Mie Fusama1, Hideko Nakahara2, Yvonne van Eijk-Hustings3, Susan Oliver4, Tsutomu Takeuchi5. 1. a Division of Nursing , NTT West Osaka Hospital , Osaka , Japan. 2. b Division of Allergy, Rheumatology and Connective Tissue Diseases, Department of Internal Medicine , NTT West Osaka Hospital , Osaka , Japan. 3. c Department of Patient & Care and Department of Rheumatology , University of Maastricht , Maastricht , The Netherlands. 4. d Susan Oliver Associates , North Devon , UK , and. 5. e Division of Rheumatology, Department of Internal Medicine , Keio University School of Medicine , Tokyo , Japan.
Abstract
OBJECTIVE: We seek to evaluate the opinions of nurses and doctors in Japan regarding EULAR recommendations for nurses' roles in the management of chronic inflammatory arthritis. METHODS: This is a cross-sectional survey within Japan. We randomly selected nurses and doctors engaged in consultation of patients with rheumatoid arthritis (RA) and assessed their agreement and opinions on the feasibility of implementing EULAR recommendations, including potential barriers. RESULTS: 431 nurses and 128 doctors completed the questionnaire. For both nurses and doctors, levels of feasibility showed statistically significant lower results compared with those of agreement for all items. When compared between nurses and doctors, agreement showed no statistically significant differences, while nurses' answers were statistically significant lower for feasibility. Insufficient time, staff and knowledge, lack of established procedures and facilities, and lack of an education system for nurses were cited as barriers to the feasibility of implementing EULAR recommendations. CONCLUSIONS: This is the first survey within Japan evaluating opinions regarding EULAR recommendations for nurses' roles. We found that while agreement was high, feasibility was generally believed to be low. We recommend further research and collaboration between medical professionals in order to implement these recommendations in Japan.
OBJECTIVE: We seek to evaluate the opinions of nurses and doctors in Japan regarding EULAR recommendations for nurses' roles in the management of chronic inflammatory arthritis. METHODS: This is a cross-sectional survey within Japan. We randomly selected nurses and doctors engaged in consultation of patients with rheumatoid arthritis (RA) and assessed their agreement and opinions on the feasibility of implementing EULAR recommendations, including potential barriers. RESULTS: 431 nurses and 128 doctors completed the questionnaire. For both nurses and doctors, levels of feasibility showed statistically significant lower results compared with those of agreement for all items. When compared between nurses and doctors, agreement showed no statistically significant differences, while nurses' answers were statistically significant lower for feasibility. Insufficient time, staff and knowledge, lack of established procedures and facilities, and lack of an education system for nurses were cited as barriers to the feasibility of implementing EULAR recommendations. CONCLUSIONS: This is the first survey within Japan evaluating opinions regarding EULAR recommendations for nurses' roles. We found that while agreement was high, feasibility was generally believed to be low. We recommend further research and collaboration between medical professionals in order to implement these recommendations in Japan.
Authors: Michaël Doumen; René Westhovens; Maryline Vandeputte; Rani Van Melder; Kristien Van der Elst; Sofia Pazmino; Delphine Bertrand; Veerle Stouten; Els Van Laeken; Nelly Creten; Claudia Neys; Patrick Verschueren; Diederik De Cock Journal: Rheumatol Adv Pract Date: 2021-11-05