Contemporary challenges for specialist nursing in interstitial lung disease

Area of Science:

• Pulmonology
• Nursing Science
• Healthcare Policy

Background:

• The role of clinical nurse specialists (CNSs) in interstitial lung disease (ILD) is expanding due to clinical guidelines and research.
• While established in the UK, there's a need for more ILD CNS posts to meet clinical demand across Europe.
• Understanding the distinctions between CNSs and advanced nurse practitioners (ANPs) is crucial for this nursing specialization.

Purpose of the Study:

• To delineate the similarities and differences between CNSs and ANPs within ILD.
• To examine current nursing specialisms in the UK's healthcare system.
• To foster international discussion on the clinical and academic advancement of ILD CNS roles.
• To identify priorities for interdisciplinary collaboration in ILD clinical practice and research.

Main Methods:

• Review of contemporary nursing specialisms in the UK.
• Analysis of the evolving role of CNSs in ILD.
• Discussion of global models and European guidelines (e.g., NICE).
• UK-based perspective within a government-subsidized healthcare system.

Main Results:

• The role of ILD CNS is dynamic, influenced by guidelines and research.
• A global shortage of nurses and retention issues impact specialized care.
• Different international models exist for patient support and role development.
• Key priorities have been identified to support the ILD nurse specialism.

Conclusions:

• Interstitial lung diseases (ILDs) are complex, requiring specialized healthcare skills.
• Addressing the global nursing shortage and retention is vital for specialized care.
• Interdisciplinary collaboration is essential for the future of ILD nursing and patient outcomes.
• Identified priorities aim to secure the future of ILD clinical and academic nursing.