Your browser doesn't support javascript.
loading
Nursing sensitive outcomes in patients with rheumatoid arthritis: A systematic literature review.
Minnock, Patricia; McKee, Gabrielle; Kelly, Alexia; Carter, Sheree C; Menzies, Victoria; O'Sullivan, Denis; Richards, Pam; Ndosi, Mwidimi; van Eijk Hustings, Yvonne.
Afiliación
  • Minnock P; Rheumatic Musculoskeletal Disease Unit, Our Lady's Hospice & Care Services, Harold's Cross, Dublin 6w, Ireland. Electronic address: pminnock@olh.ie.
  • McKee G; School of Nursing & Midwifery, Trinity College Dublin, Ireland.
  • Kelly A; St Vincent's Private Hospital Dublin, Ireland; St Vincent's University Hospital, Dublin, Ireland.
  • Carter SC; The University of Alabama, Capstone College of Nursing, Tuscaloosa, AL, USA.
  • Menzies V; Virginia Commonwealth University, School of Nursing, Richmond, VA, USA.
  • O'Sullivan D; St Vincent's University Hospital, Dublin, Ireland.
  • Richards P; University of Bristol, Academic Rheumatology Bristol, Bristol, UK.
  • Ndosi M; Department of Nursing and Midwifery, University of the West of England, Bristol, UK.
  • van Eijk Hustings Y; Department of Clinical Epidemiology and Medical Technology Assessment, Department of Rheumatology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Int J Nurs Stud ; 77: 115-129, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29080437
BACKGROUND: Although rheumatology nursing has been shown to be effective in managing patients with rheumatoid arthritis, patient outcomes sensitive to nursing interventions (nursing sensitive outcomes) have not been systematically studied. OBJECTIVES: The objective of this study was to identify and delineate relevant patient outcomes measured in studies that reported nursing interventions in patients with rheumatoid arthritis. DESIGN: A systematic search was conducted from 1990 to 2016. Inclusion criteria were (i) patients with rheumatoid arthritis, (ii) adult population age ≥16years, (iii) nurse as part of the care team or intervention delivery, (iv) primary research only, (v) English language, and (vi) quantitative studies with nursing sensitive outcomes. DATA SOURCES: Medline, CINAHL, Ovid nursing, Cochrane library and PsycINFO databases were searched for relevant studies. REVIEW METHODS: Using the predetermined inclusion/exclusion criteria, nine reviewers working in pairs assessed the eligibility of the identified studies based on titles and abstracts. Papers meeting the inclusion criteria were retrieved and full texts were further assessed. Critical Appraisal Skills Programme tools were used to assess the quality of the included studies. Data on nursing sensitive outcomes were extracted independently by two reviewers. The Outcome Measures in Rheumatology comprehensive conceptual framework for health was used to contextualise and present findings. RESULTS: Of the 820 articles retrieved, 7 randomised controlled trials and 3 observational studies met the inclusion criteria. Seventeen nursing sensitive outcomes were identified (disease activity, clinical effects, pain, early morning stiffness duration, fatigue, patient safety issues, function, knowledge, patient satisfaction, confidence in care received, mental health status, self-efficacy, patient attitude/perception of ability to control arthritis, quality of life, health utility, health care resources, death). These fitted into 10 health intervention domains in keeping with the pre-specified conceptual framework for health: disease status, effectiveness, safety, function, knowledge, satisfaction, psychological status, quality of life, cost, death. A total of 59 measurement instruments were identified comprising patient reported outcome measures (n=31), and biologic measures and reports (n=28). CONCLUSIONS: This review is notable in that it is the first to have identified, and reported, a set of multidimensional outcome measures that are sensitive to nursing interventions in rheumatology specifically. Further research is required to determine a core set of outcomes to be used in all rheumatology nursing intervention studies.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Reumatoide / Evaluación de Resultado en la Atención de Salud Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Int J Nurs Stud Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Artritis Reumatoide / Evaluación de Resultado en la Atención de Salud Tipo de estudio: Clinical_trials / Diagnostic_studies / Observational_studies / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Límite: Adult / Humans Idioma: En Revista: Int J Nurs Stud Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido