Orthopaedics, Rehabilitation and Physical Therapy, J11, Leiden University Medical Center, Leiden, The Netherlands.
Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands.
Ann Rheum Dis. 2020 Jan;79(1):53-60. doi: 10.1136/annrheumdis-2019-215803. Epub 2019 Aug 9.
BACKGROUND/OBJECTIVES: To maintain and optimise the quality of care provided by health professionals in rheumatology (HPRs), adequate educational offerings are needed. This task force (TF) aimed to develop evidence-based recommendations for the generic core competences of HPRs, with specific reference to nurses, physical therapists (PTs) and occupational therapists (OTs) to serve as a basis for their postgraduate education.
The EULAR standardised operating procedures for the development of recommendations were followed. A TF including rheumatologists, nurses, PTs, OTs, patient-representatives, an educationalist, methodologists and researchers from 12 countries met twice. In the first TF meeting, 13 research questions were defined to support a systematic literature review (SLR). In the second meeting, the SLR evidence was discussed and recommendations formulated. Subsequently, level of evidence and strength of recommendation were assigned and level of agreement (LoA) determined (0-10 rating scale).
Three overarching principles were identified and 10 recommendations were developed for the generic core competences of HPRs. The SLR included 79 full-text papers, 20 of which addressed the competences, knowledge, skills, attitudes and/or educational needs of HPRs from multiple professions. The average LoA for each recommendation ranged from 9.42 to 9.79. Consensus was reached both on a research and educational agenda.
Evidence and expert opinion informed a set of recommendations providing guidance on the generic core competences of HPRs. Implementation of these recommendations in the postgraduate education of HPRs at the international and national level is advised, considering variation in healthcare systems and professional roles.
背景/目的：为了维持和优化风湿病领域医疗保健专业人员（HPRs）提供的护理质量，需要提供足够的教育课程。该工作组（TF）旨在制定 HPRs 的通用核心能力的循证建议，特别参考护士、物理治疗师（PTs）和职业治疗师（OTs），作为他们研究生教育的基础。
遵循 EULAR 制定建议的标准操作程序。该工作组由来自 12 个国家的风湿病专家、护士、PTs、OTs、患者代表、教育工作者、方法学家和研究人员组成，他们举行了两次会议。在第一次 TF 会议上，定义了 13 个研究问题，以支持系统文献回顾（SLR）。在第二次会议上，讨论了 SLR 证据并制定了建议。随后，分配了证据水平和推荐强度，并确定了协议水平（0-10 评分量表）。
确定了三个总体原则，并为 HPRs 的通用核心能力制定了 10 项建议。SLR 包括 79 篇全文论文，其中 20 篇涉及来自多个专业的 HPRs 的能力、知识、技能、态度和/或教育需求。每个建议的平均协议水平范围为 9.42 至 9.79。在研究和教育议程上都达成了共识。
证据和专家意见为一组建议提供了指导，这些建议提供了 HPRs 的通用核心能力指导。建议在国际和国家层面上在 HPRs 的研究生教育中实施这些建议，同时考虑到医疗保健系统和专业角色的差异。
