{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:46:26Z","timestamp":1792111586491,"version":"4.4.0"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T00:00:00Z","timestamp":1709510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The EAHAD Nurses Committee sought to identify and describe the roles and tasks of the European HN.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A five\u2010step 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven hundred and seventy\u2010seven 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 \u2018nurse\u2010led\u2019, 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\u2010term 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14974","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T04:38:50Z","timestamp":1709613530000},"page":"598-608","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The role of the specialist nurse in comprehensive care for bleeding disorders in Europe: An integrative review"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2278-3459","authenticated-orcid":false,"given":"Greta","family":"Mulders","sequence":"first","affiliation":[{"name":"Department of Hematology Erasmus University Medical Centre  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanda","family":"Uitslager","sequence":"additional","affiliation":[{"name":"Center for Benign Haematology Thrombosis and Haemostasis, Van Creveldkliniek University Medical Center Utrecht, Utrecht University  Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Kavanagh","sequence":"additional","affiliation":[{"name":"Children's Coagulation Centre, Children's Health Ireland  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maj Friberg","family":"Birkedal","sequence":"additional","affiliation":[{"name":"Rigshospitalet University Hospital Haemophilia Center  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Nicolo","sequence":"additional","affiliation":[{"name":"Angelo Bianchi Bonomi Haemophilia and Trombosis Center  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renester","family":"Fenton","sequence":"additional","affiliation":[{"name":"The Royal London Haemophilia Care Center  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9613-8084","authenticated-orcid":false,"given":"Linda Myrin","family":"Westesson","sequence":"additional","affiliation":[{"name":"Department of Medicine Region V\u00e4stra G\u00f6taland, Sahlgrenska University Hospital  Gothenburg Sweden"},{"name":"Sahlgrenska Academy, Institution for Nursing Science and Health at Gothenburg University  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The European Association for Haemophilia and Allied Disorders (EAHAD) Nurses Committee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,3,4]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100042\u20101756188"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(23)00284\u20102"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2019000368"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12893"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14887"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14046"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13023\u2010020\u201001456\u2010y"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2007.01625.x"},{"key":"e_1_2_11_10_1","unstructured":"EUHANET.European guidelines for the certification of haemophilia centres. June 7 2013. Accessed July 17 2023.https:\/\/www.euhanet.org\/docs\/Euhanet\u2010European_guidelines_for_the_certification_of_Haemophilia_Centres_2013.pdf"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14002"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12785"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp.00010"},{"key":"e_1_2_11_14_1","volume-title":"Concept Development in Nursing: Foundations, Techniques and Applications","author":"Broome ME","year":"2000"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2005.03621.x"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102288\u20108\u201045"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14629"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp.000008"},{"issue":"9","key":"e_1_2_11_19_1","first-page":"50","article-title":"The changing role of the specialist haemophilia nurse","volume":"117","author":"Khair K","year":"2021","journal-title":"Nurs Times [online]"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12020"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800406286492"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp.00009"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2011.02.004"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00078"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1159\/000121828"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.2450\/2014.0041\u201014s"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318789631"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2010.02418.x"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14019"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14221"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2006.01192.x"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2009.01981.x"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2012.02752.x"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.01.016"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13549"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/rth2.12155"},{"key":"e_1_2_11_37_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00104"},{"key":"e_1_2_11_38_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00180"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00156"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00162"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.1097\/NHH.0b013e31822eb7bd"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13043"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp.00002"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.14543"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13592"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102516.2000.00426.x"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12269"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5245(02)57501-5"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0b013e3181db53e8"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00067"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19020646"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1613992"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00101"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13934"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12836"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnab196"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1177\/10760296211070002"},{"key":"e_1_2_11_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13536"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.17225\/jhp00174"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102516.2012.02749.x"}],"container-title":["Haemophilia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hae.14974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T11:08:27Z","timestamp":1745492907000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hae.14974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,4]]},"references-count":59,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1111\/hae.14974"],"URL":"https:\/\/doi.org\/10.1111\/hae.14974","archive":["Portico"],"relation":{},"ISSN":["1351-8216","1365-2516"],"issn-type":[{"value":"1351-8216","type":"print"},{"value":"1365-2516","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,4]]},"assertion":[{"value":"2023-12-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}