One of the key strategies for the success of health organizations currently resides in the ability to develop advanced competencies in time management. Individuals who are able to spend their time efficiently are those who do not focus on a single issue within the allotted time but rather spread their time among several tasks. This study aims to investigate the attitudes, beliefs and knowledge towards the time management of nurses (clinicians, first-line and middle-level nurse managers) in their daily work. A descriptive, cross-sectional survey was conducted in private and public settings across Italy. Time management was assessed using the University “G. D’Annunzio” of Chieti—Laboratory of Business Psychology’s Questionnaire. Among the respondents (N = 74), 67.6% were female, and the age range was 51–60 years (40.5%). The three reported sections (Time management, Health conditions and Ability to delegate) showed several items with statistical significance (p < 0.05). Anxiety, stress and negative perceptions are statistically related to time management skills and knowledge. Healthcare institutions and regulatory bodies should provide resources and support to nurses and managers to improve their time management. The topic is of paramount importance and forms the basis of all work performed.

Although efficacy and safety of nonanesthesiologist administration of propofol and nurse-administered propofol sedation practices have been amply demonstrated in patients at low American Society of Anesthesiologists physical status risk, they are still severely limited. To date, it is quite difficult to find a protocol or a shared training program. The aim of the study was to verify requirements, types of training, and operating methods described in the literature for the administration of propofol by a nurse. A scoping review of the literature was conducted in accordance with the PRISMA-ScR guidelines and in line with Arksey and O'Malley's framework, within four main databases of biomedical interest: MEDLINE, CINAHL, Scopus, and Web of Science. We selected studies published during the last 20 years, including only nurses not trained in anesthesia. Seventeen articles were eligible. Despite the differences between the training and administration methods, efficacy and safety of deep sedation managed by trained nurses were comparable, just like when sedation was administered by certified registered nurse anesthetists. Training programs have been investigated in detail by only a small number of studies, although its efficacy and safety have been widely demonstrated. It is important, then, to collect evidence that allows developing of unified international guidelines for training methods to offer safe and cost-effective quality sedation.

As endoscopy procedures expand in scope and technology, endoscopy nurses find themselves requiring advanced competencies that span both technical skills and clinical knowledge. This review aims to identify the key advanced competencies for nurses in endoscopy, addressing competencies that optimize patient outcomes and the efficacy of endoscopic procedures. This review was conducted in accordance with Cochrane Rapid Review guidance between June and September 2025 using MeSH terms including “ endoscopy ,” “ gastrointestinal endoscopy ,” “ nurse ,” “ nursing ,” “ competence ,” “ competency ,” “ advanced practice ,” and “ training .” PubMed, CINAHL and Scopus were searched for peer‐reviewed articles and gray literature, with no language or time limitations. Sixteen articles were included. The core competency domains identified are: clinical assessment and patient management, procedural and interventional support competence, equipment management and infection control, sedation and patient monitoring, documentation and quality assurance. This rapid review provides an updated synthesis of advanced competencies in gastrointestinal endoscopy nursing. While core domains are recognized internationally, variation in training structures and role delineation persists. Findings contribute to the development of harmonized frameworks and inform future curriculum design and workforce planning.

In contemporary endoscopy practice, it is possible and desirable to verify the integrity of the operating channel by inserting a video camera inside the endoscope. However, the right time to perform visual inspections remains uncertain. This article describes an inspection of the duodenoscope's working channel from the distal tip to the control section using the SpyGlass DS Direct Visualization System (Boston Scientific, Natick (MA), USA) and the SpyScope DS Catheter. The investigation made it possible to identify stains, debris and the wear of a gasket that could justify positive cultures, despite the correct adherence to the guidelines for the reconditioning of endoscopes. The routine inspection of the endoscope's channels could be a way to verify correct reprocessing in parallel with microbiological analyses and to identify endoscopes that need maintenance before the damage inside them can become more serious.

The most frequent long-term complications of the endoscopy plastic stents are occlusion and migration. We describe a rare case of pancreatic plastic stent migration inside a biliary plastic stent. We found no similar cases reported in the literature. In this case the pancreatic stent was able to pass through the distal flap and, supported by sludge, to occlude both the distal tip and distal hole of an Amsterdam-type biliary stent. The present case report underlines the importance of the patient's follow-up with a particular focus on plastic stent management.