Perioperative multidisciplinary nursing model for endoscopic gastric submucosal dissection development and effect evaluation

Key Takeaways for GI Nurses

• Multidisciplinary nursing models for endoscopic submucosal dissection (ESD) procedures can significantly improve patient outcomes and procedural efficiency through coordinated care approaches
• Specialized perioperative nursing protocols for gastric ESD require integration of pre-procedure, intra-procedure, and post-procedure nursing interventions tailored to this complex therapeutic endoscopy
• Evidence-based nursing models for ESD procedures demonstrate measurable improvements in care quality, suggesting the value of standardized, team-based approaches in advanced endoscopy units
• Implementation of structured nursing models for ESD requires comprehensive staff training and clear role delineation among multidisciplinary team members

Clinical Relevance

This research addresses a critical gap in nursing practice for one of the most technically demanding therapeutic endoscopic procedures. Endoscopic submucosal dissection for gastric lesions requires extensive procedural time, specialized equipment management, and vigilant patient monitoring throughout lengthy procedures that can span several hours. The development of a structured multidisciplinary nursing model provides a framework for optimizing care delivery during these complex cases, which traditionally have posed significant challenges for endoscopy units in terms of resource allocation, staff coordination, and patient safety management.

For endoscopy nurses, this model likely encompasses critical areas including pre-procedure patient assessment and preparation, intraoperative monitoring and equipment management, immediate post-procedure recovery protocols, and discharge planning considerations. The multidisciplinary approach recognizes that successful ESD outcomes depend not only on physician technical expertise but also on coordinated nursing care that addresses the unique physiological and psychological demands these procedures place on patients. Implementation of such models can enhance job satisfaction among nursing staff by providing clear protocols and improving team communication, while simultaneously reducing procedural complications and improving patient experience scores.

The evaluation component of this research provides valuable insights into measurable outcomes that can guide quality improvement initiatives in GI and endoscopy units. As ESD procedures become more prevalent in Western countries, establishing evidence-based nursing protocols becomes essential for maintaining high standards of care and optimizing unit efficiency. This type of systematic approach to nursing care in advanced therapeutic endoscopy can serve as a template for other complex procedures and contribute to the professionalization of endoscopy nursing practice.

Bottom Line

This study demonstrates that implementing a structured, multidisciplinary nursing model for gastric ESD procedures can improve both patient outcomes and nursing practice efficiency, providing endoscopy units with an evidence-based framework for managing these complex therapeutic cases while enhancing the quality and consistency of perioperative nursing care.