Benchmarking the nurse consultant role in rheumatology

Ryan, Sarah; Browne, Anne Marie; Home, Diane; Wild, Ann; Hennell, Sheena; Homer, Dawn

doi:10.7748/ns2006.04.20.33.52.c4135

Cited by 4 publications

(5 citation statements)

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“…Overall, the potentially generic competences addressed in the identified nurses’ studies2 5–7 34–72 confirm those resulting from the studies describing desired competences for HPRs from multiple professional backgrounds. However, there are some competences in the nurses’ literature that are potentially generic yet stressed to a lesser extent in the literature addressing multiple HPRs.…”

Section: Resultssupporting

confidence: 53%

“…Finally, 79 papers were included 20 of which concerned competences of multiple HPRs,3 4 10 11 18–33 43 competences of nurses,2 5–7 34–72 12 of physical therapists73–84 and 4 of OTs 85–88. Agreement between the reviewers in the screening process and in the validation of data extraction was 90% and 93%, respectively.…”

Section: Resultsmentioning

confidence: 99%

“…These include acting as the liaison person of the multidisciplinary team2 38 44 64 70 coordinating also the services provided 48 59 69. A limited number of studies referred also to the need of nurses to understand the cost-effectiveness association of the medications used7 58 and a leadership role in education and in developing as well as managing services 62…”

Section: Resultsmentioning

confidence: 99%

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Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

et al. 2019

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ObjectiveTo identify generic competences on the desired knowledge, skills and of health professionals in rheumatology (HPRs) to inform the respective EULAR recommendations.MethodsA systematic literature review was performed on the generic core competences (defined as knowledge, skills or attitudes) of HPRs (nurses, physical therapists (PTs) or occupational therapists (OTs)). Literature was obtained from electronic databases, published EULAR recommendations and via personal communication with representatives of national rheumatology societies and experts in the field. Qualitative, quantitative and mixed methods studies were included, and their methodological quality was scored using appropriate instruments.ResultsFrom 766 references reviewed, 79 fulfilled the inclusion criteria. Twenty studies addressed competences of multiple HPRs: 15 were of qualitative design, 1 quantitative, 1 mixed-methods, 2 systematic reviews and 1 opinion paper. The methodological quality of most studies was medium to high. Five studies concerned the development of a comprehensive set of competences. Key competences included: basic knowledge of rheumatic diseases, holistic approach to patient management, effective communication with colleagues and patients and provision of education to patients. The proposed competences were confirmed in studies focusing on one or more specific competences, on a rheumatic disease or on a specific profession (nurses, PTs or OTs).ConclusionGeneric competences were identified for HPRs. Data were mostly derived from qualitative studies. All identified studies varied and were at national level, highlighting the need for the harmonisation of HPR competences across Europe. These findings underpin the development of EULAR recommendations for the core competences of HPRs.

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Section: Resultssupporting

confidence: 53%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

et al. 2019

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“…Furthermore, agreement on 13 main themes, translated into research questions (see online supplementary table S2) was achieved and subsequently formed the basis of the SLR (see separate manuscript). In total, 79 papers were included; 20 addressed the competences HPRs of multiple professions have in common,1 3 4 9 12–27 43 the competences of nurses,28–70 12 of PTs71–82 and four of OTs 83–86. From the 20 papers addressing the competences HPRs of multiple professions have in common, 75% (n=15) had a qualitative design 1 3 4 9 12 13 15 16 18–20 23 25–27.…”

Section: Resultsmentioning

confidence: 99%

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

et al. 2019

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background/objectives To maintain and optimise the quality of care provided by health professionals in rheumatology (HPRs), adequate educational offerings are needed. This task force (TF) aimed to develop evidence-based recommendations for the generic core competences of HPRs, with specific reference to nurses, physical therapists (PTs) and occupational therapists (OTs) to serve as a basis for their postgraduate education. Methods The EULAR standardised operating procedures for the development of recommendations were followed. A TF including rheumatologists, nurses, PTs, OTs, patient-representatives, an educationalist, methodologists and researchers from 12 countries met twice. In the first TF meeting, 13 research questions were defined to support a systematic literature review (SLR). In the second meeting, the SLR evidence was discussed and recommendations formulated. Subsequently, level of evidence and strength of recommendation were assigned and level of agreement (LoA) determined (0-10 rating scale). Results Three overarching principles were identified and 10 recommendations were developed for the generic core competences of HPRs. The SLR included 79 full-text papers, 20 of which addressed the competences, knowledge, skills, attitudes and/or educational needs of HPRs from multiple professions. The average LoA for each recommendation ranged from 9.42 to 9.79. Consensus was reached both on a research and educational agenda. Conclusion Evidence and expert opinion informed a set of recommendations providing guidance on the generic core competences of HPRs. Implementation of these recommendations in the postgraduate education of HPRs at the international and national level is advised, considering variation in healthcare systems and professional roles. MeTHodsThe updated EULAR standardised operating procedures (SOPs) for the development of the recommendations were followed 5 after approval of the TF by the EULAR Executive Committee. The multidisciplinary TF comprised of a selection of nine experts in HPRs' education (three nurses, two PTs, three on July 4, 2020 by guest. Protected by copyright.

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“…Clinical knowledge, knowledge about the patient, experience, skills, understanding a multidisciplinary healthcare delivery system, and access to health information and resources, are all critical elements for the success of the telephone intervention and clients’ satisfaction [43,69,73]. Two specialist nurses, each with more than 5 years experience in adult and pediatric rheumatology, will attend a three-day course to enhance their skills in verbal communication, strategies for questioning parents and adolescents, assessing the quality of interactions, and aiding decision-making.…”

Section: Methodsmentioning

confidence: 99%

Impact of a Telenursing service on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized trial study protocol

et al. 2014

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BackgroundPediatric rheumatic diseases have a significant impact on children’s quality of life and family functioning. Disease control and management of the symptoms are important to minimize disability and pain. Specialist clinical nurses play a key role in supporting medical teams, recognizing poor disease control and the need for treatment changes, providing a resource to patients on treatment options and access to additional support and advice, and identifying best practices to achieve optimal outcomes for patients and their families. This highlights the importance of investigating follow-up telenursing (TN) consultations with experienced, specialist clinical nurses in rheumatology to provide this support to children and their families.Methods/DesignThis randomized crossover, experimental longitudinal study will compare the effects of standard care against a novel telenursing consultation on children’s and family outcomes. It will examine children below 16 years old, recently diagnosed with inflammatory rheumatic diseases, who attend the pediatric rheumatology outpatient clinic of a tertiary referral hospital in western Switzerland, and one of their parents. The telenursing consultation, at least once a month, by a qualified, experienced, specialist nurse in pediatric rheumatology will consist of providing affective support, health information, and aid to decision-making. Cox’s Interaction Model of Client Health Behavior serves as the theoretical framework for this study. The primary outcome measure is satisfaction and this will be assessed using mixed methods (quantitative and qualitative data). Secondary outcome measures include disease activity, quality of life, adherence to treatment, use of the telenursing service, and cost. We plan to enroll 56 children.DiscussionThe telenursing consultation is designed to support parents and children/adolescents during the course of the disease with regular follow-up. This project is novel because it is based on a theoretical standardized intervention, yet it allows for individualized care. We expect this trial to confirm the importance of support by a clinical specialist nurse in improving outcomes for children and adolescents with inflammatory rheumatisms.Trial registrationClinicalTrial.gov identifier: NCT01511341 (December 1st, 2012).

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Benchmarking the nurse consultant role in rheumatology

Cited by 4 publications

References 0 publications

Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

Impact of a Telenursing service on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized trial study protocol

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