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首页> 外文期刊>Southern African journal of HIV medicine >Prevention of mother-to-child transmission of HIV guidelines: Nurses’ views at four primary healthcare facilities in the Limpopo Province
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Prevention of mother-to-child transmission of HIV guidelines: Nurses’ views at four primary healthcare facilities in the Limpopo Province

机译：预防艾滋病毒母婴传播指南：林波波省四个主要医疗机构的护士意见

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Background: When new guidelines for existing programmes are introduced, it is often the clinicians tasked with the execution of the guidelines who bear the brunt of the changes. Frequently their opinions are not sought. In this study, the researcher interviewed registered nurses working in the field of the prevention of mother-to-child transmission (PMTCT) of human immunodeficiency virus (HIV) to gain an understanding of their perspectives on the changes introduced to the guidelines. The guideline changes in 2014 were to move from the World Health Organization (WHO) Option B to Option B + which prescribes lifelong antiretroviral therapy (ART) for all HIV-positive pregnant women regardless of CD4 cell count. Objective: To determine what the registered nurses’ perspectives are on the PMTCT programme as implemented at four PHC facilities in the Limpopo Province. Method: For this qualitative investigation, a descriptive research design was implemented. The data were collected during semi-structured interviews with nurses from four primary healthcare facilities in the Limpopo Province of South Africa. Data were analysed using thematic analysis. Results: Challenges preventing effective implementation (e.g. increased workloads, viz. staff shortages; poor planning of training; equipment and medication shortages and long lead times; poor patient education) were identified. Conclusion: In spite of the successes of the PMTCT programme, considerable challenges still prevail; lack of patient education, poor facilities management and staff shortages could potentially influence the implementation of the PMTCT guidelines negatively.
机译：背景：当引入针对现有程序的新指南时，通常由临床医生来负责执行这些指南的首当其冲。经常不征求他们的意见。在这项研究中，研究人员采访了在预防人类免疫缺陷病毒（HIV）母婴传播（PMTCT）领域工作的注册护士，以了解他们对本指南中引入的变更的看法。 2014年的指南更改是从世界卫生组织（WHO）方案B移至方案B +，该方案规定了所有HIV阳性孕妇的终生抗逆转录病毒疗法（ART），无论CD4细胞计数如何。目的：确定在林波波省的四个初级保健中心实施的注册护士对PMTCT计划的看法。方法：为进行定性研究，实施了描述性研究设计。数据是在南非林波波省的四个主要医疗机构对护士进行的半结构化访谈中收集的。使用主题分析对数据进行分析。结果：确定了阻碍有效实施的挑战（例如，工作量增加，人员短缺;培训计划不佳;设备和药物短缺以及交货时间长;患者教育水平低）。结论：尽管PMTCT计划取得了成功，但仍然存在相当大的挑战。缺乏患者教育，设施管理不善以及人员短缺可能会对PMTCT指南的实施产生负面影响。

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