The views of gastroenterologists about the role of nurse endoscopists, especially in colorectal cancer screening

• Published in: Alimentary pharmacology & therapeutics Vol. 29; no. 8; pp. 892 - 897
• Main Authors: VAN PUTTEN, P. G., VAN LEERDAM, M. E., KUIPERS, E. J.
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 15.04.2009; Blackwell
• Subjects: Adult; Attitude of Health Personnel; Biological and medical sciences; Colonoscopy - nursing; Colorectal Neoplasms - diagnosis; Digestive system; Female; Gastroenterology - methods; Gastroenterology - standards; Gastroenterology. Liver. Pancreas. Abdomen; Health Knowledge, Attitudes, Practice; Humans; Male; Mass Screening - methods; Medical sciences; Middle Aged; Netherlands; Nurse Clinicians; Pharmacology. Drug treatments; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus; Surveys and Questionnaires; Tumors; Netherlands; Colonic disease; Screening; Rectal disease; Health staff; Colorectal cancer; Digestive diseases; Intestinal disease; Malignant tumor; Medical screening; Cancer; Nurse
• ISSN: 0269-2813; 1365-2036
• DOI: 10.1111/j.1365-2036.2009.03936.x

Summary Background  Nurse endoscopists may provide a solution for the insufficient endoscopic capacity in colorectal cancer (CRC) screening. Aim  To determine the views of gastroenterologists about the potential role of nurse endoscopists in gastrointestinal endoscopy. Methods  A postal questionnaire was sent to all registered gastroenterologists (n = 301) and gastroenterology residents (n = 79) in the Netherlands. Results  Two hundred and thirty five of 380 (62%) gastroenterologists and residents completed the questionnaire. Overall, 48% were positive towards introduction of nurse endoscopists, whereas 18% were neutral and 34% negative. Respondents expected no major differences in endoscopic quality between physicians and nurse endoscopists. Nevertheless, 69% expected that patient experiences would be better met by physicians. Multivariate analysis showed that actual experience with nurse endoscopists and beliefs that nurse endoscopists are able to provide adequate endoscopic quality and good patient experiences, were independent predictors for a positive attitude towards introduction of nurse endoscopists [OR 6.6 (2.3–18.4), OR 1.9 (1.2–3.5) and OR 2.1 (1.2–2.9), respectively]. Respectively 89% and 66% of the respondents considered sigmoidoscopy and colonoscopy for CRC screening as appropriate procedures to be performed by nurse endoscopists. Diagnostic and therapeutic endoscopies were considered less appropriate. Conclusion  A majority of gastroenterologists have a positive attitude towards introduction of nurse endoscopists, especially for CRC screening endoscopies.