Anne Marie Tetsche Sweeney
Nurse‐led care for people with early rheumatoid arthritis: Interview study with thematic analysis
Sweeney, Anne Marie Tetsche; Flurey, Caroline A.; McCabe, Candy S.; Robson, Joanna C.; Richards, Pamela; Ndosi, Mwidimi
Authors
Caroline Flurey Caroline2.Flurey@uwe.ac.uk
Associate Professor in Men's Health and Long-term Conditions
Candy McCabe Candy.Mccabe@uwe.ac.uk
Professor of Clinical Research and Practice
Jo Robson Jo.Robson@uwe.ac.uk
Consultant Associate Professor in Rheumatology
Pamela Richards
Dr Mwidimi Ndosi Mwidimi.Ndosi@uwe.ac.uk
Associate Professor in Nursing Rheumatology
Abstract
Aims: To develop an understanding of what comprises nurse-led care in early rheumatoid arthritis from the perspective of rheumatology nurse specialists in England. Design: Qualitative study. Methods: Semi-structured telephone interviews with rheumatology nurse specialists in England were conducted in Summer 2020. Interviews were audio-recorded, transcribed verbatim and analysed using reflexive thematic analysis. Reporting follows the appropriate elements of consolidated criteria for reporting qualitative research. Results: Sixteen nurses were recruited and interviews lasted 30–60min. Four themes with 14 subthemes were identified. A specialist service delivered by experienced rheumatology nurses: Specialist care is provided by experienced nurse specialists with a high degree of autonomy in the rheumatology multidisciplinary team context. Addressing patients' complex care needs: Care is evidence-based and aims to start treatment, keep in treatment, educate and support. Access to psychology expertise is needed. Care with compassion using person-centred, holistic and empathetic approaches: Nurses create patient relationships and a positive therapeutic environment. Nurse-led telephone advice lines are essential for treatment adjustment, patient support and empowerment. Continued evaluation and development of the service: Consultations are reviewed,and patients are asked for feedback. The COVID-19 pandemic caused disruption, but changes streamlined procedures and improved documentation and communication. Conclusion: Nurse-led care in early rheumatoid arthritis is a specialist service delivered with compassion, addressing complex care needs and using person-centred approaches. This study identifies key aspects of care in early disease from the nurse perspective.
Citation
Sweeney, A. M. T., Flurey, C. A., McCabe, C. S., Robson, J. C., Richards, P., & Ndosi, M. (2023). Nurse‐led care for people with early rheumatoid arthritis: Interview study with thematic analysis. Musculoskeletal Care, 21(4), 1651-1661. https://doi.org/10.1002/msc.1844
Journal Article Type | Article |
---|---|
Acceptance Date | Nov 5, 2023 |
Online Publication Date | Nov 21, 2023 |
Publication Date | Dec 31, 2023 |
Deposit Date | Nov 13, 2023 |
Publicly Available Date | Dec 13, 2023 |
Journal | Musculoskeletal Care |
Print ISSN | 1478-2189 |
Electronic ISSN | 1557-0681 |
Publisher | Wiley |
Peer Reviewed | Peer Reviewed |
Volume | 21 |
Issue | 4 |
Pages | 1651-1661 |
DOI | https://doi.org/10.1002/msc.1844 |
Keywords | interview, nurse specialist, nurse‐led care, rheumatology, RA, early arthritis, qualitative |
Public URL | https://uwe-repository.worktribe.com/output/11444731 |
Publisher URL | https://onlinelibrary.wiley.com/journal/15570681 |
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Nurse‐led care for people with early rheumatoid arthritis: Interview study with thematic analysis
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Licence
http://creativecommons.org/licenses/by/4.0/
Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/
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