Self-efficacy and Clinical Performance of Nurses Initiated and Management of Antiretroviral Therapy: Narrative Review

Mangi, Nozuko Glenrose; Goon, Daniel Ter; Yako, Elizabeth Matsidiso

doi:10.2174/1874944501912010086

Cited by 6 publications

(4 citation statements)

References 28 publications

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“…It can be assumed that SE has a significant influence on the use of considered STI-protective behaviors because of the significant correlation coefficients of each regression analysis. Previous studies support this association in terms of each listed STI-protective behavior (Baele et al 2001;Golub et al 2019;Ma et al 2006;Mangi et al 2019;Martin-Smith et al 2018;Mateske et al 2013;Petrovic et al 2011). Rank correlations describe correlations between knowledge and realization of STI vaccinations, STI tests, and ART.…”

Section: Discussionmentioning

confidence: 82%

Prevention and health promotion regarding sexually transmitted infections (STI) among university students in Germany

Voegele

Polenz

2023

J Public Health (Berl.)

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Aim University students are sexually active, and the sexual risk behavior of this group is higher than that of the general population. The prevention of sexually transmitted infections (STIs) emphasizes the need for comprehensive knowledge about behaviors for STI protection and the actual realization of these behaviors. Subject and methods First, an online questionnaire was developed to record the knowledge and realization of STI-protective behaviors among students at Hamburg University of Applied Sciences (HUAS) to conduct quantitative cross-sectional interviews. The sample included 1532 students. Specific aspects of the interview are based on lower response rates. The correlations were then tested by Spearman’s rank correlation coefficient and Pearson’s chi-squared test. Results Significant positive correlations were identified between the self-efficacy (SE) and the use of condoms, STI vaccinations, STI tests, and HIV pre-exposure prophylaxis (PrEP). Significant negative correlations were suggested between substance use and the use of condoms and the use of PrEP and the intake of antiretroviral therapy (ART). Significant positive correlations were identified between the knowledge about STI-protective behaviors and the usage of STI-protective vaccinations, STI tests, and ART. Significant positive correlations were identified between the experiences in terms of STIs and the knowledge about STI-protective vaccinations, use of PrEP, and use of ART. Conclusion Moreover, the results indicate that students with a divergent sexual identity have a higher level of knowledge about STI-protective behaviors. The sexual health of university students should be improved by preventive measures to improve the sexual health of individual students and their social environments.

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Section: Discussionmentioning

confidence: 82%

Prevention and health promotion regarding sexually transmitted infections (STI) among university students in Germany

Voegele

Polenz

2023

J Public Health (Berl.)

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Section: Resultsmentioning

confidence: 99%

“…Inadequate or non-standardised training and the lack of continuous clinical mentoring and supervision by clinic managers were mentioned in most studies as barriers to the implementation of NIMART. 19,20,23,24,25,27,28,35,36,37 As mentioned before, NIMART training was, and is being conducted by various NGOs, the NDoH and private training providers. One of the challenges is that training is not standardised, ranging from a few days to a few weeks or even months, which makes it difficult to evaluate its effectiveness or quality.…”

Section: Non-standardised Training and Inadequate Mentoringmentioning

confidence: 99%

Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers

Crowley

Mokoka

Geyer

2021

Southern African Journal of HIV Medicine

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Background: The roll out of nurse-initiated and managed antiretroviral treatment (NIMART) was implemented in 2010 by the National Department of Health (NDoH) in South Africa in response to the large numbers of persons living with HIV who needed treatment. To enable access to treatment requires shifting the task from doctors to nurses, which had its own challenges, barriers and enablers.Objectives: The aim of this narrative is to review content on the implementation of NIMART in South Africa over the period 2010–2020, with a focus on enablers and barriers to the implementation.Method: A comprehensive search of databases, namely, PubMed, Google Scholar and Cumulative Index to Nursing and Allied Health Literature (CINAHL), yielded qualitative, quantitative and mixed-method studies that addressed various topics on NIMART. Inclusion and exclusion criteria were set and 38 publications met the inclusion criteria for the review.Results: Training, mentorship, tailored tuberculosis (TB) and HIV guidelines, integration of services and monitoring and support have enabled the implementation of NIMART. This resulted in increased knowledge and confidence of nurses to initiate patients on antiretroviral treatment (ART) and decreased time to initiation and loads on referral facilities. Barriers such as non-standardised training, inadequate mentoring, human resource constraints, health system challenges, lack of support and empowerment, and challenges with legislation, policy and guidelines still hinder NIMART implementation.Conclusion: Identifying barriers and enablers will assist policymakers in implementing a structured programme for NIMART in South Africa and improve access, as well as the training and mentoring of professional nurses, which will enhance their competence and confidence.

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“…8 One such study conducted in the Eastern Cape province of South Africa found satisfactory self-efficacy in the clinical performance of NIMART amongst 358 trained nurses, with some limitations in their abilities regarding clinical evaluation. 9 Care provided by providers with low levels of self-rated expertise who treat low numbers of HIV and AIDS patients tends to lead to less favourable patient outcomes. 10…”

Section: Introductionmentioning

confidence: 99%

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

Solomons

Merwe

Esterhuizen

et al. 2019

Southern African Journal of HIV Medicine

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Background 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.

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Self-efficacy and Clinical Performance of Nurses Initiated and Management of Antiretroviral Therapy: Narrative Review

Cited by 6 publications

References 28 publications

Prevention and health promotion regarding sexually transmitted infections (STI) among university students in Germany

Prevention and health promotion regarding sexually transmitted infections (STI) among university students in Germany

Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers

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

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