297 Development of Paediatric Musculoskeletal Matters Nursing (PMM-Nursing): a free online evidence based education e-resource for nurses

Abstract

Background: Advances in the management of paediatric and adolescent rheumatology has resulted in the emergence of the highly specialist nursing role with dependence on local support from nurses in other health contexts to enable delivery of care. More children and young people (CYP) are as a result, supported by generalist nurses who may lack appropriate knowledge and experience. There is an important role for education and support of not only nurse specialists but also nursing colleagues involved in delivering care of CYP with musculoskeletal problems. We describe the development of an online resource Paediatric Musculoskeletal Matters Nursing (PMM-Nursing) - www.pmmonline.org/nurse -designed to provide educational materials from novice to expert to meet this need. Methods: PMM-Nursing builds on the success of Paediatric Musculoskeletal Matters (PMM-www.pmmonline.org), an evidencebased and peer reviewed open e-resource for paediatric musculoskeletal medicine targeting non MSK-specialists. PMM was launched in November 2014 with wide reach (190 countries with >78,000 users, >244,500 hits) and positive feedback from around the world. Whilst PMM targets medical students, primary care doctors, paediatricians and other clinicians involved in the care of CYP we aim to expand reach further to include nursing groups with the development of PMMNursing. Engagement with stakeholder groups (including school health, health visiting, paediatrics, research, adult rheumatology, community, and specialist and student nurses) informed the essential core MSK learning outcomes to derive content addressing the needs of nurses working in different roles to deliver care to CYP. Representatives from stakeholder groups, social science and web development experts transformed these learning outcomes into a suitable framework within PMM-Nursing. Results: The PMM-Nursing content is presented in six modules entitled: Normal Child; Arthritis and Conditions; Assessment; Management; Cases for Discussion; Resources. Within each module, sub-modules present the information in complementary ways (videos, images, top tips, cases, summary points and links to recommended websites, guidelines and key references). This information is structured to address the learning needs of nurses working in different roles. Content for the website was written by the project team with a structured content approval process and final sign off by senior members of the clinical team. A process of external peer review is ongoing to assess the content, format and user experience. Conclusion: Our collaborative and evidence based approach with engagement of end users and stakeholders aims to ensure that PMMNursing will address the MSK essential learning needs of nurses working in a variety of roles. PMM-Nursing is now live, and free and available to all on mobile, tablet or PC.