Clinical Role for the Professional Nurse in Rheumatology
Implicación clínica del profesional de enfermería en la consulta de reumatología
Amelia Carbonell Jordá
, Mauricio Mínguez Veja, Gaspar Panadero Tendero, Pilar Bernabeu Gonzálvez
Corresponding author
carbonell_ame@gva.es
Correspondence: Hospital Universitario San Juan de Alicante. Ctra. Alicante-Valencia. 03550 San Juan de Alicante. Alicante. España.
Correspondence: Hospital Universitario San Juan de Alicante. Ctra. Alicante-Valencia. 03550 San Juan de Alicante. Alicante. España.
Unidad de Reumatología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, Spain
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"tienePdf" => "en" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "220" "paginaFinal" => "227" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Revisión sistemática: ¿hay alguna razón para contraindicar el uso concominante de antiinflamatorios no esteroideos y esteroideos?" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Estíbaliz Loza" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Estíbaliz" "apellidos" => "Loza" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574308701941?idApp=UINPBA00004M" "url" => "/21735743/0000000400000006/v1_201305061550/S2173574308701941/v1_201305061550/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Clinical Role for the Professional Nurse in Rheumatology" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "228" "paginaFinal" => "231" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Amelia Carbonell Jordá, Mauricio Mínguez Veja, Gaspar Panadero Tendero, Pilar Bernabeu Gonzálvez" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Amelia" "apellidos" => "Carbonell Jordá" "email" => array:1 [ 0 => "carbonell_ame@gva.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Mauricio" "apellidos" => "Mínguez Veja" ] 2 => array:2 [ "nombre" => "Gaspar" "apellidos" => "Panadero Tendero" ] 3 => array:2 [ "nombre" => "Pilar" "apellidos" => "Bernabeu Gonzálvez" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Unidad de Reumatología, Hospital Universitario San Juan de Alicante, San Juan de Alicante, Alicante, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Hospital Universitario San Juan de Alicante. 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" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the activity of the Nurses Clinic in the Rheumatology Unit of the Hospital San Juan de Alicante, Spain.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Valorar la actividad de la consulta de enfermería del Servicio de Reumatología del Hospital San Juan de Alicante.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">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.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">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).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "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. 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