Table 1

2018 update of the EULAR recommendations for the role of the nurse in the management of CIA

Overarching principles
Rheumatology nurses are part of a healthcare team
Rheumatology nurses provide evidence-based care
Rheumatology nursing is based on shared decision-making with the patient
Recommendations Level of Evidence* Grade of recommendation* Level of agreement†
(0– 10)
1Patients should have access to a nurse for needs-based education to improve knowledge of CIA and its management throughout the course of their disease1BA10.0±0.2
2Patients should have access to nurse consultations in order to enhance satisfaction with care1AA9.7±0.6
3Patients should have the opportunity of timely access to a nurse for needs-based support; this includes tele-health1BB9.7±0.6
4Nurses should participate in comprehensive disease management to control disease activity, reduce symptoms and improve patient-preferred outcomes; this leads to cost-effective care1AA9.7±0.5
5Nurses should address psychosocial issues to reduce patients’ symptoms of anxiety and depression1BA9.6±0.7
6Nurses should support self-management skills to increase patients’ self-efficacy1AA9.8±0.4
7Nurses should have access to and undertake continuous education in the specialty of rheumatology to improve and maintain knowledge and skills2CB9.8±0.7
8Nurses should be encouraged to undertake extended roles after specialised training and according to national regulations1AA9.7±0.6
  • *According to the Oxford Centre for Evidence-based Medicine - CEBM ‘Levels of Evidence 1’.

  • †Expert agreement achieved by all members of the Task Force upon the consensus meeting (data are mean ±SD, [range]).

  • CIA, chronic inflammatory arthritis.