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Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate ma...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047946/ https://www.ncbi.nlm.nih.gov/pubmed/33912472 http://dx.doi.org/10.1177/26335565211002402 |
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author | Herron, Daniel Chew-Graham, Carolyn A Hider, Samantha Machin, Annabelle Paskins, Zoe Cooke, Kendra Desilva, Erandie Ediriweera Jinks, Clare |
author_facet | Herron, Daniel Chew-Graham, Carolyn A Hider, Samantha Machin, Annabelle Paskins, Zoe Cooke, Kendra Desilva, Erandie Ediriweera Jinks, Clare |
author_sort | Herron, Daniel |
collection | PubMed |
description | BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate management of comorbid conditions. AIM: A nested qualitative study was undertaken to examine the acceptability of the INCLUDE review. METHODS: A qualitative interview-based design in UK primary care settings. A purposive sample of 20 patients who attended an INCLUDE review, were interviewed. Inductive thematic analysis was undertaken. Themes were agreed through multidisciplinary team discussion and mapped onto constructs of the Theoretical Framework of Acceptability (TFA). RESULTS: Six themes mapped onto six of the seven TFA constructs. Patients reported the review to be effective by identifying and initiating management of previously unrecognised comorbid conditions. Some participants reported barriers to following recommendations, such as lifestyle modifications or taking more medication. CONCLUSION: A nurse-delivered review to identify comorbidities is acceptable to patients with IRCs. The TFA provided a novel analytical lens. |
format | Online Article Text |
id | pubmed-8047946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-80479462021-04-27 Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study Herron, Daniel Chew-Graham, Carolyn A Hider, Samantha Machin, Annabelle Paskins, Zoe Cooke, Kendra Desilva, Erandie Ediriweera Jinks, Clare J Comorb Original Article BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate management of comorbid conditions. AIM: A nested qualitative study was undertaken to examine the acceptability of the INCLUDE review. METHODS: A qualitative interview-based design in UK primary care settings. A purposive sample of 20 patients who attended an INCLUDE review, were interviewed. Inductive thematic analysis was undertaken. Themes were agreed through multidisciplinary team discussion and mapped onto constructs of the Theoretical Framework of Acceptability (TFA). RESULTS: Six themes mapped onto six of the seven TFA constructs. Patients reported the review to be effective by identifying and initiating management of previously unrecognised comorbid conditions. Some participants reported barriers to following recommendations, such as lifestyle modifications or taking more medication. CONCLUSION: A nurse-delivered review to identify comorbidities is acceptable to patients with IRCs. The TFA provided a novel analytical lens. SAGE Publications 2021-04-13 /pmc/articles/PMC8047946/ /pubmed/33912472 http://dx.doi.org/10.1177/26335565211002402 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Article Herron, Daniel Chew-Graham, Carolyn A Hider, Samantha Machin, Annabelle Paskins, Zoe Cooke, Kendra Desilva, Erandie Ediriweera Jinks, Clare Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title | Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title_full | Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title_fullStr | Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title_full_unstemmed | Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title_short | Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study |
title_sort | acceptability of nurse-led reviews for inflammatory rheumatological conditions: a qualitative study |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047946/ https://www.ncbi.nlm.nih.gov/pubmed/33912472 http://dx.doi.org/10.1177/26335565211002402 |
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