Educational strategies for optimal and safe learning in patients with rheumatic conditions: a scoping review
DOI:
https://doi.org/10.5354/2452-5839.2025.77581Keywords:
Rheumatology, Nursing, Education, Nursing, Learning, CultureAbstract
Introduction: In Chile, rheumatic pathologies affect between 15% and 40% of the population, displaying a unique epidemiological profile in which nursing education plays a cross-cutting role. However, limited learning outcomes have been observed among rheumatology patients. Objective: To explore the educational strategies implemented in nursing to achieve optimal and safe learning outcomes tailored to the needs of individuals with rheumatic diseases. Methods: A literature search was conducted across SciELO, LILACS, the Latin American Repository Network, and PubMed for the 2012-2014 period. Keywords included "Rheumatology," "Nursing," and "Nursing Education." Articles were screened using these inclusion criteria: published within the past 12 years; available in Spanish, English, or Portuguese with full-text access; relevant to rheumatology care in inpatient or outpatient settings; and free access for Universidad de Chile students. Exclusion criteria included articles on pediatric rheumatology, non-open-access content, or paid articles. Studies were appraised using the CASPe tool and narratively synthesized, with results presented in tables and a synthesis matrix. Results: Eight educational strategies were identified from nine selected articles: a holistic approach grounded in popular knowledge, fostering introspective dialogue, pain assessment, pharmacologic and non-pharmacologic treatment, role empowerment, interdisciplinary work, and introspective analysis. These strategies were grouped into three categories: those centered on the patient's context and being, those related to treatment with and without medication, and those involving complementarity and interdisciplinarity. Conclusions: This review identified educational strategies that support effective learning among patients with rheumatic diseases. Future research should expand database sources to include humanistic literature and materials without full-text access.
References
Barbosa L, Gomes ID. Vivências das pessoas idosas com doença reumática inflamatória sistémica a realizar terapêutica biológica na consulta de enfermagem. NTQR. 2022;13:e643. https://doi.org/10.36367/ntqr.13.2022.e643
Arias S, Fonsalía V, Asteggiante N, Bartesaghi V. Enfermedades autoinmunitarias sistémicas y trastornos depresivos. Reumatol. 2011;7,6:389–91. https://doi.org/10.1016/j.reuma.2011.04.010
Maldonado G, Ríos C, Paredes C, Ferro C, Intriago MJ, Aguirre C, et al. Depression in rheumatoid arthritis. Rev.Colomb.Reumatol. 2017;24, 2:84–91. https://doi.org/10.1016/j.rcreu.2016.12.001
Danza Á, Graña D, Goñi M, Vargas A, Ruiz-irastorza G. Hidroxicloroquina en el tratamiento de las enfermedades autoinmunes sistémicas. Rev Med Chile. 2016;144:200–12. http://dx.doi.org/10.4067/S0034-98872016000200012
Díaz C. Mecanismos de Acción de los Fármacos Inmunosupresores. Rev Chil Reumatol. 2008; 24(2):61–7.
Solares Sampedro S. Atención de enfermería en pacientes con artritis reumatoide. RqR Enfermería Comunitaria. 2019;7(1):26–41.
Ley 20850. Crea un sistema de protección financiera para diagnósticos y tratamientos de alto costo y rinde homenaje póstumo a don Luis Ricarte Soto Gallegos. Ministerio de Salud de Chile. 26 de enero de 2016. https://bcn.cl/3ncer
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA. 2020 statement: an updated guideline for reporting systematic reviews. Syst. Rev. 2021;10(1):89. http://dx.doi.org/10.1186/s13643-021-01626-4
Martínez Díaz JD, Ortega Chacón V, Muñoz Ronda FJ. El diseño de preguntas clínicas en la práctica basada en la evidencia: modelos de formulación. Enfer.Glob. 2016;15(43):431–438.
Descriptores en Ciencias de la Salud: DeCS. ed.2023. Sao Paulo (SP): BIREME / OPS/OMS. 2017. http://decs.bvsalud.org/E/homepagee.htm
Programa de Habilidades en Lectura Crítica Español. Critical Appraisal Skills Programme Español. Materiales – Redcaspe- Redcaspe.org. https://redcaspe.org/materiales/
Oliveira SG de, Caldas CP, Silva CSSL da, Cardoso RB. Creating knowledge and actions by promoting health in aged women with osteoporosis. Texto Contexto Enferm. 2023;32:e20220303. https://doi.org/10.1590/1980-265X-TCE-2022-0303en
De Souza RR, Barreto M da S, Teston EF, Dos Reis P, Cecilio HPM, Marcon SS. Duality of living with systemic lupus erythematosus: Fluctuating between “good days” and “bad days”. Texto Contexto Enferm. 2021;30:e20200210. https://doi.org/10.1590/1980-265X-TCE-2020-0210
Barros dos Santos E, Quintans Junior LJ, Bp F, Jc M, Lr B. An evaluation of anxiety and depression symptoms in fibromyalgia. Rev Esc Enferm USP. 2012;46(3):588-94. https://doi.org/10.1590/S0080-62342012000300009
De Oliveira SG de. Promoção da saúde de idosas com osteoporose: uma abordagem a partir do modelo de promoção da saúde de Nola Pender. [Tesis de magister]. Río de Janeiro: Universidade do Estado do Rio de Janeiro, 2021.
Ordoñez-Mora LT, Morales-Osorio MA, Rosero ID. Effectiveness of Interventions Based on Pain Neuroscience Education on Pain and Psychosocial Variables for Osteoarthritis: A Systematic Review. Int J Environ Res Public Health. 2022;19(5):2945. https://doi.org/10.3390/ijerph19052559
Bednarek A, Klepacz R, Bodys-Cupak IE. The Role of the Nurse in the Care and Management of Patients with Rheumatic Diseases Arising from the Current EULAR Recommendations: A Literature Review. Int J Environ Res Public Health. 2023;11(17):2546. https://doi.org/10.3390/healthcare11172434
De Sousa FIM, Dos Santos EJF, Cunha M, Ferreira RJO, Marques AA. Effectiveness of nursing consultations in people with rheumatoid arthritis: systematic review. Rev Enferm Ref. 2017;4(13):147–56. https://doi.org/10.12707/RIV17013
Juhola H, Kukkurainen ML, Suominen T. Rheumatology nurses' work-related empowerment. Musculoskelet Care. 2007;5(2):91-7. https://doi.org/10.1002/msc.102
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