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Policy Polit Nurs Pract. 2017 Feb;18(1):36-43. doi: 10.1177/1527154417700740. Epub 2017 Mar 26.

Nurse-Performed Endoscopy: Implications for the Nursing Profession in Australia.

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1 Centre for Health Services Management, Faculty of Health, University of Technology Sydney, NSW, Australia.
2 Nursing and Health Services Management, School of Nursing and Midwifery, Edith Cowan University, Joondaalup, WA, Australia.
3 Center for Health Professions and the Institute for Health Policy Studies, UCSF School of Nursing, CA, USA.
4 Department of Social and Behavioral Sciences, UCSF School of Nursing, CA, USA.
5 Menzies Centre for Health Policy, The University of Sydney, NSW, Australia.
6 Faculty of Health, University of Technology Sydney, NSW, Australia.
7 Centre for Applied Nursing Research, Western Sydney University, Sydney, NSW, Australia.


Increasing demands for health care globally often lead to discussions about expanding the involvement of nurses in a range of nontraditional roles. Several countries have introduced nurse endoscopists as a means of easing the burden of demand for a range of endoscopic procedures. A shortage of medical staff in Australia combined with increasing demand for endoscopy led to the implementation of nurse endoscopists as a pilot program in the state of Queensland, where a nurse practitioner model was implemented, and Victoria, where an advanced practice model was used. This article will discuss the implementation of and responses from the nursing, medical, and policy community to nurse-performed endoscopy in this country. Regarding health policy, access to cancer screening may be improved by providing nurses with advanced training to safely perform endoscopy procedures. Moreover, issues of nurse credentialing and payment need to be considered appropriate to each country's health system model.


advanced practice nursing; nurse endoscopy; nurse practitioner; scope of practice

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