{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:59:07Z","timestamp":1782989947389,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T00:00:00Z","timestamp":1765929600000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>EULAR recommendations for the role of nurses in managing chronic inflammatory arthritis were updated in 2018. This study aimed to: (i) assess the level of agreement and implementation of these recommendations among nurses and rheumatologists, and (ii) identify barriers to the implementation of these recommendations in clinical practice in Japan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Nurses and doctors in rheumatology care in Japan were asked to complete a survey on (1) levels of agreement and implementation of each recommendation (0\u201310: 0 \u201cnot at all\u201d and 10 \u201cyes, entirely\u201d), as well as (2) reasons for disagreeing and\/or barriers to implementation. Quantitative and qualitative data were first analyzed separately then paired side by side for comparison and identification of similar categories within and across the eight recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 309 complete responses (215 nurses and 94 doctors). Both nurses and doctors showed high levels of acceptability with a median of 10 for all recommendations. Implementation levels were significantly lower, indicating the discrepancy between acceptance and implementation in both groups. Ten categories were extracted from a total of 1300 comments, illustrating perceived barriers. The most common categories were lack of time, knowledge, and resistance to role expansion in the nursing division.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the gap between acceptance of the recommendations in Japan and their implementation in practice. Despite strong agreement, challenges like time constraints, knowledge gaps, and systemic barriers hinder implementation. Overcoming these requires interprofessional collaboration and nurturing a supportive environment for rheumatology nursing role development.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1756-185x.70511","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T04:45:48Z","timestamp":1766033148000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Acceptability and Barriers to Implementation of the\n                    <scp>EULAR<\/scp>\n                    Recommendations for the Role of the Nurse in the Management of Chronic Inflammatory Arthritis: A Mixed\u2010Methods Study With Nurses and Rheumatologists in Japan"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6636-2835","authenticated-orcid":false,"given":"Mie","family":"Fusama","sequence":"first","affiliation":[{"name":"Health Sciences Department of Nursing Kansai University of International Studies  Miki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5986-4809","authenticated-orcid":false,"given":"Hideko","family":"Nakahara","sequence":"additional","affiliation":[{"name":"Faculty of Health Science Osaka Yukioka College of Health Science  Ibaraki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2646-5765","authenticated-orcid":false,"given":"Yuko","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Keio University School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7355-124X","authenticated-orcid":false,"given":"Sarah E.","family":"Bennett","sequence":"additional","affiliation":[{"name":"Department of Psychology The University of Bath  Bath UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7764-3173","authenticated-orcid":false,"given":"Mwidimi","family":"Ndosi","sequence":"additional","affiliation":[{"name":"School of Health and Social Wellbeing, College of Health, Science and Society University of the West of England  Bristol UK"},{"name":"Academic Rheumatology Unit University Hospitals Bristol and Weston NHS Foundation Trust  Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1111-8218","authenticated-orcid":false,"given":"Tsutomu","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Department of Internal Medicine Keio University School of Medicine  Tokyo Japan"},{"name":"Saitama Medical University  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.123919"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.2169\/naika.103.2321"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/14397595.2014.926607"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-207524"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2010.146662"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15531"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1844"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard\u20102022\u2010223296"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2011-200185"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keu134"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2016.1260199"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-215458"},{"key":"e_1_2_12_14_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. W.","year":"2017"},{"issue":"1","key":"e_1_2_12_15_1","first-page":"6","article-title":"2018 Update of the EULAR Recommendations for the Role of the Nurse in the Management of Chronic Inflammatory Arthritis","volume":"32","author":"Fusama M.","year":"2020","journal-title":"Clinical Rheumatology and Related Research"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2022-222253"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1292-y"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/mr\/road079"}],"container-title":["International Journal of Rheumatic Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185x.70511","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1756-185x.70511","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1756-185x.70511","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T05:57:31Z","timestamp":1771135051000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1756-185x.70511"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":17,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/1756-185x.70511"],"URL":"https:\/\/doi.org\/10.1111\/1756-185x.70511","archive":["Portico"],"relation":{},"ISSN":["1756-1841","1756-185X"],"issn-type":[{"value":"1756-1841","type":"print"},{"value":"1756-185X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"2025-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70511"}}