Collaborative HIV care in primary health care: nurses’ views

2017 ◽  
Vol 64 (4) ◽  
pp. 561-567 ◽  
Author(s):  
R.N. Ngunyulu ◽  
M.D. Peu ◽  
F.M. Mulaudzi ◽  
M.L.S. Mataboge ◽  
S.S. Phiri
2014 ◽  
Vol 106 (2) ◽  
pp. 212-220 ◽  
Author(s):  
Barbara Daly ◽  
Timothy Kenealy ◽  
Bruce Arroll ◽  
Nicolette Sheridan ◽  
Robert Scragg

Author(s):  
Elizabeth Halcomb ◽  
Christine Ashley ◽  
Sharon James ◽  
Elizabeth Smyth

Curationis ◽  
2004 ◽  
Vol 27 (2) ◽  
Author(s):  
J. Bornman ◽  
E. Alant ◽  
L.L. Lloyd

This article focuses on the importance of primary health care nurses’ involvement in the identification of children with severe disabilities, early and appropriate intervention that includes referral, as well as the provision of support to the children’s caregivers. The use of multiskilling as a strategy to train nurses to fulfil this role is described. The traditional roles of community nurses are explored within the disability paradigm, with specific reference to multi-skilling. Finally, research results following the implementation of the Beginning Communication Intervention Protocol (BCIP), which uses multiskilling as a training strategy, are described. Recommendations for further research are then provided.


2021 ◽  
Author(s):  
Melchor Riera ◽  
Adria Ferre ◽  
Alfredo Santos-Pinheiro ◽  
Helem Hayde Vilchez ◽  
Maria Luisa Martin-Peña ◽  
...  

Abstract Background: There are few shared assistance programs with Primary Health Care (PHC) in PLWH. The aim was to develop a Pilot Program of shared HIV care in PLWH ensuring proper HIV control. Methods: Design: Prospective pilot project of a shared care intervention.Setting: HIV specialized outpatient consultations for HIV infection at Son Espases University Hospital which serves 2000 patients. Subjects: Patients who attended HIV specialized consultation between January 1st and June 30th, 2017. Intervention: Basal questionnaire on health services used by patients. HIV Training Program on HIV in Primary Health Care (PHC). Pilot Program of shared assistance (PPAC) with PHC. Main Outcomes: Maintenance of undetectable HIV viral load, antiretroviral therapy (ART) adherence, AIDS and non-AIDS events, loss of follow up, and satisfaction questionnaire. Results: The basal questionnaire was filled out by 918 patients, with 108 (11.7%) patients reporting neither knowing nor having been visited by their GP. A total of 93 patients were included in the PPAC, with a mean age of 49.9 years (SD 11.7), and an average of 14.6 years since the HIV diagnosis. Eleven patients were followed up for less than six months and were excluded from the analysis. Median follow-up during the PPAC of the remaining 82 patients was 728 days (IQR 370-1070). Sixteen patients dropped out of the PPAC (19.5%), three died, three were lost to follow up, one was withdrawn due to medical criteria, and nine withdrew voluntarily.No patient presented any AIDS defining events, although eight patients presented non-AIDS events. All the patients had undetectable viral load (VL) and average ART adherence was 99.4% (SD1.4). The patient’s satisfaction score with PPAC was 8.64 (SD2.5).Conclusion: It is possible to establish shared care programs with PHC in selected patients with HIV infection, thereby reducing hospital visits while maintaining good adherence and virological control and achieving high patient satisfaction.


1997 ◽  
Vol 10 (6) ◽  
pp. 294-297 ◽  
Author(s):  
Bola Adamolekun ◽  
Jens Mielke ◽  
Douglas Ball ◽  
Tendai Mundanda

2020 ◽  
Vol 28 (7) ◽  
pp. 1553-1560 ◽  
Author(s):  
Elizabeth Halcomb ◽  
Anna Williams ◽  
Christine Ashley ◽  
Susan McInnes ◽  
Catherine Stephen ◽  
...  

Curationis ◽  
2005 ◽  
Vol 28 (1) ◽  
Author(s):  
VO Netshandama ◽  
L Nemathaga ◽  
SN Shai-Mahoko

The purpose of the study was to explore the experiences of primary health care nurses working in the clinics and health centres involved in the provision of free health care services. The research design followed was exploratory, descriptive and qualitative. The population of the study included all primary health care nurses working at the clinics and health centres in the Vhembe (northern) region of the Limpopo Province. The sampling method used was purposive for the samples of both the clinics and the nurses. The inclusion criteria for the nurses included experience of two or more years in providing primary health care. The inclusion criteria for the selection of clinics included being a busy clinic (a minimum of 2000 patients per month) with a staff establishment of four or more primary health care nurses. In conducting this research, ethical principles were taken into account. Data was collected from 23 participants in the Northern Region. The research question read as follows: What are your experiences regarding the provision of free health care services? An open coding method consisting of eight steps provided by Tesch's (1990:140-145) eight-step method of analysing data was used. The research findings revealed that the primary health care nurses working in the clinics experience feelings of failure to provide adequate primary health care services due to the increased workload, misuse of the service, and fear associated with lack of security in the clinics and health centres. The conclusions drawn from this research are that on the one hand a poor mechanism exists for the monitoring of the implementation of free health services, and on another hand, there has been misuse of the facilities by the community. The concept “free health care service” has been misinterpreted.


2013 ◽  
Vol 62 (5) ◽  
pp. e146-e152 ◽  
Author(s):  
Barrot H. Lambdin ◽  
Mark A. Micek ◽  
Kenneth Sherr ◽  
Sarah Gimbel ◽  
Marina Karagianis ◽  
...  

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