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SCORE study: quality indicators for rheumatology nursing clinics.
Santiago Muñoz-Fernández1, Ma Dolores Aguilar2, Raquel Almodóvar3
1Department of Rheumatology, Hospital Universitario Infanta Sofía, San Sebastián de los Reyes (Madrid), Universidad Europea, Paseo de Europa 34, San Sebastián de los Reyes, 28702, Madrid, Spain. santiago.munoz@salud.madrid.org.
Rheumatology International
|January 22, 2017
Summary
Nursing clinics in rheumatology (NCR) improve patient disease knowledge and treatment adherence. These specialized clinics also enhance patient-perceived quality of care and boost research activity in rheumatology departments.
Area of Science:
- Rheumatology
- Nursing Care Models
- Health Services Research
Background:
- Nursing clinics in rheumatology (NCR) are care models centered on nurses' expertise.
- Evaluating the impact of NCR on patient outcomes and departmental activities is crucial.
Purpose of the Study:
- To compare disease knowledge, treatment adherence, and perceived quality of care in patients with and without NCR.
- To assess differences in healthcare, teaching, and research activities between rheumatology departments with and without NCR.
Main Methods:
- A national, multicenter, observational prospective cohort study with a 1-year follow-up.
- Compared 181 patients in NCR services with 212 patients in non-NCR services.
- Utilized validated tests (Batalla, Haynes-Sackett, Morisky-Green) and patient-perceived quality questionnaires.
Main Results:
- Patients in NCR groups showed significantly better scores on Haynes-Sackett and Morisky-Green tests at baseline.
- Higher patient satisfaction reported regarding courtesy and kindness from nurses in NCR settings.
- Rheumatology departments with NCR demonstrated significantly higher publication rates in national and international journals.
Conclusions:
- NCR models are associated with improved patient disease knowledge and treatment adherence.
- NCR enhances the quality of care perceived by patients, particularly nurse interactions.
- NCR fosters greater research productivity within rheumatology departments.
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