Benchmarking the nurse consultant role in rheumatology

Ryan, Sarah; Browne, Anne Marie; Home, Diane; Wild, Ann; Hennell, Sheena; Homer, Dawn

doi:10.7748/ns.20.33.52.s52

Cited by 3 publications

(1 citation statement)

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“…Among other factors, the practice context of the nurses in this study consisted of the space set apart for learning in the clinic, which may have been dependent on negotiations on the role of the nurse in a particular workplace. Ryan et al (2006) describe how four core standards for the nurse consultant role have been developed and applied in the field of rheumatology: expert practice, leadership and service redesign, research, and education (Ryan et al, 2006). In this study, nurses’ perceptions of physicians’ trust in nurses’ expert practice and their abilities to shoulder an extended role differed among the rheumatology units.…”

Section: Discussionmentioning

confidence: 99%

Knowledge Sources for Evidence-Based Practice in Rheumatology Nursing

et al. 2014

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As rheumatology nursing develops and extends, knowledge about current use of knowledge in rheumatology nursing practice may guide discussions about future knowledge needs. To explore what perceptions rheumatology nurses have about their knowledge sources and about what knowledge they use in their practice, 12 nurses working in specialist rheumatology were interviewed using a semi-structured interview guide. The data were analyzed using conventional qualitative content analysis. The analysis yielded four types of knowledge sources in clinical practice: interaction with others in the workplace, contacts outside the workplace, written materials, and previous knowledge and experience. Colleagues, and physicians in particular, were important for informal learning in daily rheumatology practice. Evidence from the medical arena was accessed through medical specialists, while nursing research was used less. Facilitating informal learning and continuing formal education is proposed as a way toward a more evidence-based practice in extended roles.

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Section: Discussionmentioning

confidence: 99%

Knowledge Sources for Evidence-Based Practice in Rheumatology Nursing

et al. 2014

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2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

Edelaar

Nikiphorou

Fragoulis

et al. 2020

Annals of the Rheumatic Diseases

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background/objectives To maintain and optimise the quality of care provided by health professionals in rheumatology (HPRs), adequate educational offerings are needed. This task force (TF) aimed to develop evidence-based recommendations for the generic core competences of HPRs, with specific reference to nurses, physical therapists (PTs) and occupational therapists (OTs) to serve as a basis for their postgraduate education. Methods The EULAR standardised operating procedures for the development of recommendations were followed. A TF including rheumatologists, nurses, PTs, OTs, patient-representatives, an educationalist, methodologists and researchers from 12 countries met twice. In the first TF meeting, 13 research questions were defined to support a systematic literature review (SLR). In the second meeting, the SLR evidence was discussed and recommendations formulated. Subsequently, level of evidence and strength of recommendation were assigned and level of agreement (LoA) determined (0-10 rating scale). Results Three overarching principles were identified and 10 recommendations were developed for the generic core competences of HPRs. The SLR included 79 full-text papers, 20 of which addressed the competences, knowledge, skills, attitudes and/or educational needs of HPRs from multiple professions. The average LoA for each recommendation ranged from 9.42 to 9.79. Consensus was reached both on a research and educational agenda. Conclusion Evidence and expert opinion informed a set of recommendations providing guidance on the generic core competences of HPRs. Implementation of these recommendations in the postgraduate education of HPRs at the international and national level is advised, considering variation in healthcare systems and professional roles. MeTHodsThe updated EULAR standardised operating procedures (SOPs) for the development of the recommendations were followed 5 after approval of the TF by the EULAR Executive Committee. The multidisciplinary TF comprised of a selection of nine experts in HPRs' education (three nurses, two PTs, three on July 4, 2020 by guest. Protected by copyright.

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Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

et al. 2019

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ObjectiveTo identify generic competences on the desired knowledge, skills and of health professionals in rheumatology (HPRs) to inform the respective EULAR recommendations.MethodsA systematic literature review was performed on the generic core competences (defined as knowledge, skills or attitudes) of HPRs (nurses, physical therapists (PTs) or occupational therapists (OTs)). Literature was obtained from electronic databases, published EULAR recommendations and via personal communication with representatives of national rheumatology societies and experts in the field. Qualitative, quantitative and mixed methods studies were included, and their methodological quality was scored using appropriate instruments.ResultsFrom 766 references reviewed, 79 fulfilled the inclusion criteria. Twenty studies addressed competences of multiple HPRs: 15 were of qualitative design, 1 quantitative, 1 mixed-methods, 2 systematic reviews and 1 opinion paper. The methodological quality of most studies was medium to high. Five studies concerned the development of a comprehensive set of competences. Key competences included: basic knowledge of rheumatic diseases, holistic approach to patient management, effective communication with colleagues and patients and provision of education to patients. The proposed competences were confirmed in studies focusing on one or more specific competences, on a rheumatic disease or on a specific profession (nurses, PTs or OTs).ConclusionGeneric competences were identified for HPRs. Data were mostly derived from qualitative studies. All identified studies varied and were at national level, highlighting the need for the harmonisation of HPR competences across Europe. These findings underpin the development of EULAR recommendations for the core competences of HPRs.

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Benchmarking the nurse consultant role in rheumatology

Cited by 3 publications

References 0 publications

Knowledge Sources for Evidence-Based Practice in Rheumatology Nursing

Knowledge Sources for Evidence-Based Practice in Rheumatology Nursing

2019 EULAR recommendations for the generic core competences of health professionals in rheumatology

Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations

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