{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:06:14Z","timestamp":1783987574685,"version":"3.55.0"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background Assistant performance is important for endoscopy workflow, yet nurse training is often informal. We evaluated whether a structured simulation-and-theory program improves nurse-dependent workflow during live endoscopy.<\/jats:p>\n                  <jats:p>Methods In this prospective parallel-group study, 20 endoscopy nurses were grouped 1:1 into Simulation + Theory or Control. Each nurse assisted 10 recorded live procedures performed by the same endoscopist (five gastroscopies and five colonoscopies; 200 nurse\u2013procedure observations). The prespecified procedure mix included diagnostic biopsies, dilation, cold-snare polypectomy, hot-snare polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection. The primary endpoint was device-to-field time, defined at the procedure level using one predefined index request per procedure. The primary analysis was performed at the nurse level, comparing within-nurse change from baseline (cases 1\u20133) to posttraining (cases 4\u201310).<\/jats:p>\n                  <jats:p>Results Groups performed similarly at baseline. From case 4 onward, the Simulation group showed shorter device-to-field times and maintained this advantage through case 10. In the primary nurse-level analysis, the between-group difference in change from baseline to posttraining corresponded to a time ratio of 0.80 (95% confidence interval 0.76\u20130.85; p &lt; 0.001), indicating approximately 20% faster device readiness after structured training. Supportive sensitivity analyses showed the same directional pattern.<\/jats:p>\n                  <jats:p>Conclusions A brief, structured simulation-and-theory program was associated with faster nurse device readiness during live endoscopy. These findings support ongoing structured nurse training as a practical strategy to improve workflow efficiency in endoscopy services.<\/jats:p>","DOI":"10.1055\/a-2901-5778","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:57:23Z","timestamp":1782341843000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Simulation-Based Training for Endoscopy Nurses Improves Device-to-Field Time: A Prospective Study"],"prefix":"10.1055","volume":"14","author":[{"given":"Nelly","family":"Kanberg","sequence":"additional","affiliation":[{"name":"University of Gothenburg, Sweden","place":["Gothenburg"],"department":["Department of bioMedicine, Infectious Diseases Clinic"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hadeel","family":"Atieh","sequence":"additional","affiliation":[{"name":"Medical City Hospital for Military and Security Services, Oman","place":["Muscat"],"department":["Department of Internal Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sinan","family":"Sharba","sequence":"additional","affiliation":[{"name":"University of Gothenburg, Sweden","place":["Gothenburg"],"department":["Institution of Medicine, Sahlgrenska Academy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahya","family":"Al Hammada","sequence":"additional","affiliation":[{"name":"University of Gothenburg, Sweden","place":["Gothenburg"],"department":["Institution of Medicine, Sahlgrenska Academy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rima","family":"Tayfour","sequence":"additional","affiliation":[{"name":"Medical City Hospital for Military and Security Services, Oman","place":["Muscat"],"department":["Muscat Endoscopy Academy, Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naif","family":"Alhakmani","sequence":"additional","affiliation":[{"name":"Medical City Hospital for Military and Security Services, Oman","place":["Muscat"],"department":["Muscat Endoscopy Academy, Department of Gastroenterology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David James","family":"Tate","sequence":"additional","affiliation":[{"name":"University Hospital Ghent, Flanders, Belgium","place":["Ghent"],"department":["Department of Gastroenterology and Hepatology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5055-2327","authenticated-orcid":false,"given":"Samer","family":"Al-Dury","sequence":"additional","affiliation":[{"name":"Medical City Hospital for Military and Security Services, Oman","place":["Muscat"],"department":["Muscat Endoscopy Academy, Department of Gastroenterology"]},{"name":"University Hospital Ghent, Flanders, Belgium","place":["Ghent"],"department":["Department of Gastroenterology and Hepatology"]},{"name":"University of Gothenburg, Sweden","place":["Gothenburg"],"department":["School of Public Health and Community Medicine, Sahlgrenska Academy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"723.e17","DOI":"10.1016\/j.gie.2019.12.002","article-title":"ASGE guideline on minimum staffing requirements for the performance of GI endoscopy","volume":"91","author":"L H Jamil","year":"2020","journal-title":"Gastrointest Endosc"},{"issue":"10","key":"ref2","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1055\/a-1204-5212","article-title":"Teamworking in endoscopy: a human factors toolkit for the COVID-19 era","volume":"52","author":"S Ravindran","year":"2020","journal-title":"Endoscopy"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1055\/a-2205-2613","article-title":"Training in basic gastrointestinal endoscopic procedures: a European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and associates (ESGENA) position statement","volume":"56","author":"G Antonelli","year":"2024","journal-title":"Endoscopy"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1097\/MEG.0000000000002951","article-title":"Mapping training programs for endoscopy nurses in gastroenterology: a scoping review","volume":"37","author":"A Parrella","year":"2025","journal-title":"Eur J Gastroenterol Hepatol"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1016\/j.cgh.2014.01.037","article-title":"Effects of simulation-based training in gastrointestinal endoscopy: a systematic review and meta-analysis","volume":"12","author":"S Singh","year":"2014","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4253\/wjge.v11.i3.209","article-title":"Simulation in endoscopy: practical educational strategies to improve learning","volume":"11","author":"R Khan","year":"2019","journal-title":"World J Gastrointest Endosc"}],"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2901-5778.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T23:23:00Z","timestamp":1783984980000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2901-5778"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":6,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,1,13]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a29015778"],"URL":"https:\/\/doi.org\/10.1055\/a-2901-5778","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6,24]]},"published":{"date-parts":[[2026,6,24]]}}}