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

Mavhandu-Mudzusi, A.H., Sandy, Peter Thomas ORCID: https://orcid.org/0000-0002-5164-0038 and Hettema, A. (2017) Registered nurses' perceptions regarding nurse-led antiretroviral therapy initiation in Hhohho region, Swaziland. International Nursing Review, 64 (4). pp. 552-560. ISSN 0020-8132

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Abstract

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.

Item Type: Article
Keywords: Developing Countries, Health System Reform, HIV/AIDS, Nurse-Led Antiretroviral TherapyInitiation, Nursing Shortage, Phenomenograpy, Primary Care, Swaziland
Subjects: Medicine and health > Clinical medicine > HIV/AIDS epidemiology
Medicine and health > Nursing
Related URLs:
Depositing User: Peter Thomas Sandy
Date Deposited: 21 Jul 2022 14:28
Last Modified: 21 Jul 2022 14:28
URI: http://repository.uwl.ac.uk/id/eprint/9232

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