Advanced Nursing and Pharmaceutical Practices in The Multidisciplinary Management of Autoimmune Diseases: A Focus on Rheumatic Disorders

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Laila Mohammed Hawi Alnashri, Salihah Ibrahim Ahmed Mawkili, Reem Magbol Wali Magfori, Sahar Mubarak Abdallah Alshahrani, Zainab Ali Hassan Aloufi, Eman Humaidan Faleh Alreshidi, Maryam Mohammed Alnaji, Faisal Suwaylih Sulhi Almutairi, Bashayr Mousa Madkhali, Maryam Ahmed Hadadi, Fatima Abdu Abdu Baggal, Safyah Hassan Madkhali, Modhi Khulaif Alruwail, Sanaa Nasser Abuallah

Abstract

Background: Autoimmune diseases, particularly rheumatic disorders, present significant challenges due to their chronic nature, diverse symptoms, and impact on patients' quality of life. Recent advancements in rheumatology have highlighted the critical roles of nurses and pharmacists within multidisciplinary care models. This study explores the evolving contributions of these professionals in managing autoimmune diseases, focusing on their alignment with the 2018 EULAR guidelines for rheumatology care.


Methods: Using a systematic literature review, the study evaluates the integration of advanced practice nursing (APN) roles and the efficacy of pharmacist-led interventions in treating rheumatic disorders. The analysis incorporates patient education, psychological support, telehealth practices, and adherence to pharmacotherapy as essential components of care. Randomized clinical trials and qualitative studies were reviewed to compare nurse-led and physician-led patient follow-ups and examine patient satisfaction and clinical outcomes.


Results: Results indicate that APNs, with specialized rheumatology training, provide care comparable to that of physicians, significantly contributing to early diagnosis, symptom management, and patient empowerment. The findings underscore the necessity for continued education and role expansion for nurses and pharmacists in rheumatology. Advanced practice roles, when supported by clear statutory guidelines, facilitate comprehensive and patient-centered care, reducing hospital admissions and enhancing health outcomes.


Conclusion: Nurses and pharmacists play pivotal roles in the multidisciplinary care of autoimmune diseases. Expanding their competencies through education and policy adjustments is essential to improving patient outcomes and addressing the complex needs of individuals with chronic rheumatic disorders.


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