Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Nurse-Led Care for RA Patients Safe and Effective

J Rheumatol; ePub 2017 Feb. 15; Garner, et al

Nurse-led care (NLC) for patients with rheumatoid arthritis (RA) is effective, acceptable, and safe as compared with other models, a recent study found. Researchers searched medical literature databases from 1950 to January 2015. English-language studies were selected if they reported on NLC for patients with RA and assessed 1 or more dimensions of quality (effectiveness, acceptability, efficiency, accessibility, appropriateness, and safety); 10 studies were included. They found:

  • The NLC models varied in terms of nurses’ professional designation (clinical nurse specialists or nurse practitioners); however, their role in the clinic was fairly consistent.
  • Disease activity was the most common measure of effectiveness, with NLC being equal (n=2) or superior (n=3) to the comparator.
  • NLC was equal (n=1) or superior (n=5) vs the comparator in terms of patient satisfaction (ie, acceptability of care).
  • NLC was equally safe as other models (n=2).

Citation:

Garner S, Lopatina E, Rankin JA, Marshall DA. Nurse-led care for patients with rheumatoid arthritis: A systematic review of the effect on quality of care. [Published online ahead of print February 15, 2017]. J Rheumatol. doi:10.3899/jrheum.160535.