Institute of Infection, Immunity and Inflammation, University of Glasgow School of Medicine, Glasgow, UK.
Department of Orthopaedics, Rehabilitation and Physical Therapy, J11, Leiden University Medical Center, Leiden, The Netherlands.
RMD Open. 2019 Oct 23;5(2):e001028. doi: 10.1136/rmdopen-2019-001028. eCollection 2019.
To identify generic competences on the desired knowledge, skills and of health professionals in rheumatology (HPRs) to inform the respective EULAR recommendations.
A systematic literature review was performed on the generic core competences (defined as knowledge, skills or attitudes) of HPRs (nurses, physical therapists (PTs) or occupational therapists (OTs)). Literature was obtained from electronic databases, published EULAR recommendations and via personal communication with representatives of national rheumatology societies and experts in the field. Qualitative, quantitative and mixed methods studies were included, and their methodological quality was scored using appropriate instruments.
From 766 references reviewed, 79 fulfilled the inclusion criteria. Twenty studies addressed competences of multiple HPRs: 15 were of qualitative design, 1 quantitative, 1 mixed-methods, 2 systematic reviews and 1 opinion paper. The methodological quality of most studies was medium to high. Five studies concerned the development of a comprehensive set of competences. Key competences included: basic knowledge of rheumatic diseases, holistic approach to patient management, effective communication with colleagues and patients and provision of education to patients. The proposed competences were confirmed in studies focusing on one or more specific competences, on a rheumatic disease or on a specific profession (nurses, PTs or OTs).
Generic competences were identified for HPRs. Data were mostly derived from qualitative studies. All identified studies varied and were at national level, highlighting the need for the harmonisation of HPR competences across Europe. These findings underpin the development of EULAR recommendations for the core competences of HPRs.
确定风湿病（HPR）卫生专业人员所需的通用知识、技能和能力，为相应的 EULAR 建议提供信息。
对 HPR（护士、物理治疗师（PTs）或职业治疗师（OTs））的通用核心能力（定义为知识、技能或态度）进行系统文献回顾。文献来自电子数据库、已发表的 EULAR 建议以及与国家风湿病学会代表和该领域专家的个人交流。纳入定性、定量和混合方法研究，并使用适当的工具对其方法学质量进行评分。
从审查的 766 篇参考文献中，有 79 篇符合纳入标准。20 项研究涉及多种 HPR 的能力：15 项为定性设计，1 项为定量，1 项为混合方法，2 项为系统评价，1 项为意见论文。大多数研究的方法学质量为中等到高。五项研究涉及全面能力的发展。关键能力包括：风湿病基础知识、对患者管理的整体方法、与同事和患者的有效沟通以及向患者提供教育。在关注特定能力、特定疾病或特定专业（护士、PTs 或 OTs）的研究中，提出了这些能力。
确定了 HPR 的通用能力。数据主要来自定性研究。所有确定的研究都存在差异，并且是在国家层面进行的，这突出了需要在整个欧洲协调 HPR 能力的必要性。这些发现为 EULAR 制定 HPR 核心能力建议提供了依据。
