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Factors influencing the confidence and knowledge of nurses prescribing antiretroviral treatment in a rural and urban district in the Western Cape province

dc.contributor.authorSolomons, Deborah J.en_ZA
dc.contributor.authorVan Der Merwe, Anita S.en_ZA
dc.contributor.authorEsterhuizen, Tonyaen_ZA
dc.contributor.authorCrowley, Talithaen_ZA
dc.date.accessioned2021-02-26T08:49:09Z
dc.date.available2021-02-26T08:49:09Z
dc.date.issued2019
dc.identifier.citationSolomons, D. J., et al. 2019. Factors influencing the confidence and knowledge of nurses prescribing antiretroviral treatment in a rural and urban district in the Western Cape province. Southern African Journal of HIV Medicine, (20(1):a923, doi:10.4102/sajhivmed.v20i1.923
dc.identifier.issn2078-6751 (online)
dc.identifier.issn1608-9693 (print)
dc.identifier.otherdoi:10.4102/sajhivmed.v20i1.923
dc.identifier.urihttp://hdl.handle.net/10019.1/109598
dc.descriptionCITATION: Solomons, D. J., et al. 2019. Factors influencing the confidence and knowledge of nurses prescribing antiretroviral treatment in a rural and urban district in the Western Cape province. Southern African Journal of HIV Medicine, (20(1):a923, doi:10.4102/sajhivmed.v20i1.923.
dc.descriptionThe original publication is available at http://www.sajhivmed.org.za/
dc.description.abstractBackground: Since the introduction of nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa in 2010, initiation of antiretroviral therapy (ART) in primary care has become the responsibility of nurses. The continued success of this approach is dependent on factors such as adequate training and effective support systems. Objectives: This study aimed to investigate factors influencing the knowledge and confidence of professional nurses in managing patients living with human immunodeficiency virus (HIV) in primary healthcare settings in a rural and urban district in the Western Cape. Methods: A cross-sectional survey was conducted amongst 77 NIMART-trained nurses from 29 healthcare facilities to measure demographic details, influencing factors, HIV management confidence and HIV management knowledge. Results: The majority of participants had adequate HIV management knowledge and reported being very confident or expert in the HIV management skills or competencies. Participants trained recently on local guidelines (Practical Approach to Care Kit) (3 years ago or less) had significantly higher knowledge scores. Regular feedback about clinic and personal performance was associated with higher HIV management knowledge. Participants who received NIMART mentoring over a period of 2 weeks had a higher mean confidence score compared to other periods of mentoring. A higher caseload of patients living with HIV was also associated with higher knowledge and confidence. Conclusion: Training, mentorship and clinical practice experience are associated with knowledge and confidence. Recommendations include the strengthening of current training and mentoring and ensuring that NIMART-trained nurses are provided with regular updates and sufficient opportunities for clinical practice.en_ZA
dc.description.urihttps://sajhivmed.org.za/index.php/hivmed/article/view/923
dc.format.extent7 pages
dc.language.isoen_ZAen_ZA
dc.publisherAOSIS Publishing
dc.subjectNurses -- Knowledge and learningen_ZA
dc.subjectAntiretroviral agents -- Prescribing -- Western Cape (South Africa)en_ZA
dc.subjectRural hospitals -- Western Cape (South Africa)en_ZA
dc.subjectUrban hospitals -- Western Cape (South Africa)en_ZA
dc.titleFactors influencing the confidence and knowledge of nurses prescribing antiretroviral treatment in a rural and urban district in the Western Cape provinceen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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