The value, impact and role of nurses in rheumatology outpatient care: Critical review of the literature
| Autor: | Rhiannon R Baggott, Heidi Lempp, Sofia Georgopoulou, Ailsa Bosworth, Jill Firth, Louise Parker, David Scott |
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| Rok vydání: | 2019 |
| Předmět: |
rheumatoid arthritis
Value (ethics) medicine.medical_specialty Nursing (miscellaneous) Nurses Physical Therapy Sports Therapy and Rehabilitation nurses Nurse's Role Nursing care Ambulatory care Rheumatology Internal medicine Ambulatory Care Medicine Humans Orthopedics and Sports Medicine Qualitative Research business.industry professional titles Rehabilitation Clinical trial Systematic review Patient Satisfaction Family medicine specialist training Observational study Chiropractics business Qualitative research |
| Zdroj: | Lempp, H, Baggott, R, Scott, D, Parker, L, Bosworth, A, Georgouplou, S & Firth, J 2020, ' The value, impact and role of nurses in rheumatology outpatient care: Critical review of the literature ', Musculoskeletal Care, vol. 18, no. 3, pp. 245-255 . https://doi.org/10.1002/msc.1467 |
| ISSN: | 1557-0681 |
| DOI: | 10.1002/msc.1467 |
| Popis: | Background: As rheumatology nurses make substantial contributions to intensivemanagement programmes following ‘treat to target’ principles of people with rheumatoidarthritis (RA), there is a need to understand the impacts of their involvement. Astructured literature review was undertaken of qualitative studies, clinical trials andobservational studies to assess the impacts of rheumatology nurses on clinical outcomesand the experiences of patients with RA and to examine the skills and trainingof the nurses involved.Method: A structured literature review was conducted to examine the value, impactand professional role of nurses in RA management.Results: The literature search identified 657 publications, and 20 of them wereincluded comprising: seven qualitative studies (242 patients), nine trials (a total of2,440 patients) and four observational studies (1,234 patients). In clinical trials, nursesachieved similar patient clinical outcomes to doctors, and nurses also enhancedpatients' satisfaction of received care and self-efficacy. In the qualitative studiesreviewed, the nurses increased patients' knowledge and promoted their self-management.The observational studies studied examined found that nursing care led toimproved patients' global functioning. The nurses in the various studies had a widerange of titles, experiences and training.Discussion: Our structured literature review provides strong evidence that rheumatologynurses are effective in delivering care for RA patients. However, their titles,experience and training were highly variable.Conclusion: There is a convincing case to maintain and extend the role of nursesin managing RA, but further work is needed on standardisation of their titles andtraining. |
| Databáze: | OpenAIRE |
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