mean score of 2.47 (SD 1.24). Doctors and nurses perceive having access to PoCUS as important for patient outcome and quality of care, mean 4.06 (SD 1.02). Overall, 51% (n=48) of respondents reported having no fears or reservations associated with using PoCUS in clinical practice. Both doctors and nurses exhibited positive attitudes towards nurse-led PoCUS in IBD, highlighting its perceived cost effectiveness, as evidenced by a mean score of 4.38 (SD 1.01).

Conclusion
Key findings highlight a majority of respondents have plans to develop a PoCUS service and undertake training to improve quality of care for patients with IBD. The vast majority of respondents support the introduction of nurse performed PoCUS in the Irish setting.

References
Dolinger, M. Kayal, M. Intestinal Ultrasound Is the Ideal Patient-Centric, Point-of-Care Tool for Clinical Decision Making in the Inflammatory Bowel Disease Practice, Crohn's & Colitis 360, Volume 5, Issue 3, July 2023, otad029, available at: https://doi.org/10.1093/crocol/otad029.