Recommendations for rheumatology nursing management of CIA
| Recommendations | Category of evidence | Strength of recommendation | Agreement (0–10, mean±SD) | |
|---|---|---|---|---|
| 1 | Patients should have access to a nurse for education to improve knowledge of CIA and its management throughout the course of their disease9 10 16–18 | 1B | A | 9.9±0.2 |
| 2 | Patients should have access to nurse consultations in order to experience improved communication, continuity and satisfaction with care9 10 22–31 | 1B | A | 9.1±0.6 |
| 3 | Patients should have access to nurse-led telephone services to enhance continuity of care and to provide ongoing support32–36 | 3 | C | 9.2±0.8 |
| 4 | Nurses should participate in comprehensive disease management to control disease activity, to reduce symptoms and to improve patient-preferred outcomes9–11 23 31 37–42 | 1A | A | 9.4±0.8 |
| 5 | Nurses should identify, assess and address psychosocial issues to minimise the chance of patients' anxiety and depression9 10 30 31 37 39 45–47 | 1B | A | 9.4±0.7 |
| 6 | Nurses should promote self-management skills in order that patients might achieve a greater sense of control, self-efficacy and empowerment11 37 45 49–54 | 3 | C | 9.7±0.5 |
| 7 | Nurses should provide care that is based on protocols and guidelines according to national and local contexts41 42 57–61 | 3 | C | 8.4±1.0 |
| 8 | Nurses should have access to and undertake continuous education in order to improve and maintain knowledge and skills62 65 66 70–73 | 3 | C | 9.7±0.5 |
| 9 | Nurses should be encouraged to undertake extended roles after specialised training and according to national regulations9–12 26 27 29 42 62 | 3 | C | 9.5±0.8 |
| 10 | Nurses should carry out interventions and monitoring as part of comprehensive disease management in order to achieve cost savings9 12 30 32–34 36 42 49 54 61 69 | 1B | C | 8.8±1.3 |
CIA, chronic inflammatory arthritis.