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Dissemination and evaluation of the European League Against Rheumatism recommendations for the role of the nurse in the management of chronic inflammatory arthritis: Results of a multinational survey among nurses rheumatologists and patients

Torre-Aboki, Jenny De La; Tubergen, Astrid Van; van Eijk-Hustings, Yvonne; Ndosi, Mwidimi; Buss, Beate; Fayet, Françoise; Moretti, Antonella; Ryan, Sarah; Savel, Carine; de la Torre-Aboki, J.; Scholte-Voshaar, Marieke; van Tubergen, A.

Authors

Jenny De La Torre-Aboki

Astrid Van Tubergen

Yvonne van Eijk-Hustings

Beate Buss

Françoise Fayet

Antonella Moretti

Sarah Ryan

Carine Savel

J. de la Torre-Aboki

Marieke Scholte-Voshaar

A. van Tubergen



Abstract

Objectives. The aims of this study were to disseminate, assess agreement with, assess the application of and identify potential barriers for implementation of the European League Against Rheumatism (EULAR) recommendations for the role of nurses in the management of chronic inflammatory arthritis (CIA) using a survey of nurses, rheumatologists and patients. Methods. A Web-based survey was distributed across Europe and the USA using snowball sampling. Levels of agreement and application were assessed using a 0-10 rating scale (0 = none, 10 = full agreement/application). Reasons for disagreement and potential barriers to application of each recommendation were sought. Regional differences with respect to agreement and application were explored. Results. In total, 967 nurses, 548 rheumatologists and 2034 patients from 23 countries participated in the survey. Median level of agreement was high in all three groups, ranging from 8 to 10 per recommendation. Median level of application was substantially lower, ranging from 0 to 8 per recommendation. Agreement and application were lowest in Eastern and Central Europe. The most commonly reported reasons for incomplete agreement were too many other responsibilities (nurses), doubts about knowledge of the nurse (rheumatologists) and fear of losing contact with the rheumatologist (patients). The most commonly reported barriers to the application were time constraints and unavailability of service. Rheumatologists responses suggested that nurses had insufficient knowledge to provide the recommended care. Conclusion. The EULAR recommendations for the role of nurses in the management of CIA have been disseminated among nurses, rheumatologists and patients across Europe and the USA. Agreement with these recommendations is high, but application is lower and differed across regions. © The Author 2014. Published by Oxford University Press. All rights reserved.

Journal Article Type Article
Publication Date Jan 1, 2014
Journal Rheumatology (United Kingdom)
Print ISSN 1462-0324
Electronic ISSN 1462-0332
Publisher Oxford University Press (OUP)
Peer Reviewed Peer Reviewed
Volume 53
Issue 8
Pages 1491-1496
APA6 Citation Tubergen, A. V., Torre-Aboki, J. D. L., van Eijk-Hustings, Y., Ndosi, M., Buss, B., Fayet, F., …van Tubergen, A. (2014). Dissemination and evaluation of the European League Against Rheumatism recommendations for the role of the nurse in the management of chronic inflammatory arthritis: Results of a multinational survey among nurses rheumatologists and patients. Rheumatology, 53(8), 1491-1496. https://doi.org/10.1093/rheumatology/keu134
DOI https://doi.org/10.1093/rheumatology/keu134
Keywords nurses, rheumatology nursing, guideline, inflammatory arthritis, arthritis, rheumatic disorders, geographic difference
Publisher URL http://dx.doi.org/10.1093/rheumatology/keu134
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