Barriers to tuberculosis and human immunodeficiency virus treatment guidelines adherence among nurses initiating and managing anti-retroviral therapy in KwaZulu-Natal and North West provinces

Curationis
Lufuno MakhadoJason E Farley

Abstract

Nurses, as front-line care providers in the South Africa's health care system, are called upon to deliver integrated interventions for tuberculosis and human immunodeficiency virus (TB and HIV) including nurse-initiated management of anti-retroviral therapy (NIMART) and anti-TB treatment. Adherence to treatment guidelines and factors associated with non-adherence to treatment guidelines among nurses remain under explored. To explore and describe barriers to treatment guidelines adherence among nurses initiating and managing anti-retroviral therapy and anti-TB treatment in KwaZulu-Natal and North West provinces. This study employed a qualitative exploratory descriptive design. Four semi-structured focus group interviews were conducted during 2014 each consisting of four to eight NIMART trained nurses. Audiotaped interviews were transcribed verbatim and analysed using Atlas T.I. software. During data analysis, two themes emerged: (1) NIMART trained nurses' distress about TB and HIV guidelines adherence that is inclusive of lack of agreement with guidelines, poor motivation to implement guidelines, poor clinical support and supervision, resistance to change, insufficient knowledge or lack of awareness and (2) exterior factors inhi...Continue Reading

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Citations

Jul 3, 2020·Journal of Environmental and Public Health·Risikat Idowu FadareCecilia Bukola Bello
Apr 8, 2021·Southern African Journal of HIV Medicine·Talitha CrowleyNelouise Geyer
Aug 27, 2021·Revista da Escola de Enfermagem da U S P·Priscila Tadei Nakata ZagoCristianne Maria Famer Rocha

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