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2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis
Annals of the Rheumatic Diseases ( IF 20.3 ) Pub Date : 2019-07-12 , DOI: 10.1136/annrheumdis-2019-215458
Bianca Bech 1 , Jette Primdahl 2, 3 , Astrid van Tubergen 4, 5 , Marieke Voshaar 6 , Heidi A Zangi 7 , Lurdes Barbosa 8 , Carina Boström 9, 10 , Boryana Boteva 11 , Francesco Carubbi 12, 13 , Françoise Fayet 14 , Ricardo J O Ferreira 15, 16 , Kirsten Hoeper 17 , Agnes Kocher 18, 19 , Marja Leena Kukkurainen 20 , Vivienne Lion 21 , Patricia Minnock 22 , Antonella Moretti 23 , Mwidimi Ndosi 24 , Milena Pavic Nikolic 25 , Michael Schirmer 21 , Hana Smucrova 26 , Jenny de la Torre-Aboki 27 , Jennifer Waite-Jones 28 , Yvonne van Eijk-Hustings 29
Affiliation  

To update the European League Against Rheumatism (EULAR) recommendations for the role of the nurse in the management of chronic inflammatory arthritis (CIA) using the most up to date evidence. The EULAR standardised operating procedures were followed. A task force of rheumatologists, health professionals and patients, representing 17 European countries updated the recommendations, based on a systematic literature review and expert consensus. Higher level of evidence and new insights into nursing care for patients with CIA were added to the recommendation. Level of agreement was obtained by email voting. The search identified 2609 records, of which 51 (41 papers, 10 abstracts), mostly on rheumatoid arthritis, were included. Based on consensus, the task force formulated three overarching principles and eight recommendations. One recommendation remained unchanged, six were reworded, two were merged and one was reformulated as an overarching principle. Two additional overarching principles were formulated. The overarching principles emphasise the nurse’s role as part of a healthcare team, describe the importance of providing evidence-based care and endorse shared decision-making in the nursing consultation with the patient. The recommendations cover the contribution of rheumatology nursing in needs-based patient education, satisfaction with care, timely access to care, disease management, efficiency of care, psychosocial support and the promotion of self-management. The level of agreement among task force members was high (mean 9.7, range 9.6-10.0). The updated recommendations encompass three overarching principles and eight evidence-based and expert opinion-based recommendations for the role of the nurse in the management of CIA.
更新日期:2019-07-12
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