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. 2024 Dec 28;23(1):953.
doi: 10.1186/s12912-024-02644-y.

Patient satisfaction and safety in the administration of sedation by nursing staff in the digestive endoscopy service: a cross-sectional study

Miriam Hidalgo-Cabanillas  1   2 , José Alberto Laredo-Aguilera  3   4   5 , Ana Isabel Cobo-Cuenca  3   4   5 , Rosa María Molina-Madueño  3   6 , Esmeralda Santacruz-Salas  7   8   9 , Pedro Manuel Rodriguez-Muñoz  3   4 , Juan Manuel Carmona-Torres  3   4   5
Affiliations

Patient satisfaction and safety in the administration of sedation by nursing staff in the digestive endoscopy service: a cross-sectional study

Miriam Hidalgo-Cabanillas et al. BMC Nurs. .

Abstract

Background: The satisfaction of patients with sedation by nursing staff is an issue of interest for the quality of health care, influencing the recovery and well-being of patients as well as their confidence in and adherence to treatment. One of the most frequently performed diagnostic and therapeutic tests requiring sedation are digestive endoscopies, so it would be interesting to study satisfaction in these services.

Aim: To determine the level of patient satisfaction and safety with sedation via digestive endoscopies by nurses.

Methods: This was a cross-sectional study in the Digestive Endoscopy Service at the University Hospital of Toledo, Spain. The sample consisted of 660 adult patients from the digestive endoscopy service who were sedated between June-September 2023. The degree of satisfaction with the service was measured by the questionnaire: Survey of patient satisfaction with the digestive endoscopy service. The study was approved by the ethics committee.

Results: Patients who reported satisfaction with the treatment were very satisfied with the sedation provided by the nurses. The most valued item was the attention of the nursing professionals. The least valued items were the waiting time for the appointment and the time spent in the waiting room on the same day. The incidence of complications recorded during the test were minimal (2% of all patients).

Conclusions: Most patients are satisfied with the sedation administered by nurses via digestive endoscopies, and complications were rare, supporting the efficacy and acceptance of this practice. Clinical practice guidelines and consensus documents in Spain guarantee that nurses have autonomy to administer sedation in digestive endoscopy services, but there is a lack of national regulations to support this technique. The current consensus in Spain is that specific training is necessary for such nurses.

Keywords: Endoscopy; Endoscopy digestive sistem; Nurse anesthetists; Nursing; Patient satisfaction; Sedation.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: This study was approved by the Ethics Committee of the University Hospital of Toledo (no. 2023 − 1012). The patients who met the inclusion criteria were provided with the information sheet and signed the informed consent form if they wished to participate in the study. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

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  • Nurse-Administered Sedation in Digestive Endoscopy: A Systematic Review.
    Hidalgo-Cabanillas M, Laredo-Aguilera JA, Barroso-Corroto E, López-González Á, Rabanales-Sotos J, Carmona-Torres JM. Hidalgo-Cabanillas M, et al. Diagnostics (Basel). 2025 Apr 17;15(8):1030. doi: 10.3390/diagnostics15081030. Diagnostics (Basel). 2025. PMID: 40310421 Free PMC article. Review.

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