Effectiveness of nurse-performed endoscopy in colorectal cancer screening: A systematic review

Jomon Joseph, Rhys Vaughan, Haakan Strand

Research output: Contribution to journalReview articlepeer-review


Background: Bowel cancer is one of the most common and potentially preventable cancers. There is strong demand for bowel cancer screening programmes within the community. Nurses may play a vital role in the success of such programmes. 

Objective: The review aims to evaluate the effectiveness of nurse-led endoscopy in colorectal cancer screening. 

Methods: A systematic search of the literature identified 226 articles published in English between 1994 and 2012. Of these articles, six were included for analysis. 

Results: Three outcome measures were identified, namely quality and safety, patient satisfaction, and cost-effectiveness. Nurse-led endoscopy was comparable to physician-led endoscopy procedures with regards to indicators of quality and safety. Overall, greater patient satisfaction was reported with nurse-led endoscopy procedures and there was some evidence of improved cost-effectiveness. 

Conclusion: Nurse-performed endoscopy appears to be as safe and effective as physician-performed endoscopy procedures in suitably selected patient populations. Further research and application of standardised training programmes and settings will be vital to ensuring ongoing safety and efficiency of nurse-led endoscopy.

Original languageEnglish
Pages (from-to)26-33
Number of pages8
JournalGastrointestinal Nursing
Issue number4
Publication statusPublished - 20 May 2015
Externally publishedYes


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