title: Inflammatory bowel disease nurse specialists for patients on biological therapies: a nationwide Italian survey.
abstract: BACKGROUND
  Management of inflammatory bowel disease (IBD) patients requires a multidisciplinary approach. Among the working team, the role of IBD nurse is expected to be particularly relevant when managing patients receiving biological therapies. We performed a survey to assess the presence of IBD nurse in centers where patients were receiving biologics.
  
  
  METHODS
  For this Italian nationwide survey a specific questionnaire was prepared. IBD nurse was defined as a nurse directly involved in all phases of biological therapy, from pre-therapy screening, administration and monitoring during therapy, to follow up performed by a dedicated helpline, completed a specific training on biological therapy therapy, and observed international guidelines.
  
  
  RESULTS
  A total of 53 Italian IBD centers participated in the survey, and 91 valid questionnaires were collected. Overall, 34 (37.4%) nurses could be classified as IBD specialists. IBD nurses had a significantly higher educational level than other nurses, they were more frequently operating in Central or Southern than in Northern Italy, they were working in an Academic center rather than in a General hospital, and in IBD centers with >25 patients on biological therapy. On the contrary, mean age, gender distribution, years of nursing, and years working in the IBD unit did not significantly differ between IBD and other nurses.
  
  
  CONCLUSIONS
  Our nationwide survey showed that the presence of an IBD nurse is still lacking in the majority of Italian IBD centers where patients receive biological therapies, suggesting a prompt implementation.
authors.affiliation: Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome (Alessandra Guarini, Francesca De Marinis, Roberto Lorenzetti, Angelo Zullo).
authors.forename: Alessandra
authors.initials: A
authors.lastname: Guarini
authors.affiliation: Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome (Alessandra Guarini, Francesca De Marinis, Roberto Lorenzetti, Angelo Zullo).
authors.forename: Francesca De
authors.initials: F
authors.lastname: Marinis
authors.affiliation: Gastroenterology Unit, San Camillo-Forlanini Hospital, Rome (Anna Kohn).
authors.forename: Anna
authors.initials: A
authors.lastname: Kohn
authors.affiliation: Gastroenterology Unit Polo Ospedaliero Gorizia-Pordenone, Gorizia, Italy (Nicoletta Orzes).
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Orzes
authors.affiliation: Department of Surgical, Oncological and Gastroenterological Sciences, Gastroenterology Section, University of Padua (Renata D'Incà).
authors.forename: Renata
authors.initials: R
authors.lastname: D'Incà
authors.affiliation: Gastroenterology and Digestive Endoscopy, Santa Maria degli Ungheresi Hospital, Polistena, Reggio Calabria (Teresa Iannone).
authors.forename: Teresa
authors.initials: T
authors.lastname: Iannone
authors.affiliation: Endoscopy Unit, Tor Vergata University, Rome (Antonella Giaquinto).
authors.forename: Antonella
authors.initials: A
authors.lastname: Giaquinto
authors.affiliation: Ciriè Hospital, Turin (Cinzia Rivara).
authors.forename: Cinzia
authors.initials: C
authors.lastname: Rivara
authors.affiliation: Gastroenterology Unit, Sapienza University of Rome; Polo Pontino Hospital, Latina (Lorenzo Ridola); Italian IBD Nurses Study Group, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Ridola
authors.affiliation: Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome (Alessandra Guarini, Francesca De Marinis, Roberto Lorenzetti, Angelo Zullo).
authors.forename: Roberto
authors.initials: R
authors.lastname: Lorenzetti
authors.affiliation: Gastroenterology and Digestive Endoscopy, Nuovo Regina Margherita Hospital, Rome (Alessandra Guarini, Francesca De Marinis, Roberto Lorenzetti, Angelo Zullo).
authors.forename: Angelo
authors.initials: A
authors.lastname: Zullo
keywords: Inflammatory bowel disease; biological therapy; management; nursing