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Development of a structured on-site nursing program for training nurse specialists in rheumatology

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Abstract

There is currently no structured system for nurses or allied health professionals to undertake further training to become a nurse specialist (NSp) or nurse practitioner (NP) in rheumatology on-site, while working in a district general hospital setting. These shortcomings have prompted us to develop a structured pathway that could be followed by staff nurses who wish to become NSp in rheumatology. The proposed pathway aims to assist the nurses or therapists (physiotherapists, psychologists, occupational therapist, podiatrists, etc.) to develop a sound knowledge based on the rationale, safety, and high quality clinical care when monitoring of patients taking disease-modifying anti-rheumatic drugs (DMARDs) to ensure they acquire skills enabling them to provide safe, evidence-based effective patient-centered care. Near the end of the pathway, the trainee would be expected to have an understanding of the particularities of chronic arthritis conditions as well as screening, assessment, and monitoring of patients receiving DMARDs and biological agents. Tests for competencies are included and certification may be considered.

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References

  1. Bird H (1983) Divided rheumatology care: the advent of the nurse practitioner? Ann Rheum Dis 42:354–355

    Article  PubMed  CAS  Google Scholar 

  2. Hill J, Bird H, Lawton C et al (1994) An evaluation of the effectiveness, safety and acceptability of a nurse practitioner in a rheumatology outpatient clinic. Br J Rheumatol 33:283–288

    Article  PubMed  CAS  Google Scholar 

  3. Hill J (1985) Nursing clinics for arthritis. Nurs Times 81:33–34

    PubMed  CAS  Google Scholar 

  4. Hill J (1992) A nurse practitioner rheumatology clinic. Nurs Stand 7:35–37

    PubMed  CAS  Google Scholar 

  5. Symmons DP, Bankhead CR, Griffiths I et al (1996) Changing patterns of rheumatology manpower and practice in the UK in the 1990s. Br J Rheumatol 35:483–488

    Article  PubMed  CAS  Google Scholar 

  6. Hale C, Hill J (2006) Locating the evidence base for musculoskeletal nursing: an overview of the rheumatology nursing literature. Int J Nurs Stud 43:507–518

    Article  PubMed  Google Scholar 

  7. Hanly JG (2001) Canadian council of academic rheumatologists. Manpower in Canadian academic rheumatology units: current status and future trends. J Rheumatol 28:1944–1951

    PubMed  CAS  Google Scholar 

  8. Moya F, Rusinol M, Comulada J et al (1999) Nurse led rheumatology clinic in a department of rheumatology. Revista Espanola de Rheumatologia 26:304–309

    Google Scholar 

  9. Rheumatology nursing in Eular (2010) HP news 1:10

  10. Pincus T, Gibofsky A, Weinblatt ME (2002) Urgent care and tight control of rheumatoid arthritis as in diabetes and hypertension: better treatments but a shortage of rheumatologists [editorial]. Arthr Rheum 46:851–854

    Article  Google Scholar 

  11. van den Hout WB, Tijhuis GJ, Hazes JM et al (2003) Cost effectiveness and cost utility analysis of multidisciplinary care in patients with rheumatoid arthritis: randomized comparison of clinical nurse specialist care, in-patients team care and day patient team care. Ann Rheum Dis 62:308–315

    Article  PubMed  Google Scholar 

  12. Stucki G (2003) Economic analysis rheumatoid arthritis, clinical nurse specialist, multidisciplinary team: understanding disability. Ann Rheum Dis 62:289–290

    Article  PubMed  CAS  Google Scholar 

  13. Nursing, midwifery council (2004) Standards of proficiency for pre-registration nursing education. Nursing and midwifery Council, London

    Google Scholar 

  14. Almeida C, Clarke B, O’Brien A et al (2006) Current provision of rheumatology education for undergraduate nursing occupational therapy and physiotherapy students in the UK. Rheumatology (Oxford) 45:868–873

    Article  CAS  Google Scholar 

  15. Happel B, Rushworth L (2003) Can educational methods influence the popularity of psychiatric nursing? Nurs Edu Today 20:318–326

    Article  Google Scholar 

  16. Hewlett S, Clarke B, O’Brien A et al (2008) Rheumatology education for undergraduate nursing, physiotherapy and occupational therapy students in the UK: standards, challenges and solutions. Rheumatology 47:1025–1031

    Article  PubMed  CAS  Google Scholar 

  17. Grahame R, West J (1996) The role of the rheumatology nurse practitioner in primary care: an experiment in the further education of the practice nurse. Br J Rheumatol 35: 581–588

    Google Scholar 

  18. Cornelissen PG, Rasker JJ, Valkenburg HA (1998) The arthritis sufferer and the community: a comparison of arthritis sufferers in rural and urban areas. Ann Rheum Dis 47:150–156

    Article  Google Scholar 

  19. Royal College of Nursing Report (2001) Standards for effective practice and audit in rheumatology nursing. London

  20. Li LC, Backman C, Bombardier C, Hammond A et al (2004) Focusing on care research: a challenge and an opportunity. Arthr Rheum (Arthr Care Res) 51(6):874–876

    Article  Google Scholar 

  21. Bird HA, Wright V, Galloway D (1980) Clinical metrology—a future career grade? Lancet 2:138–140

    Article  PubMed  CAS  Google Scholar 

  22. McCabe C, McDowell J, Cushnaghan J et al (2000) Rheumatology telephone helplines: an activity analysis. Rheumatology 39:1390–1395

    Article  PubMed  CAS  Google Scholar 

  23. Davis P (2003) The application of telehealth to rheumatology. Clin Rheumatol 22:168–172

    Article  PubMed  CAS  Google Scholar 

  24. Lewis CE, Resnick BA (1967) Nurse clinics and progressive ampulatory care. N Eng J Med 277:1236–1241

    Article  CAS  Google Scholar 

  25. Hill J, Bird HA, Hopkins R et al (1992) Survey of satisfaction with care in a rheumatology out-patient clinic. Ann Rheum Dis 51:195–197

    Article  PubMed  CAS  Google Scholar 

  26. Hill J (1997) Patient satisfaction in a nurse-led rheumatology clinic. J Adv Nurs 25:347–354

    Article  PubMed  CAS  Google Scholar 

  27. Hill J, Oliver S, Finney D (2010) The demographics, educational attainment and current practices of rheumatology nurses and allied health professionals in the UK. Rheumatolgy (Oxford) 49:1599–1600

    Google Scholar 

  28. Centers for Disease Control, Prevention (2003) Public health and ageing: projected prevalence of self reported arthritis or chronic joints symptoms among persons aged 65 years. United states, 2005–2030. MMWR Morb Mortal Wkly Rep 52:489–491

    Google Scholar 

  29. The Bone and Joint Decade. The Bone and Joint Decade 2001–2010.http://www.boneandjointdecade.org

  30. Kanz JN, Barrett J, Liang MH et al (1998) Utilization of rheumatology physician services by the elderly. Am J Med 105:312–318

    Article  Google Scholar 

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Acknowledgments

Drs. Nehad Ibrahim, Laura Congi, Coziana Ciurtin, Judit Bartko, Kifayat Malik, Shahzabeen Sultana are acknowledged for providing information about the existence of nurse specialists position in Rheumatology in Spain, Italy, Romania, Hungary, Pakistan, Bangladesh.

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Rheumatology and Rehabilitation, Barking, Havering and Redbridge University Hospitals NHS Trust, King George Hospital, Barley Lanes, Goodmayes, Ilford, Essex, IG3 8YB, UK

    Euthalia Roussou, Caroline Iacovou & Louisa Georgiou

  2. Barts and the London, Queen Mary’s school of Medicine and Dentistry University of London, London, UK

    Euthalia Roussou

Authors
  1. Euthalia Roussou
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  2. Caroline Iacovou
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  3. Louisa Georgiou
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Corresponding author

Correspondence to Euthalia Roussou.

Additional information

Caroline Iacovou: Deceased.

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Roussou, E., Iacovou, C. & Georgiou, L. Development of a structured on-site nursing program for training nurse specialists in rheumatology. Rheumatol Int 32, 1685–1690 (2012). https://doi.org/10.1007/s00296-011-1869-z

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  • DOI: https://doi.org/10.1007/s00296-011-1869-z

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