08. Development of Paediatric Musculoskeletal Matters 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 support from nurses in other health contexts to enable delivery of care. More children and young people (CYP) are as a result, exposed to generalist and non-specialist nurses who may lack appropriate knowledge and experience. There is therefore an important role for education and support of not only nurse specialists but also nursing colleagues involved in the care of CYP with musculoskeletal problems. Aims: We describe the development of an online resource Paediatric Musculoskeletal Matters Nursing (PMM-Nursing) - www.pmmonline.org/nurse - designed to provide educational materials to meet this need. Methods: PMM-Nursing builds on the success of Paediatric Musculoskeletal Matters (PMM-www.pmmonline.org), an evidence-based and peer reviewed open e-resource for paediatric musculoske-letal medicine targeting non MSK-specialists. PMM was launched in November 2014 with wide reach (187 countries with >65,000 users, >214,000 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 PMM-Nursing. Engagement with stakeholder groups (including school health, health visiting, paediatrics, research, adult rheumatology, community, 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. Conclusions: Our collaborative and evidence based approach with engagement of end users and stakeholders aims to ensure that PMM-Nursing will address the MSK essential learning needs of nurses working in a variety of roles. PMM-Nursing will be free and available to all with the launch date planned for Autumn 2017.