Licensure, use, and training of paramedical personnel to perform screening flexible sigmoidoscopy.
The purpose of this study was to assess the state board of nursing guidelines about the performance of flexible sigmoidoscopy by nurses and to determine the current use and training of paramedical personnel in flexible sigmoidoscopy at gastroenterology fellowship programs in the United States.
Separate one-page questionnaires were sent to state boards of nursing and directors of endoscopy at gastroenterology fellowship programs in the United States.
Twenty percent (10 of 50) of state boards of nursing explicitly approve the performance of sigmoidoscopy by registered nurses, and 50% (25 of 50) explicitly approve the practice by nurse practitioners.
Forty-six percent (23 of 50) of state boards of nursing have no written policy but allow nurses to use a « decision making model » to determine whether the performance of sigmoidoscopy is allowed.
Fifteen percent (24 of 164) of gastroenterology fellowship programs in the United States use paramedical personnel to perform flexible sigmoidoscopy.
Sixty-three percent (15 of 24) of these programs started since 1995, and 67% (16 of 24) require that the paramedical personnel perform 50 or more supervised sigmoidoscopies during their training.
Forty-five percent (5 of 11) of programs with physician assistants/nurse practitioners use these personnel to perform colonoscopy or endoscopy. (...)
Mots-clés Pascal : Sigmoïdoscopie, Flexible, Indication, Emploi, Personnel technique, Infirmier, Formation professionnelle, Qualification professionnelle, Tendance, Recommandation, Homme, Etats Unis, Amérique du Nord, Amérique, Côlon, Endoscopie
Mots-clés Pascal anglais : Sigmoidoscopy, Flexible, Indication, Employment, Technical staff, Nurse, Occupational training, Professional qualification, Trend, Recommendation, Human, United States, North America, America, Colon, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0153253
Code Inist : 002B24E06. Création : 16/11/1999.