I am looking for a scholarly response to the statement below….

Question Answered step-by-step I am looking for a scholarly response to the statement below…. I am looking for a scholarly response to the statement below. Describe a survey, instrument, or tool you plan to use in your project. Describe the tool in terms of name, the number of items, how it is answered (Likert scale, yes/no, open answer), and the total score. Describe the level of measurement for this instrument. Support with references. The survey instrument of choice for DPI project is the Boston Bowel Preparation Scale (BBPS). The scale is scored by the provider performing the colonoscopy and rates the visibility in the colon bowel cleansing preparation. The scores are zero to three. Zero = inadequate, One = poor, Two = good and Three = excellent. The BBPS scores three segments of the colon: Left colon (LC), Transverse colon (TC), and Right colon (RC). A score of zero or one in any of the three segments means the colonoscopy needs to be repeated in six to twelve months. The best score would be a one (three in each segment). The BBPS is a Likert scale. The for the colonoscopy is to remove anything that is not supposed to be there like polyps. The cleaner the colon the higher the adenoma detection rate (ADR). This is one of the quality indicators for a colonoscopy along with a determination for the bowel prep as being good, fair, or poor. (Heron et al., 2017). Usually, a picture is provided to the endoscopist next to the Likert scale for continuity of scoring but there is still judgement, so to speak. The BBPS is ordinal level of measurement. The BBPS would be the quantitative design portion of the project. Can count the frequency of the occurrence of a total score, or frequency of score by segment. Can calculate total of poor vs good or excellent vs inadequate for visibility. Also, would be good to know how many colonoscopy procedures need to be repeated for inadequate bowel preparation. Historically, where I am employed approximately thirty-five percent of the procedures need to be repeated due to poor visibility from to constipation. A study reviewed demonstrated the use of chi-square, Fishers exact test and Wilcoxon, for analysis of BBPS. The BBPS is a great tool for quality measurement and establishing outcome measures. The BBPS performs well regardless of gender or ethnicity. It is a valid reliable instrument for assessing the cleanliness of the colon during a colonoscopy procedure. There are several factors that can cause an inadequate bowel preparation like: polypharmacy, constipation, obesity, increased age, and of course comorbidities. (Kluge et al., 2018)(candy)ReferenceHeron, V., Pamar, R., Menard, C., Martel, M., & Barkun, A. N. (2017). Validating bowel preparation scales. Endoscopy International Open, 5(12) E1179-E1188. https://doi.org/10.1055/s-0043-119749Kluge, M. A., Williams, J. L., Wu, C. K., Jacobson, B. C., Schoy, P. C., Lieberman, D. A. & Calderwood, A. H. (2018). Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy. Gastrointestinal Endoscopy, 87(3), 744-751. https://doi.org/10.1016j.gie.2017.06.012 Health Science Science Nursing Share QuestionEmailCopy link Comments (0)