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The Experience of Care at Nurse-Led Rheumatology Clinics.

Bala, Sidona-Valentina LU ; Samuelson, Karin LU ; Hagell, Peter; Svensson, Björn; Fridlund, Bengt LU and Hesselgard, Karin LU (2012) In Musculoskeletal Care
Abstract
OBJECTIVE:

To describe how people with rheumatoid arthritis (RA) experience the care provided by Swedish nurse-led rheumatology outpatient clinics.



METHODS:

Eighteen adult people with a diagnosis of RA who had had at least three documented contact sessions with a nurse-led clinic were interviewed. The interviews were analysed with qualitative content analysis.



RESULTS:

Care was expressed in three categories: social environment, professional approach and value-adding measures. A social environment including a warm encounter, a familial atmosphere and pleasant premises was desired and contributed to a positive experience of care. The nurses' professional approach was... (More)
OBJECTIVE:

To describe how people with rheumatoid arthritis (RA) experience the care provided by Swedish nurse-led rheumatology outpatient clinics.



METHODS:

Eighteen adult people with a diagnosis of RA who had had at least three documented contact sessions with a nurse-led clinic were interviewed. The interviews were analysed with qualitative content analysis.



RESULTS:

Care was expressed in three categories: social environment, professional approach and value-adding measures. A social environment including a warm encounter, a familial atmosphere and pleasant premises was desired and contributed to a positive experience of care. The nurses' professional approach was experienced as empathy, knowledge and skill, as well as support. The care was described as person centred and competent, as it was based on the individual's unique experience of his/her disease and needs. The nurses' specialist knowledge of rheumatology and rheumatology care was highly valued. The offered care represented added value for the participants, instilling security, trust, hope and confidence. It was perceived as facilitating daily life and creating positive emotions. The nurse-led clinics were reported to be easily accessible and provided continuity of the care. These features were presented as fundamental guarantees for health care safety.



CONCLUSION:

The experiences emphasized the need for a holistic approach to care. In this process, the organization of care and the role and skills of the nurse should be focused on the individual's needs and perspectives. The social environment, professional approach and value-adding measures are particularly relevant for optimal care at nurse-led rheumatology outpatient clinics. Copyright © 2012 John Wiley & Sons, Ltd. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Musculoskeletal Care
publisher
John Wiley & Sons
external identifiers
  • pmid:22745012
  • scopus:84870300053
ISSN
1557-0681
DOI
10.1002/msc.1021
language
English
LU publication?
yes
id
47e8c655-57d1-49ab-a297-0bb0ec7f9c41 (old id 2858841)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22745012?dopt=Abstract
date added to LUP
2012-07-04 20:41:26
date last changed
2017-10-01 04:55:40
@article{47e8c655-57d1-49ab-a297-0bb0ec7f9c41,
  abstract     = {OBJECTIVE: <br/><br>
To describe how people with rheumatoid arthritis (RA) experience the care provided by Swedish nurse-led rheumatology outpatient clinics. <br/><br>
<br/><br>
METHODS: <br/><br>
Eighteen adult people with a diagnosis of RA who had had at least three documented contact sessions with a nurse-led clinic were interviewed. The interviews were analysed with qualitative content analysis. <br/><br>
<br/><br>
RESULTS: <br/><br>
Care was expressed in three categories: social environment, professional approach and value-adding measures. A social environment including a warm encounter, a familial atmosphere and pleasant premises was desired and contributed to a positive experience of care. The nurses' professional approach was experienced as empathy, knowledge and skill, as well as support. The care was described as person centred and competent, as it was based on the individual's unique experience of his/her disease and needs. The nurses' specialist knowledge of rheumatology and rheumatology care was highly valued. The offered care represented added value for the participants, instilling security, trust, hope and confidence. It was perceived as facilitating daily life and creating positive emotions. The nurse-led clinics were reported to be easily accessible and provided continuity of the care. These features were presented as fundamental guarantees for health care safety. <br/><br>
<br/><br>
CONCLUSION: <br/><br>
The experiences emphasized the need for a holistic approach to care. In this process, the organization of care and the role and skills of the nurse should be focused on the individual's needs and perspectives. The social environment, professional approach and value-adding measures are particularly relevant for optimal care at nurse-led rheumatology outpatient clinics. Copyright © 2012 John Wiley &amp; Sons, Ltd.},
  author       = {Bala, Sidona-Valentina and Samuelson, Karin and Hagell, Peter and Svensson, Björn and Fridlund, Bengt and Hesselgard, Karin},
  issn         = {1557-0681},
  language     = {eng},
  month        = {06},
  publisher    = {John Wiley & Sons},
  series       = {Musculoskeletal Care},
  title        = {The Experience of Care at Nurse-Led Rheumatology Clinics.},
  url          = {http://dx.doi.org/10.1002/msc.1021},
  year         = {2012},
}