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Flexible sigmoidoscopy training for nurses

T Spiegel

    Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
    |November 1, 1995
    PubMed
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    Registered nurses can perform screening sigmoidoscopies, increasing access to colorectal cancer screening. This innovative program addresses increased demand and resource limitations in ambulatory care settings.

    Area of Science:

    • Gastroenterology
    • Oncology
    • Nursing

    Background:

    • Colorectal cancer is a significant cause of cancer deaths, with an estimated 55,300 deaths and 138,200 new cases in 1995.
    • The American Cancer Society recommends accessible sigmoidoscopy for individuals aged 50 and older every 3-5 years.
    • Increased demand for screening sigmoidoscopy has strained existing healthcare resources.

    Purpose of the Study:

    • To evaluate the effectiveness of a nurse endoscopy program in providing colorectal cancer screening.
    • To address the overwhelming demand for screening sigmoidoscopies in an ambulatory care setting.
    • To ensure quality screening, patient comfort, and safety through trained registered nurse endoscopists.

    Main Methods:

    • The Kaiser Foundation Health Plan of Georgia trained registered nurses as endoscopists.

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  • These nurse endoscopists conducted screening sigmoidoscopies.
  • The program aimed to maintain established appointment standards.

    • Main Results:

    • The nurse endoscopy program successfully provided screening sigmoidoscopies.
    • The program addressed the increased demand for colorectal cancer screening.
    • Quality screening, comfort, and safety were promoted within the program.

    Conclusions:

    • Registered nurse endoscopists can effectively perform screening sigmoidoscopies.
    • Nurse-led endoscopy programs can alleviate resource constraints in ambulatory care.
    • This model offers a viable solution for expanding access to colorectal cancer screening.