Table 1

Recommendations for rheumatology nursing management of CIA

RecommendationsCategory of evidenceStrength of recommendationAgreement (0–10, mean±SD)
1Patients should have access to a nurse for education to improve knowledge of CIA and its management throughout the course of their disease9 10 16181BA9.9±0.2
2Patients should have access to nurse consultations in order to experience improved communication, continuity and satisfaction with care9 10 22311BA9.1±0.6
3Patients should have access to nurse-led telephone services to enhance continuity of care and to provide ongoing support32363C9.2±0.8
4Nurses should participate in comprehensive disease management to control disease activity, to reduce symptoms and to improve patient-preferred outcomes911 23 31 37421AA9.4±0.8
5Nurses should identify, assess and address psychosocial issues to minimise the chance of patients' anxiety and depression9 10 30 31 37 39 45471BA9.4±0.7
6Nurses should promote self-management skills in order that patients might achieve a greater sense of control, self-efficacy and empowerment11 37 45 49543C9.7±0.5
7Nurses should provide care that is based on protocols and guidelines according to national and local contexts41 42 57613C8.4±1.0
8Nurses should have access to and undertake continuous education in order to improve and maintain knowledge and skills62 65 66 70733C9.7±0.5
9Nurses should be encouraged to undertake extended roles after specialised training and according to national regulations912 26 27 29 42 623C9.5±0.8
10Nurses should carry out interventions and monitoring as part of comprehensive disease management in order to achieve cost savings9 12 30 3234 36 42 49 54 61 691BC8.8±1.3
  • CIA, chronic inflammatory arthritis.