Patients' Experiences of a Nurse-Led Rheumatology Clinic in Sweden: A Qualitative Study

Nurs Health Sci. 2012 Dec;14(4):501-7. doi: 10.1111/j.1442-2018.2012.00723.x.

Abstract

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.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Ambulatory Care / organization & administration*
  • Ambulatory Care Facilities / organization & administration*
  • Arthritis, Rheumatoid / diagnosis
  • Arthritis, Rheumatoid / drug therapy
  • Arthritis, Rheumatoid / nursing*
  • Attitude of Health Personnel
  • Biological Products / therapeutic use
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Leadership
  • Male
  • Middle Aged
  • Monitoring, Physiologic / nursing
  • Nurse-Patient Relations*
  • Patient Satisfaction / statistics & numerical data
  • Quality of Health Care*
  • Rheumatology / methods
  • Sweden

Substances

  • Biological Products