Clinical Role for the Professional Nurse in Rheumatology

Carbonell Jordá, Amelia; Mínguez Veja, Mauricio; Panadero Tendero, Gaspar; Bernabeu Gonzálvez, Pilar

doi:10.1016/S2173-5743(08)70195-3

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Ctra. Alicante-Valencia. 03550 San Juan de Alicante. Alicante. España." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Implicación clínica del profesional de enfermería en la consulta de reumatología" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-02-05" "fechaAceptado" => "2008-03-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec111934" "palabras" => array:4 [ 0 => "Rheumatology" 1 => "Practice nurse" 2 => "Further education" 3 => "Rheumatology nurse practitioner" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec111935" "palabras" => array:4 [ 0 => "Reumatología" 1 => "Enfermera asistencial" 2 => "Educación de posgrado" 3 => "Enfermera especialista en reumatología" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "ObjectiveTo evaluate the activity of the Nurses Clinic in the Rheumatology Unit of the Hospital San Juan de Alicante, Spain. MethodsAfter reaching a consensus, the nurses’ functions were defined using a pre-defined scale (supported by medical objectives) and codes were assigned to perform future metrics. Afterwards, 3 roles were assigned to the rheumatology nurse practitioner: 1. Procedures (nursing techniques); 2. Educational Health Related Services; and 3. Osteoporosis Nursery Clinic. ResultsMeasurement of the rheumatology nurse activity during 2006: Assignment 1, 1592 procedures; Assignment 2, 2604 services; Assignment 3, 331 visits (95 first visits and 236 revisions). ConclusionsThese metrics support the fact that the activity shown in the Nurses’ Clinic is enough to justify a full-time professional and the importance of designating their own specific planning and personal space in the Unit. The structure and roles in our Nurses’ Clinic could be a role model to other Rheumatology Departments." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "ObjetivoValorar la actividad de la consulta de enfermería del Servicio de Reumatología del Hospital San Juan de Alicante. MétodosDe forma consensuada, se definieron las funciones del profesional de enfermería utilizando una escala predefinida (apoyada por objetivos asistenciales) y se asignaron códigos numéricos para calcular métricas. Posteriormente, se diseñaron tres agendas informatizadas, exclusivas para el profesional de enfermería: 1. Procedimientos (técnicas de enfermería), 2. Prestaciones (educación-consultoría) y 3. Consulta monográfica de osteoporosis. ResultadosMedida de la actividad asistencial realizada durante 2006: Agenda 1, 1.592 procedimientos; Agenda 2, 2.604 prestaciones; Agenda 3, 331 consultas (95 iniciales y 236 revisiones). ConclusionesLas métricas obtenidas corroboran que la gestión de esta consulta ocupa la jornada laboral completa del profesional sanitario y la conveniencia de asignarle una planificación y un espacio físico propios. La estructura y el funcionamiento de nuestra consulta de enfermería podría servir de referencia a otros servicios de reumatología." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sociedad Española de Reumatología. Estándares de tiempos de proceso, y calidad asistencial en reumatología. Madrid: SER; 2006. p. 32–73." ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Papel de la enfermería en la consulta de artritis reumatoide" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.T. López Albardonedo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:3 [ "titulo" => "Artritis reumatoide" "paginaInicial" => "437" "serieFecha" => "2003" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The formation of the Spanish Rheumatology Nursing Society" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J. de la Torre" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/msc.123" "Revista" => array:6 [ "tituloSerie" => "Musculoskeletal Care" "fecha" => "2007" "volumen" => "5" "paginaInicial" => "1" "paginaFinal" => "3" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18050263" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Actividad asistencial realizada por la enfermera de reumatología en un servicio hospitalario" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "F. Moyá" 1 => "M. Rusiñol" 2 => "J. Comulada" 3 => "S. Martínez" 4 => "R. Soler" 5 => "J. Granados" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rev Esp Reumatol" "fecha" => "1999" "volumen" => "26" "paginaInicial" => "304" "paginaFinal" => "309" ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rheumatology nurse specialists-do we need them?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Hill" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/rheumatology/kel431" "Revista" => array:6 [ "tituloSerie" => "Rheumatology" "fecha" => "2007" "volumen" => "46" "paginaInicial" => "379" "paginaFinal" => "381" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17255136" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The expanding role of the nurse in rheumatology" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "H. Hill" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Br J Rheumatol" "fecha" => "1997" "volumen" => "36" "paginaInicial" => "410" "paginaFinal" => "412" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9159531" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Rheumatology nurse parctitioners’ perceptions of their role" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "L. Goh" 1 => "J. Samanta" 2 => "A. Samanta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/msc.81" "Revista" => array:6 [ "tituloSerie" => "Musculoskeletal Care" "fecha" => "2006" "volumen" => "4" "paginaInicial" => "88" "paginaFinal" => "100" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17042020" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "exploring the perceived role and impact of the nurse consultant" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S. Ryan" 1 => "A. Hassell" 2 => "C. Thwaites" 3 => "K. Manley" 4 => "D. Home" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1002/msc.87" "Revista" => array:6 [ "tituloSerie" => "Musculoskeletal Care" "fecha" => "2006" "volumen" => "4" "paginaInicial" => "167" "paginaFinal" => "173" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17042027" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "defining the role of the specialist nurse" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S. Ryan" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Nursing Standard" "fecha" => "1996" "volumen" => "10" "paginaInicial" => "17" "paginaFinal" => "23" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8868668" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701953/v1_201305061550/en/main.assets" "Apartado" => array:4 [ "identificador" => "17338" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original Article" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/21735743/0000000400000006/v1_201305061550/S2173574308701953/v1_201305061550/en/main.pdf?idApp=UINPBA00004M&text.app=https://reumatologiaclinica.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701953?idApp=UINPBA00004M"]

Article information

Statistics

Abstract

Objective

To evaluate the activity of the Nurses Clinic in the Rheumatology Unit of the Hospital San Juan de Alicante, Spain.

Methods

After reaching a consensus, the nurses’ functions were defined using a pre-defined scale (supported by medical objectives) and codes were assigned to perform future metrics. Afterwards, 3 roles were assigned to the rheumatology nurse practitioner: 1. Procedures (nursing techniques); 2. Educational Health Related Services; and 3. Osteoporosis Nursery Clinic.

Results

Measurement of the rheumatology nurse activity during 2006: Assignment 1, 1592 procedures; Assignment 2, 2604 services; Assignment 3, 331 visits (95 first visits and 236 revisions).

Conclusions

These metrics support the fact that the activity shown in the Nurses’ Clinic is enough to justify a full-time professional and the importance of designating their own specific planning and personal space in the Unit. The structure and roles in our Nurses’ Clinic could be a role model to other Rheumatology Departments.

Key words:

Rheumatology

Practice nurse

Further education

Rheumatology nurse practitioner

Resumen

Objetivo

Valorar la actividad de la consulta de enfermería del Servicio de Reumatología del Hospital San Juan de Alicante.

Métodos

De forma consensuada, se definieron las funciones del profesional de enfermería utilizando una escala predefinida (apoyada por objetivos asistenciales) y se asignaron códigos numéricos para calcular métricas. Posteriormente, se diseñaron tres agendas informatizadas, exclusivas para el profesional de enfermería: 1. Procedimientos (técnicas de enfermería), 2. Prestaciones (educación-consultoría) y 3. Consulta monográfica de osteoporosis.

Resultados

Medida de la actividad asistencial realizada durante 2006: Agenda 1, 1.592 procedimientos; Agenda 2, 2.604 prestaciones; Agenda 3, 331 consultas (95 iniciales y 236 revisiones).

Conclusiones

Las métricas obtenidas corroboran que la gestión de esta consulta ocupa la jornada laboral completa del profesional sanitario y la conveniencia de asignarle una planificación y un espacio físico propios. La estructura y el funcionamiento de nuestra consulta de enfermería podría servir de referencia a otros servicios de reumatología.

Palabras clave:

Reumatología

Enfermera asistencial

Educación de posgrado

Enfermera especialista en reumatología

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References

[1.]

Sociedad Española de Reumatología. Estándares de tiempos de proceso, y calidad asistencial en reumatología. Madrid: SER; 2006. p. 32–73.

[2.]

M.T. López Albardonedo.

Papel de la enfermería en la consulta de artritis reumatoide.