Development of generic core competences of health professionals in rheumatology: a systematic literature review informing the 2019 EULAR recommendations
Objective To identify generic competences on the
desired knowledge, skills and of health professionals
in rheumatology (HPRs) to inform the respective EULAR
Methods 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.
Results 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).
Conclusion 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.