Objectives This study aimed to identify the challenges faced by nurses engaged in rheumatology care in Japan. Methods We conducted a questionnaire survey of nurses in Japan in 2020 on challenges experienced in rheumatology care. The participants were nurses certified by the Japan Rheumatism Foundation. Participants’ answers were coded and categorized based on relevant phrases and words. Content analysis was performed on the findings. Results Responses were collected from 162 participants, and a total of 228 issues were identified. Eighteen categories with 56 subcategories emerged from the data analysis, which were grouped into five types of challenges: (1) communication, (2) understanding, (3) expertise, (4) system, and (5) collaboration. In particular, the results highlighted deficiencies in needs-based multidisciplinary team care. Conclusion This study elucidated issues experienced by rheumatology nurses in clinical settings in Japan. Furthermore, this investigation revealed the necessity of patient-centred multidisciplinary team care, including health professionals, patients, and other relevant individuals. This study provided practical directions to facilitate the implementation of effective care focused on improving patients’ quality of life.

中文翻译：

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日本从事风湿病护理的护士面临的挑战

目的 本研究旨在确定日本从事风湿病护理的护士面临的挑战。方法 我们对 2020 年日本护士在风湿病护理中遇到的挑战进行了问卷调查。参与者是获得日本风湿病基金会认证的护士。参与者的答案根据相关短语和单词进行编码和分类。对调查结果进行了内容分析。结果 收集了 162 名参与者的反馈，共发现 228 个问题。数据分析得出 18 个类别 56 个子类别，分为五类挑战：（1）沟通、（2）理解、（3）专业知识、（4）系统和（5）协作。特别是，结果凸显了基于需求的多学科团队护理的缺陷。结论 这项研究阐明了日本风湿科护士在临床环境中遇到的问题。此外，这项调查揭示了以患者为中心的多学科团队护理的必要性，包括卫生专业人员、患者和其他相关个人。这项研究为促进实施以改善患者生活质量为重点的有效护理提供了实用的方向。