Propuestas para la incorporación del rol de enfermería en la certificación de unidades de espondiloartritis axial. Revisión bibliográfica y consenso entre expertas

Carrillo, Irene; López-Pineda, Adriana; García-Díaz, Silvia; López, Amparo; Muntalà, Lídia Valencia; Juanola, Xavier; Zarco, Pedro; Ignacio, Emilio; Mira, José Joaquín

doi:10.1016/j.reuma.2021.09.005

Cited by 1 publication

(1 citation statement)

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“…The analysis revealed that in other countries there is the need for integrating rheumatology nurses into the patient care pathway. In Spain, for instance, a study was conducted to propose the integration of rheumatology nurses in the patient pathway of Axial SpA patients (e.g., e-consultations led by rheumatology nurse for monitoring stable patients) ( 11 ). In France, the helpfulness of the role of rheumatology nurses has been confirmed by a research study that pointed out benefits of a nurse led program about the self-management of the diseases in young people with Axial SpA ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Early Spondyloarthritis Clinic: Organizational Improvements in the Patient Journey

D’Angelo¹,

Afeltra

Atzeni

et al. 2022

Front. Med.

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Spondyloarthritis are chronic inflammatory diseases affecting spine, peripheral joints and enthesis, as well as extra-articular sites (bowel, eyes, skin). Diagnosis of spondyloarthritis often is slow and requires a multidisciplinary approach. The “Early SpA Clinic” project aimed at improving the patient care and journeys, by solving some organizational issues existing in Rheumatology Clinics. The “Early SpA Clinic” involved 19 Italian Rheumatology Centers using in-depth organizational analyses to identify areas for improvement. From the results of the analyses, some organizational solutions were suggested, and their impact measured at the end of the project through specific KPI. With the implementation of the suggested organizational solutions, Centers achieved relevant results, positively impacting on all the phases of the patient journey: decrease in waiting lists (−23%) and in the time length to transit the Center (−22%), increase in the percentage of new diagnoses (+20%), in the saturation of outpatient clinic capacity (+16%), and in the patient satisfaction (+4%). Centers involved in the “Early SpA Clinic” implemented several organizational actions based on an overall assessment of their activities and on solutions that required no additional resources. Overall, the Centers achieved the “Early SpA Clinic” objectives in terms of better management of resources, personnel, spaces, equipment, in relation to the volumes of patients.

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Section: Discussionmentioning

confidence: 99%