Abstract
BackgroundGlobally, the burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area. To facilitate adherence to treatment guidelines, WHO recommended a strategy of task shifting for countries with high health workforce shortages. The strategy aimed at the redistribution of health care tasks to available workers. The study aimed to determine the factors facilitating nurse-initiated management of antiretroviral therapy (NIMART) trained nurses’ adherence to TB/HIV treatment guidelines.MethodsThe study employed an exploratory-descriptive design. The study was conducted in Ugu and Ngaka Modiri Molema Districts of KwaZulu-Natal (KZN) and North West (NW) Provinces of South Africa. The population comprised of 24 participants who were purposively selected. The in-depth focus group discussions were conducted and ATLAS T.I. was used for data analysis following the basic steps of notice-collect-think (NCT) analysis. Trustworthiness and adherence to ethics were ensured.ResultsThe singular theme of factors facilitating NIMART trained nurses’ adherence to treatment guidelines which included positive attitudinal needs and positive behavioural change emerged from raw data.ConclusionContinuous training, support supervision, and improved relationships with colleagues need to be enhanced to enable NIMART trained nurses to adhere to treatment guidelines.
Highlights
The burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area
The participants selected for his study were all nurse-initiated management of antiretroviral therapy (NIMART) trained nurses, of whom the majority were female (n = 17; 70.8%) and their age ranged from 24 to 58 years [24, 26]
Positive attitudinal needs incorporated the need for improved accessibility to the development and implementation of TB/HIV treatment guidelines, provision of motivation, support and supervision to NIMART trained nurses, the adaptation of NIMART trained nurses to practice change, and the improvement of knowledge and awareness among NIMART trained nurses
Summary
The burden of tuberculosis or human immunodeficiency virus (TB/HIV) is at 24% and this alarming rate compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area. The burden of tuberculosis (TB)/ human immunodeficiency virus (HIV) disease is at 24%, with a 3% global health workforce that compelled the World Health Organization (WHO) to declare the African region as a critical workforce shortage area [1]. With severe shortages of physicians and the increasing burden of TB/HIV co-infection and pandemic, there was an increased demand for access and adherence to antiretroviral treatment (ART) [5]. There has been a lot of evidence about the growing shifting of these ART tasks to nurses in African countries, but little is known about the impact of implementing this model and adherence to treatment guidelines on nurses on the African continent [6]
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