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Non-Physician Endoscopy: How Far Can We Go?

Ute Gabriele Pfeifer¹, Dieter Schilling²

¹Endoskopieabteilung, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany.

Visceral Medicine

|September 3, 2016

Summary

Non-physician endoscopy is established in several Western countries, highlighting the need for scientific evaluation before implementing such programs in Germany. This approach requires careful consideration of delegation rights.

Keywords:

Colorectal cancer screening Delegation of tasks Non-physician endoscopy Nurse endoscopist

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Area of Science:

Medical task delegation
Nursing scope of practice

Background:

Delegation of medical tasks to nurses is underexplored in Germany.
Limited discussion exists regarding non-physician roles in medical procedures within the German healthcare system.

Purpose of the Study:

To assess the global prevalence and establishment of non-physician-led endoscopy.
To inform the discussion on task delegation in German medical practice.

Main Methods:

Systematic literature research across multiple databases (CINAHL®, Cochrane Library, ZB MED, PubMed, MEDLINE).
Keywords included 'nurse', 'practitioners', 'nurse clinician', 'diagnosis', 'organization', and 'administration'.
Hand research of relevant journals and references was also conducted.

Main Results:

Non-physician endoscopy is well-established in various European countries, the USA, and other Western nations.
Evidence suggests successful integration of nurses in performing endoscopic procedures in these regions.

Conclusions:

Implementation of non-physician endoscopy programs requires a strong scientific basis.
Evaluation within the existing framework of 'delegation rights' is crucial for successful adoption.