The Nurse's Role in Addressing Unmet Treatment and Management Needs of Patients With Rheumatoid Arthritis: Delphi-Based Recommendations

Abstract

Purpose: Evaluate nurse's role in management of patients with rheumatoid arthritis (RA).

Methods: Modified Delphi with two rounds of questionnaires, followed by in-person meeting. International group of 12 nurses experienced with RA patients receiving biologic therapy.

Findings: Nurses often spend more time with patients than doctors do. Nurse is in unique position to explore patient needs; educate about treatment, administration, product storage, and self-injection technique; determine readiness for and understanding of treatment; monitor safety and progress; and coordinate care within multidisciplinary setting.

Conclusions: Nurse's role is complex and vitally important to optimal RA patient care. Additional nurse involvement may address unmet needs.

Implications for nursing practice: Rheumatology nurses can address unmet patient needs by expanding current roles and by adopting additional functions.

Keywords: Biologics; Delphi; rheumatoid arthritis; self-injection; survey.