A stitch in time saves nine: Perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study

Kirkegaard, Pia; Edwards, Adrian; Andersen, Berit

doi:10.1016/j.pec.2019.02.025

Cited by 10 publications

(31 citation statements)

References 56 publications

(64 reference statements)

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“…Medical skills and a caring behavior of the HP have shown to be important when undergoing screening (29,33,37). These competences were also valued and experienced by our patients, which contributed to a less challenging colonoscopy experience.…”

Section: Discussionmentioning

confidence: 71%

“…Besides weighing bene ts and harms of undergoing colonoscopy, patients felt obliged to participate. In screening programmes patients had felt compelled to do as told when receiving a screening invitation and to participate for the sake of the family (28)(29)(30)). An interesting nding from the current study was though that patients also expressed obligation to participate because they felt there was no other way for colon cancer detection.…”

Section: Discussionmentioning

confidence: 99%

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Experiences of Patients Undergoing Bowel Preparation and Colonoscopy- A Qualitative Longitudinal Study

Shamim

Andresen

Thaysen

et al. 2020

Preprint

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Background: Colonoscopy remains the reference standard for diagnosing and monitoring colorectal cancer and is also used for both diagnosis and surveillance of inflammatory bowel disease and it. Previous studies have shown that the preparation procedure was unpleasant for the patients, and they felt anxious about it alongside the anxiety related to the colonoscopy and the results. However, there is a limited knowledge of the patients’ needs when undergoing colonoscopy and the challenges within. The purpose of the study was to explore experiences of undergoing bowel preparation and colonoscopy.Methods: The study was designed as a qualitative longitudinal interview study with an inductive research approach. Twenty-five face to face interviews and twenty-one follow up interviews were conducted based on a semi structured interview guide. The interviews were analyzed using qualitative content analysis, and results reported according to COREQ guidelines.Results: Based on the findings, three categories emerged: To weigh up participation, A greater challenge than expected, and Not so challenging after all. Throughout these categories the experience of uncertainty was reported.Conclusions: The process of undergoing bowel preparation and colonoscopy was complex and influenced by uncertainty due to insufficient information. There is a need to strengthen the patient-centered care by adjusting the information to patient’s needs. It is necessary to tailor the written information to meet patients’ needs to better support them in decision-making for participation, to better prepare them for the bowel preparation and to better prepare them for the procedure. In addition, it is vital that patients are provided with results of the colonoscopy that correspond to the timeframe specified in written the information.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Experiences of Patients Undergoing Bowel Preparation and Colonoscopy- A Qualitative Longitudinal Study

Shamim

Andresen

Thaysen

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…6,28 Medical skills and a caring behavior of the HP have shown to be important when undergoing screening. 21,25,29 These competences were also valued and experienced by our patients, which contributed to a less challenging colonoscopy experience. The competences were particularly needed when exposing the lower part of the body.…”

Section: Dovepressmentioning

confidence: 80%

“…In screening programs, patients had felt compelled to do as told when receiving a screening invitation and to participate for the sake of the family. [20][21][22] An interesting finding from the current study was though that patients also expressed obligation to participate because they felt there was no other way for illness detection. Thus, participation in colonoscopy may not solely be depending on patients' own opinions although it is for the benefit of the patient.…”

Section: Dovepressmentioning

confidence: 85%

Experiences of Patients Undergoing Bowel Preparation and Colonoscopy: A Qualitative Longitudinal Study

Shamim¹,

Andresen²,

Thaysen³

et al. 2021

JMDH

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Introduction: Colonoscopy remains the reference standard for diagnosing and monitoring colorectal cancer and for diagnosis and surveillance of inflammatory bowel disease. However, there is a limited knowledge of the patients' needs when undergoing colonoscopy and the challenges within in order to reduce the number of cancelled colonoscopies. The purpose of the study was to explore the experiences of undergoing bowel preparation and colonoscopy. Methods: The study was designed as a qualitative longitudinal interview study with an inductive research approach. Patients were considered for inclusion consecutively and selected based on the following criteria of variation: way of referral for colonoscopy (outpatient or screening), age and gender. The interviews were analyzed using qualitative content analysis, and results reported according to COREQ guidelines. Results: Based on the findings, three categories emerged: To weigh up participation, A greater challenge than expected, and Not so challenging after all. Throughout these categories, the experience of uncertainty was reported. Discussion: The process of undergoing bowel preparation and colonoscopy was influenced by uncertainty due to insufficient information. There is a need to strengthen the patientcentered care by adjusting the information to patient's needs to better support them in decision-making for participation, to better prepare them for the bowel preparation and to better prepare them for the procedure. In addition, it is vital that patients are provided with results of the colonoscopy that correspond to the timeframe specified in written information.

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“…Forty-six articles were found to meet the inclusion criteria in the full text review and a total of 11 articles were included in the final analysis (Figure 1). The eligible articles incorporated the opinions of patients who were symptomatic 18 (n ¼ 1), asymptomatic 19 (n ¼ 1), from both groups [20][21][22][23] (n ¼ 4) and those whose status was unknown [24][25][26][27][28] (n ¼ 5). All participants did not have a diagnosis or personal history of CRC prior to the study.…”

Section: Resultsmentioning

confidence: 99%

Afterthoughts on colonoscopy. Was it that bad?

Decruz

Lim

et al. 2020

J Med Screen

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Objectives Colorectal cancer is among the top three most common cancers globally. In order to reduce the health burden, it is important to improve the uptake of colorectal cancer screening by understanding the barriers and facilitators encountered. There are numerous reports in the literature on the views of the general public on cancer screening. However, the experiences of colonoscopy patients are not as well studied. This paper maps their perceptions. Methods Keyword searches for terms such as ‘colorectal’, ‘colonoscopy’ and ‘qualitative’ were conducted on 3 December 2019 in five databases: Medline, Embase, CINAHL, PsycINFO and Web of Science Core Collection. Qualitative articles that quoted colonoscopy-experienced patients with no prior history of colorectal cancer were included for the thematic analysis. The systematic review was then synthesized according to PRISMA guidelines. Results The major themes were distilled into three categories: pre-procedure, during and post-procedure. The factors identified in the pre-procedure phase include the troublesome bowel preparation, poor quality of information provided and the dynamics within a support network. Perceptions of pain, emotional discomfort and the role of providers mark the experience during the procedure. The receipt of results, opportunities given for discussion and finances relating to colonoscopy are important post-procedure events. Conclusion Understanding colorectal cancer screening behaviour is fundamental for healthcare providers and authorities to develop system and personal level changes for the improvement of colorectal cancer screening services. The key areas include patient comfort, the use of clearer instructional aids and graphics, establishing good patient rapport, and the availability of individualized options for sedation and the procedure.

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A stitch in time saves nine: Perceptions about colorectal cancer screening after a non-cancer colonoscopy result. Qualitative study

Cited by 10 publications

References 56 publications

Experiences of Patients Undergoing Bowel Preparation and Colonoscopy- A Qualitative Longitudinal Study

Experiences of Patients Undergoing Bowel Preparation and Colonoscopy- A Qualitative Longitudinal Study

Experiences of Patients Undergoing Bowel Preparation and Colonoscopy: A Qualitative Longitudinal Study

Afterthoughts on colonoscopy. Was it that bad?

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