Chapman Warren, Cooper Brian
Consultant in Gastroenterology, Sandwell and West Birmingham NHS Trust, Birmingham.
Br J Nurs. 2009;18(22):1378, 1380-4. doi: 10.12968/bjon.2009.18.22.45565.
Previously, gastrointestinal endoscopy was undertaken only by medical staff. The nurse endoscopist role has recently been developed and is now in great demand. Barriers and facilitators are identified in similar nursing roles, though little research has been undertaken on the nurse endoscopist role.
To examine perceptions of UK nurse endoscopists regarding their experience of the role. This qualitative study involved semi-structured interviews with eight UK nurse endoscopists. Data gained were analyzed qualitatively. The following categories emerged: role structure, collaboration, experience, and education and training.
The 'role structure' category showed that patient services were better where the nurse endoscopist role encompassed a more holistic approach. In the 'collaboration' category, the importance of relations with medical, nursing and management colleagues was observed. It was found that nurse endoscopists may be providing an inferior service due to being given lower priority than medical endoscopists. The 'experience' category showed nurse endoscopists valued their nursing experience, while specific endoscopy nursing experience prior to becoming an endoscopist was also useful. The 'education' category showed that degree-level education and training were important when accessed, in addition to prescribing courses.
Nurses undertaking endoscopy have potentially satisfying roles, which allow them to perform effectively. The roles should be planned adequately and practitioners should receive appropriate degree-level education. Furthermore, patients should receive equitable treatment regardless of which profession undertakes the endoscopy.
以前,胃肠内镜检查仅由医务人员进行。护士内镜医师这一角色最近才得以发展,目前需求很大。在类似的护理角色中已确定了障碍和促进因素,不过针对护士内镜医师这一角色的研究很少。
考察英国护士内镜医师对其角色体验的看法。这项定性研究包括对八位英国护士内镜医师进行半结构化访谈。对获取的数据进行了定性分析。出现了以下几个类别:角色结构、协作、经验以及教育与培训。
“角色结构”类别表明,在护士内镜医师角色包含更全面方法的地方,患者服务更好。在“协作”类别中,观察到了与医疗、护理及管理同事关系的重要性。发现护士内镜医师可能由于比医学内镜医师优先级低而提供较差的服务。“经验”类别表明护士内镜医师重视他们的护理经验,而成为内镜医师之前的特定内镜护理经验也很有用。“教育”类别表明,除了规定课程外,获得学位水平的教育和培训很重要。
从事内镜检查的护士有潜在令人满意的角色,这使他们能够有效履行职责。这些角色应得到充分规划,从业者应接受适当的学位水平教育。此外,无论内镜检查由哪个专业人员进行,患者都应得到公平对待。