Definition of Skills and Roles of the Digestive Endoscopy Nurse: Italian Consensus of ANOTE-ANIGEA

Daniele Napolitano^{1

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15}, Mirko Gaggiotti^{1

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15}, Laura Turchini^{1

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15}, Gabri Bertaglia^{1

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15}, Angela Nicoletta Minenna^{1

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15}, Monia Valdinoci^{1

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15}, Teresa Iannone^{1

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15}, Nazario Munno^{1

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15}, Giorgio Iori^{1

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15}, Antonella Giaquinto^{1

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15}, Alessandra Guarini^{1

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15}, Giulio Petrocelli^{1

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15}, Angelo Zullo^{1

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Affiliations

¹ About the authors: Daniele Napolitano, MSN, RN, CEMAD-Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
² Maria Luigia Candela, PhD, RN, Endoscopia, Policlinico Campus Biomedico, Roma, Italy.
³ Mirko Gaggiotti, RN, Endoscopic Section of Gastroenterology and Hepatology, Perugia General Hospital and University of Perugia, Perugia, Italy.
⁴ Laura Turchini, RN, CEMAD-Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
⁵ Gabri Bertaglia, MSN, RN, Presidio Ospedaliero Schiavonia AULSS 6 Euganea, Padova, Italy.
⁶ Angela Nicoletta Minenna, RN, ASL BA - P.O. San Paolo, Bari, Italy.
⁷ Monia Valdinoci, RN, Azienda Ospedaliero Universitaria Careggi - Firenze, Italy.
⁸ Teresa Iannone, RN, U.O. di Gastroenterologia ed Endoscopia Digestiva - ASP 5 Ospedale di Polistena, Reggio Calabria, Italy.
⁹ Nazario Munno, RN, ASST Brianza Ospedale "Pio XI" di Desio, Milano, Italy.
¹⁰ Giorgio Iori, RN, Gastroenterology and Digestive Endoscopy Unit, Azienda USL-IRCCS Reggio nell'Emilia, Reggio Emilia, Italy.
¹¹ Antonella Giaquinto, RN, Endoscopy Unit, Tor Vergata University, Rome, Italy.
¹² Alessandra Guarini, RN, Gastroenterology and Digestive Endoscopy, "Nuovo Regina Margherita" Hospital, 00153 Rome, Italy.
¹³ Giulio Petrocelli, RN, Digestive and Interventional Endoscopy Unit, ASST Niguarda, Milan, Italy.
¹⁴ Angelo Zullo, PhD, MD, Gastroenterology and Digestive Endoscopy, "Nuovo Regina Margherita" Hospital, 00153 Rome, Italy.
¹⁵ ANOTE-ANIGEA STUDY GROUP: Andrea Marino, Pierangelo Simonelli, Anna Sabina D'Inca, Tamara dal Zot, Giovanni Fiorito, Sandro Simonelli, Bernardo Baiocco, Roberta Cesaro, Rossella Varotto, Luigina Schirru, Giorgia Chiara Zaniboni, Elisa Schiavoni, Elsa Vitale, Alice Aliberti, Lorenzo Maria Vetrone, Marta Pastorelli, Fabio Grilli, Arianna Parrella, Arianna Povoli, Fabio Antonio Sacco, Giuseppe Romeo, Letteria Consolo, Tommaso Tassinari, and Chiara Massari.

PMID: 40556058
PMCID: PMC12459133
DOI: 10.1097/SGA.0000000000000887

Definition of Skills and Roles of the Digestive Endoscopy Nurse: Italian Consensus of ANOTE-ANIGEA

Daniele Napolitano et al. Gastroenterol Nurs. 2025 Sep-Oct.

. 2025 Sep-Oct;48(5):361-371.

doi: 10.1097/SGA.0000000000000887. Epub 2025 Sep 23.

Authors

Affiliations

¹ About the authors: Daniele Napolitano, MSN, RN, CEMAD-Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
² Maria Luigia Candela, PhD, RN, Endoscopia, Policlinico Campus Biomedico, Roma, Italy.
³ Mirko Gaggiotti, RN, Endoscopic Section of Gastroenterology and Hepatology, Perugia General Hospital and University of Perugia, Perugia, Italy.
⁴ Laura Turchini, RN, CEMAD-Fondazione Policlinico Gemelli IRCCS, Roma, Italy.
⁵ Gabri Bertaglia, MSN, RN, Presidio Ospedaliero Schiavonia AULSS 6 Euganea, Padova, Italy.
⁶ Angela Nicoletta Minenna, RN, ASL BA - P.O. San Paolo, Bari, Italy.
⁷ Monia Valdinoci, RN, Azienda Ospedaliero Universitaria Careggi - Firenze, Italy.
⁸ Teresa Iannone, RN, U.O. di Gastroenterologia ed Endoscopia Digestiva - ASP 5 Ospedale di Polistena, Reggio Calabria, Italy.
⁹ Nazario Munno, RN, ASST Brianza Ospedale "Pio XI" di Desio, Milano, Italy.
¹⁰ Giorgio Iori, RN, Gastroenterology and Digestive Endoscopy Unit, Azienda USL-IRCCS Reggio nell'Emilia, Reggio Emilia, Italy.
¹¹ Antonella Giaquinto, RN, Endoscopy Unit, Tor Vergata University, Rome, Italy.
¹² Alessandra Guarini, RN, Gastroenterology and Digestive Endoscopy, "Nuovo Regina Margherita" Hospital, 00153 Rome, Italy.
¹³ Giulio Petrocelli, RN, Digestive and Interventional Endoscopy Unit, ASST Niguarda, Milan, Italy.
¹⁴ Angelo Zullo, PhD, MD, Gastroenterology and Digestive Endoscopy, "Nuovo Regina Margherita" Hospital, 00153 Rome, Italy.
¹⁵ ANOTE-ANIGEA STUDY GROUP: Andrea Marino, Pierangelo Simonelli, Anna Sabina D'Inca, Tamara dal Zot, Giovanni Fiorito, Sandro Simonelli, Bernardo Baiocco, Roberta Cesaro, Rossella Varotto, Luigina Schirru, Giorgia Chiara Zaniboni, Elisa Schiavoni, Elsa Vitale, Alice Aliberti, Lorenzo Maria Vetrone, Marta Pastorelli, Fabio Grilli, Arianna Parrella, Arianna Povoli, Fabio Antonio Sacco, Giuseppe Romeo, Letteria Consolo, Tommaso Tassinari, and Chiara Massari.

PMID: 40556058
PMCID: PMC12459133
DOI: 10.1097/SGA.0000000000000887

Abstract

Endoscopy nurses work in all phases of endoscopic procedures, guaranteeing privacy, respect for dignity, comfort, and safety by applying specific theoretical knowledge and practical skills. However, in several countries, a structured training process in this specific area is lacking. This document defines the skills and roles of nurses working in the endoscopy and gastroenterology units in Italy. The National Association of Endoscopic Technique Operators - National Association of Gastroenterology Nurses and Associates (ANOTE-ANIGEA) National Committee created a working group including 20 expert nurses and 2 physicians, divided into 4 working groups. Each group worked on one level of training: trainee endoscopy nurse, competent endoscopy nurse, advanced endoscopy nurse, and nontechnical skills. For the final declaration, the Delphi method was adopted. This position paper defined the role and training of endoscopy nurses, proposing three progressive levels of professional preparation. This is the first document aimed at defining the role and training of endoscopy nurses, suggesting progressive levels of professional preparation. It could be an appropriate tool for both nurses who are beginning to work in an endoscopic unit, as well as for all subjects involved in training nurses practicing in digestive endoscopy.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

**FIGURE 2.**
Competent endoscopy nurse.

See this image and copyright information in PMC

References

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Definition of Skills and Roles of the Digestive Endoscopy Nurse: Italian Consensus of ANOTE-ANIGEA

Affiliations

Definition of Skills and Roles of the Digestive Endoscopy Nurse: Italian Consensus of ANOTE-ANIGEA

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

References

MeSH terms

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