Patients' experiences of a nurse-led rheumatology clinic in Sweden: A qualitative study

被引：33

作者：

Larsson, Ingrid ^{[1
,2
]}

Bergman, Stefan ^{[1
]}

Fridlund, Bengt ^{[2
]}

Arvidsson, Barbro ^{[1
,3
]}

机构：

[1] Spenshult Hosp, Ctr Res & Dev, S-31392 Oskarstrom, Sweden

[2] Jonkoping Univ, Sch Hlth Sci, Jonkoping, Sweden

[3] Halmstad Univ, Sch Social & Hlth Sci, Halmstad, Sweden

来源：

NURSING & HEALTH SCIENCES | 2012年 / 14卷 / 04期

关键词：

biological therapy; nurse-led rheumatology clinic; patients' experiences; qualitative study; Sweden; FOLLOW-UP; CARE; ARTHRITIS; IMPACT; PARTICIPATION; PERCEPTIONS; MANAGEMENT; PEOPLE;

D O I：

10.1111/j.1442-2018.2012.00723.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

In this study, patients' experiences of a nurse-led rheumatology clinic for those undergoing biological therapy are discussed. The study had an explorative design, based on a qualitative content analysis with an inductive approach. Strategic sampling was used in order to achieve variations in experiences of a nurse-led clinic. Interviews were conducted with 20 participants, and the analysis resulted in the theme the nurse-led rheumatology clinic provided added value to patient care. The participants' experiences of the encounter with the nurse led to a sense of security (due to competence and accessibility), familiarity (due to confirmation and sensitivity), and participation (due to exchange of information and involvement). Replacing every second visit to a rheumatologist with one to a nurse added value to the rheumatology care, making it more complete. Nurses and rheumatologists complemented each other, as they approached patients from different perspectives. This study suggests that a nurse-led rheumatology clinic adds value to the quality of care for patients in rheumatology units.

引用

页码：501 / 507

页数：7

共 37 条

[1] Rheumatology: a study of patient satisfaction with follow-up monitoring care [J].

Arthur, V ;

Clifford, C .

JOURNAL OF CLINICAL NURSING, 2004, 13 (03) :325-331

[2] Rheumatology: the expectations and preferences of patients for their follow-up monitoring care: a qualitative study to determine the dimensions of patient satisfaction [J].

Arthur, V ;

Clifford, C .

JOURNAL OF CLINICAL NURSING, 2004, 13 (02) :234-242

[3]

Arvidsson Barbro, 2003, Musculoskeletal Care, V1, P81, DOI 10.1002/msc.43

[4]

Arvidsson S Barbro, 2006, Nurs Health Sci, V8, P133, DOI 10.1111/j.1442-2018.2006.00269.x

[5]

Chin W. Y., 2011, Hong Kong Medical Journal, V17, P217

[6] Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis [J].

Clark, Christopher E. ;

Smith, Lindsay F. P. ;

Taylor, Rod S. ;

Campbell, John L. .

BMJ-BRITISH MEDICAL JOURNAL, 2010, 341 :491

[7]

Downe-Wamboldt B, 1992, Health Care Women Int, V13, P313

[8] Person-centered care - Ready for prime time [J].

Ekman, Inger ;

Swedberg, Karl ;

Taft, Charles ;

Lindseth, Anders ;

Norberg, Astrid ;

Brink, Eva ;

Carlsson, Jane ;

Dahlin-Ivanoff, Synneve ;

Johansson, Inga-Lill ;

Kjellgren, Karin ;

Liden, Eva ;

Ohlen, Joakim ;

Olsson, Lars-Eric ;

Rosen, Henrik ;

Rydmark, Martin ;

Sunnerhagen, Katharina Stibrant .

EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2011, 10 (04) :248-251

[9] Updated consensus statement on biological agents for the treatment of rheumatic diseases, 2011 [J].

Furst, D. E. ;

Keystone, E. C. ;

Braun, J. ;

Breedveld, F. C. ;

Burmester, G. R. ;

De Benedetti, F. ;

Doerner, T. ;

Emery, P. ;

Fleischmann, R. ;

Gibofsky, A. ;

Kalden, J. R. ;

Kavanaugh, A. ;

Kirkham, B. ;

Mease, P. ;

Sieper, J. ;

Singer, N. G. ;

Smolen, J. S. ;

Van Riel, P. L. C. M. ;

Weisman, M. H. ;

Winthrop, K. .

ANNALS OF THE RHEUMATIC DISEASES, 2012, 71 :2-45

[10] Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness [J].

Graneheim, UH ;

Lundman, B .

NURSE EDUCATION TODAY, 2004, 24 (02) :105-112

← 1 2 3 4 →