Task Shifting,?a Strategic Response to the Healthcare Human Resource Crises: A Qualitative Study of Hospital Based HIV Clinics in North Central Nigeria

2.50
Hdl Handle:
http://hdl.handle.net/10755/151070
Type:
Presentation
Title:
Task Shifting,?a Strategic Response to the Healthcare Human Resource Crises: A Qualitative Study of Hospital Based HIV Clinics in North Central Nigeria
Abstract:
Task Shifting,?a Strategic Response to the Healthcare Human Resource Crises: A Qualitative Study of Hospital Based HIV Clinics in North Central Nigeria
Conference Sponsor:Sigma Theta Tau International
Conference Year:2010
Author:Ihuoma, Ezebuihe, RN, MSN, MPH
P.I. Institution Name:University of Maryland
Title:Assistant Professor
Co-Authors:Irene Ekwede, RN, MSN; Caroline Orwenyo, RN, MSN; Emilia Ngozi Iwu, RN, BSN, MSN; Rosemary F. Riel, MAA
21st INRC [Research Presentation] HCWs Methods: Qualitative focus group study utilizing focus groups and personal interview with key informants was conducted separately among physicians and nurses in the HIV clinics of two tertiary teaching hospitals in Abuja Nigeria to investigate factors influencing implementation of the TS process. Data was digitally recorded, transcribed and analyzed to identify factors influencing TS process. Results: TS benefitted patients by decreasing wait time and increasing amount and perceived quality of care received which improved patient satisfaction and lowered risk of losing patients to follow-up. TS benefitted HCWs by decreasing physician workload and increasing amount of time spent with more complex patients. Nurses reported their expanded roles provided them new knowledge and skills that improved patient care. TS altered inter-professional dynamics. Nurses expressed improved relations based on increased respect for their patient care contribution. Physicians perceived nurses as challenging their status by "over-stepping" boundaries. Conclusion: HCWs require more preparation to successfully implement TS. Nurses require more clinical training to manage ART patients. Physicians need a better introduction to the task-shifting process. More participatory implementation methods are needed to increase awareness, improve execution, increase multi-disciplinary communication, and clearly define new roles that TS creates for all HCWs including auxiliary, laboratory and pharmacy staff.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTask Shifting,?a Strategic Response to the Healthcare Human Resource Crises: A Qualitative Study of Hospital Based HIV Clinics in North Central Nigeriaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151070-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Task Shifting,?a Strategic Response to the Healthcare Human Resource Crises: A Qualitative Study of Hospital Based HIV Clinics in North Central Nigeria</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ihuoma, Ezebuihe, RN, MSN, MPH</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">iezebuihe@coppin.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Irene Ekwede, RN, MSN; Caroline Orwenyo, RN, MSN; Emilia Ngozi Iwu, RN, BSN, MSN; Rosemary F. Riel, MAA</td></tr><tr><td colspan="2" class="item-abstract">21st INRC [Research Presentation] HCWs Methods: Qualitative focus group study utilizing focus groups and personal interview with key informants was conducted separately among physicians and nurses in the HIV clinics of two tertiary teaching hospitals in Abuja Nigeria to investigate factors influencing implementation of the TS process. Data was digitally recorded, transcribed and analyzed to identify factors influencing TS process. Results: TS benefitted patients by decreasing wait time and increasing amount and perceived quality of care received which improved patient satisfaction and lowered risk of losing patients to follow-up. TS benefitted HCWs by decreasing physician workload and increasing amount of time spent with more complex patients. Nurses reported their expanded roles provided them new knowledge and skills that improved patient care. TS altered inter-professional dynamics. Nurses expressed improved relations based on increased respect for their patient care contribution. Physicians perceived nurses as challenging their status by &quot;over-stepping&quot; boundaries. Conclusion: HCWs require more preparation to successfully implement TS. Nurses require more clinical training to manage ART patients. Physicians need a better introduction to the task-shifting process. More participatory implementation methods are needed to increase awareness, improve execution, increase multi-disciplinary communication, and clearly define new roles that TS creates for all HCWs including auxiliary, laboratory and pharmacy staff.</td></tr></table>en_GB
dc.date.available2011-10-26T10:51:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:51:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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