AB1420-HPR Rheumatology nursing: An italian experience of e-learning

People with a rheumatic disease must find ways to effectively manage their physical, emotional, employment an social impacts on their lives, as well as manage their medications and hospital appointment...

BackgroundRheumatology nursing is a practice specialty and contributes significantly to the management of patients with rheumatic musculoskeletal diseases (1, 2). Rheumatology nursing role development follows a worldwide tendency among healthcare...

BackgroundThe “EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis [1]” (hereinafter referred to as recommendations) were announced in 2012 and have become the...

BackgroundThe roles of rheumatology nurses vary widely across countries and within countries. European League Against Rheumatism (EULAR) recommendations for their role might contribute to a more standardised level of professional...

Background The first edition of the RCN Competency Framework for Rheumatology Nurse Specialists (RNS) will be published in February 2019. The role of the RNS is highly complex and several issues have driven the need for this work. The importance of RNS was highlighted by the National Rheumatoid Arthritis Society (NRAS 2017). The British Society for Rheumatology (BSR) outlined the need for education, training supervision and work force development. There are no overarching paediatric rheumatology nurse competencies other than the biologic competencies (BSPAR 2019). Education for rheumatology nurses is not currently centralised but is key to improving skills and developing our workforce for the future improving services. Both RNS and rheumatologists are in short supply resulting in problems of access to services and delays in care (BSR 2019). In all four UK nations the titles of RNS roles and proficiency vary greatly (Titrate trial 2019) which is likely to have an impact on patient experience and outcomes. The European League Against Rheumatism (EULAR) developed recommendations for the role of the RNS in the management of chronic inflammatory arthritis which were recently updated (Bech et al, 2019). They outline three key overarching principles and 8 key recommendations. This framework maps all of these requirements. Methods Online data sources were searched for the most relevant and current evidence. Where research evidence wasn’t available, existing and new knowledge was utilised from a consensus of clinical expert and patient opinions, several rounds of consensus discussions took place virtually and face to face. RCN Rheumatology Nurse Forum Workshop attendees in June 2019 also answered a questionnaire to elicit views and demographic information regarding roles. Results The workshop questionnaire results demonstrated 100% (n37) agreement with the development of the framework and that only 2 respondents had completed a competency process. 60% were RNS. Of these 52% (n13) were band 6, 47% (n9) were band 7, and 1% were band 8 consultant nurses. The questionnaire highlighted the need to develop the framework. Results were fed back to the working party to inform the domains to be included. Conclusion We will launch the document at BSR 2020 having successfully submitted a session proposal and also hope to disseminate updates on the impact of the document at subsequent events. Evaluation will begin with a call for expressions of interest. We will use 4 pilot sites (in all 4 nations) designing a questionnaire. We measure dissemination success using a variety of methods including membership Facebook pages and the questionnaire at point of download request. We will measure where and how the competency is being used and adoption of the framework throughout the UK at 6 -12 months from the launch. We hope this abstract submission will increase dissemination opportunities. Disclosures D.I. Finney Honoraria; DF has received an honorarium for presenting at a symposium. L. Parker None. H. Smith None. L. Howie None. T. Cornell Corporate appointments; Trish Cornell is a consultant nurse working for Abbvie ltd. J. Begum None. P. Livermore None. R. Wyllie None.

Background:During the past years an increasing number of papers regarding rheumatology nursing have been published, which may contribute to a higher level of evidence and increased insight into the nurses’...

BackgroundIt is widely acknowledged that a multidisciplinary team approach is the best way to care for rheumatology patient group. The rheumatology nurse specialist (RNS) is an integral part of this...

BackgroundThe contribution of nurses to rheumatology care is increasingly recognised. Therefore, international efforts have been made to emphasise and optimise the role of the nurse [1]. However, evidence for the...

BackgroundIn 2011 EULAR first published European recommendations for the potential role of nurses in the management of patients with rheumatic diseases.1 Since then, the EULAR recommendations were well disseminated and...

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....

ObjectivesThe authors aim to develop European League Against Rheumatism recommendations for the role of the nurse in the management of patients with chronic inflammatory arthritis, to identify a research agenda...

BackgroundLarge differences for the role of nurses in the management of chronic inflammatory arthritis (CIA) exist between countries and across regions. Recently, EULAR recommendations for the role of the nurse...

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. 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. 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. 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.

In 2011 EULAR first published recommendations for the potential role of nurses in the management of patients with rheumatic diseases. To perform a literature update for the role of nurses in the management of chronic inflammatory arthritis (CIA) from 2010 to 2018. A systematic literature review (SLR) was performed according to the PRISMA guidelines, in accordance with the search strategies and eligibility criteria of the EULAR taskforce. The eligibility criteria were “inflammatory arthritis”, “interventions undertaken by nurses” and “relevant outcomes to answer the research questions”. Exclusion criteria were in itself contradictory outcomes, insufficient data, consideration if they did not clearly distinguish between nurses and health professionals or focused on chronic other than rheumatic diseases. Systematic reviews were classified as descriptive and excluded. Quality of selected trials was determined according to Oxford—levels of evidence 2009. A total of 48 articles and 10 abstracts were identified fulfilling the eligibility and exclusion criteria. Recommendation 1 has been well established in Europe so far. New evidence strengthens the recommendation 3, and—at least in part—recommendation 6. High evidence strengthens recommendation 4, especially for outpatients with low and stable disease activity. Some new evidence also exists for recommendations 7 and 8. This SLR reveals new evidence for the role of nurses in managing CIA patients since 2010, especially for RA-patients with low disease activity or in remission.

BackgroundPatient education (PE) is broadly accepted as an integral part of the management of people with Rheumatoid arthritis (RA)(1), completing clinical care. However, previous reviews, till 2003,(2, 3) concluded that...