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

Implementation Process of a Canadian Community-based Nurse Mentorship Intervention in HIV Care
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DOI:
10.1016/j.jana.2015.11.001
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发表时间:
2016-05-01
影响因子:
2
通讯作者:
Chaw-Kant, Jean
Chaw-Kant, Jean
中科院分区:
医学4区
文献类型:
--
作者:
Caine, Vera;Mill, Judy;Chaw-Kant, Jean

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我们描述了显着的个人和组织因素,影响注册护士在12个月的临床辅导干预艾滋病毒护理在加拿大的参与。该干预措施包括48名护士和8名艾滋病毒感染者(PLWH),他们参与了以变革性学习理论为基础的一对一非正式辅导。本研究以质性内容分析法评估师友介入的实施过程。将艾滋病毒感染者作为导师,相互学习的机会,以及护士个人和伙伴组织在艾滋病毒护理方面的长期承诺,都是主要的优势。挑战包括需要多个伦理批准,在一些临床研究中心缺乏组织支持,以及参与者所需的时间承诺。我们建议在艾滋病护理的临床指导干预措施考虑组织支持,坚持艾滋病毒/艾滋病感染者的更大参与的原则,并探讨专业义务的问题。
We describe salient individual and organizational factors that influenced engagement of registered nurses in a 12-month clinical mentorship intervention on HIV care in Canada. The intervention included 48 nurses and 8 people living with HIV (PLWH) who were involved in group-based and one-on-one informal mentorship informed by transformative learning theory. We evaluated the process of implementing the mentorship intervention using qualitative content analysis. The inclusion of PLWH as mentors, the opportunities for reciprocal learning, and the long-term commitment of individual nurses and partner organizations in HIV care were major strengths. Challenges included the need for multiple ethical approvals, the lack of organizational support at some clinical sites, and the time commitment required by participants. We recommend that clinical mentorship interventions in HIV care consider organizational support, adhere to the Greater Involvement of People Living with HIV/AIDS principles, and explore questions of professional obligations.