Nurse‐led Flexible Cystoscopy: Experience From One Uk Centre

Radhakrishnan, S.; Dorkin, Trevor J.; Johnson, Prakash; Menezes, Pravin; Greene, Damian

doi:10.1111/j.1464-410x.2006.06341.x

Cited by 19 publications

(32 citation statements)

References 4 publications

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“…Diagnostic cystoscopies executed by nurse‐cystoscopists were not significantly different, with respect to findings or the treatment plans developed, compared to those of urologist‐executed cystoscopies . Nurse cystoscopists were more likely to refer UK patients for cystoscopy under general anaesthesia, leading to increased costs when compared with urologists; this decreased over time, though statistical significance persisted . Neither Taylor et al nor Gidlow et al reported any difference in the referral patterns for general anaesthesia of nurse cystoscopists compared to urologists, however.…”

Section: Introductionmentioning

confidence: 90%

An innovative nurse‐led cystoscopy clinic in Denmark

Quallich

Frey

Østergren

et al. 2019

Int J of Uro Nursing

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The need for serial surveillance cystoscopy after a diagnosis of bladder cancer and long wait times led to the development of a nurse‐led cystoscopy in The University Hospital of Southwestern Denmark, in Esbjerg, Denmark. This paper discusses the background, development and success of these training programme in Esbjerg, Denmark. Four nurses have participated in a structured in‐house training programme that started in 2014. In the last 4 years these four nurses have successfully performed 1024 cystoscopies. To date, there have not been any poor outcomes, in terms of missed diagnosis or procedure complications. This programme has offered a way to improve satisfaction of the residents and staff urologists while successfully and safely meeting the needs of the community.

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Section: Introductionmentioning

confidence: 90%

An innovative nurse‐led cystoscopy clinic in Denmark

Quallich

Frey

Østergren

et al. 2019

Int J of Uro Nursing

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“…25 Clinical outcomes have been examined for nurse cystoscopists, with almost complete agreement between the cystoscopy findings of nurses and urologists training in cystoscopy. 24,26 One concern is that nurses might have a lower threshold for referring patients for general anaesthetic cysto scopy to further investigate any abnormalities identified at surveillance cystoscopy compared with medical staff, potentially increasing the cost of the service. 26 However, the higher referral rate might simply reflect the learning curve of novice nurse cysto scopists, and other audits have reported equivalent referral rates between nurses and urology personnel.…”

Section: Competing Interestsmentioning

confidence: 99%

“…24,26 One concern is that nurses might have a lower threshold for referring patients for general anaesthetic cysto scopy to further investigate any abnormalities identified at surveillance cystoscopy compared with medical staff, potentially increasing the cost of the service. 26 However, the higher referral rate might simply reflect the learning curve of novice nurse cysto scopists, and other audits have reported equivalent referral rates between nurses and urology personnel. 23,24 The introduction of a nurse-led surveillance cysto scopy programme at a tertiary institution in Australia in 2008 has been shown to free up the time of medical staff, who can then perform a greater number of diagnostic cystoscopies, resulting in a 72% reduction in the number of patients waiting for these procedures.…”

Section: Competing Interestsmentioning

confidence: 99%

Advanced urology nursing practice

Crowe¹

2014

Nat Rev Urol

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Urology nursing has developed as a specialty over the past few decades in response to several factors, workload demands being a prime reason. Nurses are taking on additional roles and activities including procedures such as cystoscopy and prostate biopsy, and running nurse-led clinics for a variety of urological conditions. Audits of advanced urological nursing practice have shown this care to be of a high standard and investigative procedures performed by these nurses match the diagnostic quality of existing services. Professional urological nursing organizations support the professional needs of these nurses, but the provision of education and training for advanced practice activities remains an unaddressed need. A range of confusing advanced urology nursing titles exists, and uncertainty regarding the roles and scope of practice for these nurses remains a concern. Acceptance and support from medical colleagues is required for the success of advanced urological nursing practice, but opinions on these roles remain divided.

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“…The value of an ANP cystoscopist is associated with continuity of care and the provision of psychological support to patients, and to the health care organization where the experienced nurse cystoscopist delivers teaching to junior medical staff . Audits of nurse led flexible cystoscopy services in the United Kingdom and Australia report that appropriately trained nurses can competently and safely undertake flexible cystoscopy. Other reports suggest that patient satisfaction is high and waiting times for flexible cystoscopy are improved in nurse led flexible cystoscopy services .…”

Section: Autonomous or Nurse‐led Clinical Practicementioning

confidence: 99%

“…Specifically, these relate to leading change, improving practice, engaging in strategic planning and new service development, and establishing practice standards by which performance can be monitored. While proposing how systems of care may be improved, and referring to the limited evidence suggesting acceptability and benefits of the nurse led flexible cystoscopy service, the process of implementing such a change requires a critical examination of the facilitators and barriers to introducing new methods of service delivery.…”

Section: Improving Systems Of Carementioning

confidence: 99%

Developing the advanced nursing practice role in non‐muscle invasive bladder cancer surveillance in Ireland

Conkey

Hahessy

2018

Int J of Uro Nursing

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Advanced nurse practitioner (ANP) roles are continuing to emerge and evolve worldwide, including in the Republic of Ireland. Progress has been influenced by a number of factors which include; affording opportunities for nurses to advance their careers while remaining in clinical practice; health care cost containment; improving access to care; continuity of patient care and due to limits on junior doctors working hours. Confusion related to the definition of the ANP role, a multitude of role titles, what the role entails and what differentiates it from other specialist roles has impeded its overall development. This has led to difficulties in measuring clinical impact, and leads to conflicting conceptualizations of the role. This article focuses on the application of two domains of advanced practice as identified by Hutchinson et al. and applies the components of those domains of practice to an emerging advanced practice role in urology. The purpose of the article is to provide a tentative professional development framework for the advanced practice urology nursing role involved in managing a caseload of patients diagnosed with non‐muscle invasive bladder cancer (NMIBC) focusing on autonomous practice and improving systems of care. These domains of practice are discussed in cognisance of the needs of the population, the demands on the health care organization, and within the defined framework of advanced nursing practice in Ireland.

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Nurse‐led Flexible Cystoscopy: Experience From One Uk Centre

Cited by 19 publications

References 4 publications

An innovative nurse‐led cystoscopy clinic in Denmark

An innovative nurse‐led cystoscopy clinic in Denmark

Advanced urology nursing practice

Developing the advanced nursing practice role in non‐muscle invasive bladder cancer surveillance in Ireland

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