TY - JOUR
T1 - The role of the specialist nurse in comprehensive care for bleeding disorders in Europe
T2 - An integrative review
AU - Mulders, Greta
AU - Uitslager, Nanda
AU - Kavanagh, Mary
AU - Birkedal, Maj Friberg
AU - Nicolo, Gabriella
AU - Fenton, Renester
AU - Westesson, Linda Myrin
N1 - Publisher Copyright:
© 2024 The Authors. Haemophilia published by John Wiley & Sons Ltd.
PY - 2024/5
Y1 - 2024/5
N2 - Introduction: Managing bleeding disorders (BDs) is complex, requiring a comprehensive approach coordinated by a multidisciplinary team (MDT). Haemophilia nurses (HNs) play a central role in the MDT, frequently coordinating care. As novel treatments bring change to the treatment landscape, ongoing education and development is key. However, understanding of the roles and tasks of HNs is lacking. Aim: The EAHAD Nurses Committee sought to identify and describe the roles and tasks of the European HN. Methods: A five-step integrative review was undertaken, including problem identification, literature search, data evaluation, data synthesis and presentation. Relevant literature published from 2000 to 2022 was identified through database, hand and ancestry searching. Data were captured using extraction forms and thematically analysed. Results: Seven hundred and seventy-seven articles were identified; 43 were included. Five main roles were identified, with varied and overlapping associated tasks: Educator, Coordinator, Supporter, Treater and Researcher. Tasks related to education, coordination and support were most frequently described. Patient education was often ‘nurse-led’, though education and coordination roles concerned both patients and health care practitioners (HCPs), within and beyond the MDT. The HN coordinates care and facilitates communication. Long-term patient care relationships place HNs in a unique position to provide support. Guidelines for HN core competencies have been developed in some countries, but autonomy and practice vary. Conclusion: As the treatment landscape changes, all five main HN roles will be impacted. Despite national variations, this review provides a baseline to anticipate educational needs to enable HNs to continue to fulfil their role.
AB - Introduction: Managing bleeding disorders (BDs) is complex, requiring a comprehensive approach coordinated by a multidisciplinary team (MDT). Haemophilia nurses (HNs) play a central role in the MDT, frequently coordinating care. As novel treatments bring change to the treatment landscape, ongoing education and development is key. However, understanding of the roles and tasks of HNs is lacking. Aim: The EAHAD Nurses Committee sought to identify and describe the roles and tasks of the European HN. Methods: A five-step integrative review was undertaken, including problem identification, literature search, data evaluation, data synthesis and presentation. Relevant literature published from 2000 to 2022 was identified through database, hand and ancestry searching. Data were captured using extraction forms and thematically analysed. Results: Seven hundred and seventy-seven articles were identified; 43 were included. Five main roles were identified, with varied and overlapping associated tasks: Educator, Coordinator, Supporter, Treater and Researcher. Tasks related to education, coordination and support were most frequently described. Patient education was often ‘nurse-led’, though education and coordination roles concerned both patients and health care practitioners (HCPs), within and beyond the MDT. The HN coordinates care and facilitates communication. Long-term patient care relationships place HNs in a unique position to provide support. Guidelines for HN core competencies have been developed in some countries, but autonomy and practice vary. Conclusion: As the treatment landscape changes, all five main HN roles will be impacted. Despite national variations, this review provides a baseline to anticipate educational needs to enable HNs to continue to fulfil their role.
KW - blood coagulation disorders inherited
KW - haemophilia
KW - nursing
KW - von Willebrand disease
UR - http://www.scopus.com/inward/record.url?scp=85186919142&partnerID=8YFLogxK
U2 - 10.1111/hae.14974
DO - 10.1111/hae.14974
M3 - Review article
C2 - 38439128
AN - SCOPUS:85186919142
SN - 1351-8216
VL - 30
SP - 598
EP - 608
JO - Haemophilia
JF - Haemophilia
IS - 3
ER -