Registered nurses' perceptions regarding nurse-led antiretroviral therapy initiation in Hhohho region, Swaziland.

Autor: Mavhandu-Mudzusi AH; Department of Health Studies, University of South Africa, Pretoria, South Africa., Sandy PT; Department of Health Studies, University of South Africa, Pretoria, South Africa., Hettema A; Department of Health Studies, University of South Africa, Pretoria, South Africa.
Jazyk: angličtina
Zdroj: International nursing review [Int Nurs Rev] 2017 Dec; Vol. 64 (4), pp. 552-560. Date of Electronic Publication: 2017 Apr 25.
DOI: 10.1111/inr.12375
Abstrakt: Background: Swaziland has the highest HIV prevalence globally. It faces a critical shortage of health workers for addressing the HIV pandemic. To curb this human resource challenge, Swaziland adopted a nurse-driven model for antiretroviral therapy delivery in line with the recommendations of the World Health Organization on task shifting.
Objective: The study explored the perceptions of registered nurses on the nurse-led antiretroviral therapy initiation programme in the Hhohho region of Swaziland (NARTIS).
Design: The study utilized a phenomenological design, specifically a phenomenographic design.
Setting: The study was conducted in ten health facilities in the Hhohho region of Swaziland. These facilities comprised eight clinics, a hospital and a health centre.
Participants: These were registered nurses, trained and certified in the nurse-led antiretroviral therapy initiation programme. The nurses also had experience of working in a nurse-led antiretroviral therapy initiation programme. Eighteen (18) nurses were purposively selected and recruited to participate in the study.
Methods: Data were collected through open and deep individual interviews guided by a semi-structured interview schedule. The audio-recorded interviews were transcribed and analysed thematically using Sjöström and Dahlgren's approach to data analysis.
Results: Three major themes emerged from the study data: nurses' emotional reactions to the implementation of the NARTIS programme, and influences and overcoming barriers to the programme.
Conclusions: The study findings have generated insights into this program which is useful for the provision of care to people living with HIV/AIDS in Swaziland. But nurses need support to ensure effective implementation.
Implication for Nursing and Health Policy: The study findings have implications for both the practice of the NARTIS programme and health policy development. The development of a health policy that alleviates the barriers to the NARTIS programme can enhance nurses' role and make care provision to people living with HIV/AIDS more effective.
(© 2017 International Council of Nurses.)
Databáze: MEDLINE
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