Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

Caine, Vera; Mill, Judy; O’Brien, Kelly K; Solomon, Patricia; Worthington, Catherine; Dykeman, Margaret; Gahagan, Jacqueline; Maina, Geoffrey; Padua, Anthony de; Arneson, Cheryl; Rogers, T.; Chaw-Kant, Jean

doi:10.1016/j.jana.2015.11.001

Cited by 9 publications

(12 citation statements)

References 28 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Throughout the implementation of the intervention it became difficult to separate these elements and they often worked synergistically. The ability to focus on the design, capacity building, and relationships was important at the time of the project; [12,13] this importance was reinforced through our current findings. At the time of the initial project we did not name specific educational outcomes, but were much more focused on unfolding processes at each of our research sites.…”

Section: Discussionsupporting

confidence: 51%

“…Many of these themes confirmed those described immediately following the initial mentorship project. [2,12,13] In this paper, we have chosen to highlight findings that demonstrate the longer term impact of participation on the nurse and PLWH mentors and the nurse mentees. These findings are organized in themes related to the project design, capacity building and relationships following the project.…”

Section: Resultsmentioning

confidence: 99%

“…[10] In our previous study, we contributed to knowledge about best practices to improve the quality of life for PLWH and developed an in-depth understanding of best practices when providing mentoring opportunities for nurses. We reflected on the process, strengths and challenges of conducting a large CBR study [12] and we documented the improved nurses' knowledge, attitude and practices after participating in a CBR nursing intervention in HIV care. [13] The need for time and space for critical reflection for nurses (mentors and mentees) and the inclusion of PLWH mentors were considered essential for learning uptake.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Opening doors: A thematic analysis of the long-term impact of community-based research in the field of HIV

Caine

Mill

Chaw-Kant

et al. 2018

JNEP

Self Cite

View full text Add to dashboard Cite

Health professionals, including nurses, have been identified as a source of stigma for persons living with HIV (PLWH). Stigma towards PLWH may be predicated on the lack of basic education about HIV in pre-licensure nursing curricular, few opportunities for continuing education in HIV, and persistent discriminatory attitudes about HIV among nurses. From 2011 to 2013, in collaboration with the Canadian Association for Nurses in AIDS Care (CANAC), we developed and implemented a community-based intervention research project entitled A clinical mentorship model for Canadian nurses in HIV care. In previous publications, we reflected on the process, strengths and challenges of conducting this community-based research (CBR) study and we documented the improved knowledge, attitudes, and practices of nurses. Five years after the completion of our CBR study, we re-engaged with some of the participants, with the purpose of assessing whether outcomes had been sustained. We interviewed 15 of the original 56 participants. The data analysis was carried out using thematic analysis. In the current paper we highlight the themes of project design, in particular the CBR design, capacity building and relationships that emerged in our follow-up study. Overall participants looked back on their involvement in the mentorship project as a very positive experience that had opened new, unexpected doors. The participants described many areas of personal and professional growth as a result of their participation. Despite a period of more than five years since the completion of the initial CBR study, the community-based participatory design, the inclusion of PLWH as mentors, and the focus on experiential learning, were seen as fundamental to sustaining the long-term positive impact.

show abstract

Section: Discussionsupporting

confidence: 51%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Opening doors: A thematic analysis of the long-term impact of community-based research in the field of HIV

Caine

Mill

Chaw-Kant

et al. 2018

JNEP

Self Cite

View full text Add to dashboard Cite

show abstract

“…In this paper, we specifically describe the self-reported changes in knowledge, attitudes, and practices by mentees and mentors who took part in the HIV mentorship intervention. Study findings related to HIV nursing education (Mill et al, 2014) and the process of implementing the intervention (Caine et al, 2015) are published elsewhere. …”

mentioning

confidence: 99%

“…The overall estimated time commitment of the intervention was 2 hours per week for workshops, meetings, and interviews for 1 year. Further description and discussion of the intervention implementation process are provided elsewhere (Caine et al, 2015). …”

mentioning

confidence: 99%

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Worthington

O’Brien

Mill

et al. 2016

Journal of the Association of Nurses in AIDS Care

Self Cite

View full text Add to dashboard Cite

We assessed the impact of an HIV care mentorship intervention on knowledge, attitudes, and practices with nurses and people living with HIV (PLWH) in Canada. We implemented the intervention in two urban and two rural sites with 16 mentors (eight experienced HIV nurses and eight PLWH) and 40 mentees (nurses with limited HIV experience). The 6-to 12-month intervention included face-to-face workshops and monthly meetings. Using a mixed-methods approach, participants completed pre-and postintervention questionnaires and engaged in semistructured interviews at intervention initiation, mid-point, and completion. Data from 28 mentees (70%) and 14 mentors (87%) were included in the quantitative analysis. We analyzed questionnaire data using McNemar test, and interview data using content analysis. Results indicated positive changes in knowledge, attitudes, and practices among nurse mentees, with qualitative interviews highlighting mechanisms by which change occurred. Mentorship interventions have the potential to engage and educate nurses in HIV treatment and care. *Correspondence to: vera.caine@ualberta.ca. DisclosuresThe authors report no real or perceived vested interests that relate to this article that could be construed as a conflict of interest. PLWH;Mill, Edwards, Jackson, MacLean, & Chaw-Kant, 2010;Mill et al., 2013). Stigma may result in people at risk for HIV delaying testing (Pottie et al., 2014) and lead to HCP providing differential care to PLWH (Mill et al., 2013). Stigma perpetuated by nurses may be related to a lack of knowledge and educational preparation about HIV clinical management and counseling, religious background, or workplace culture (Waluyo, Culbert, Levy, & Norr, 2015).HIV education for HCP is important to promote best practices. Education increases knowledge and promotes positive changes in attitudes, making it key to addressing HIV stigma in health care settings (Aggleton, Yankah, & Crewe, 2011). Despite the benefits, limited evidence exists to evaluate the impact of different approaches to HIV education for HCP (Aggleton et al., 2011). The Canadian Association of Nurses in AIDS Care (CANAC, 2013) recently highlighted deficits in education for nurses in HIV care. CANAC argued that nurses were graduating with insufficient theoretical and clinical experience in HIV care and with "… limited understanding of the broader social, cultural, and historical contexts with which HIV/AIDS is located" (CANAC, 2013, p. 2). WHO (2013) suggested that nurses were in key positions to provide HIV care, treatment, and prevention, and thus it was essential to prepare nurses at the undergraduate and graduate levels, as well as those in practice, to successfully engage in these roles. However, the impact of HIV education programming for nurses to advance knowledge, and practice and address stigma was unclear. Mentorship is one strategy to increase knowledge and skills in HCP. In order to advance education programming for nurses, we implemented and evaluated a mentorship intervention in HIV care for nu...

show abstract

Mentorship in nursing in Canada – A scoping review

Perumal¹,

Singh²

2022

Nurse Education in Practice

View full text Add to dashboard Cite

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care

Cited by 9 publications

References 28 publications

Opening doors: A thematic analysis of the long-term impact of community-based research in the field of HIV

Opening doors: A thematic analysis of the long-term impact of community-based research in the field of HIV

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Mentorship in nursing in Canada – A scoping review

Contact Info

Product

Resources

About