ArticleCurationis2018
Barriers to tuberculosis and human immunodeficiency virus treatment guidelines adherence among nurses initiating and managing anti-retroviral therapy in KwaZulu-Natal and North West provinces.
Article in Curationis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Extrinsic and intrinsic factors acting as barriers or facilitators in nurses' implementation of clinical practice guidelines: a mixed-method systematic review.Acta bio-medica : Atenei Parmensis · 2022Pooled it
- 'And the stick to fight TB is TPT': nurse-identified barriers and facilitators of tuberculosis preventive therapy implementation in rural South Africa.BMJ open respiratory research · 2025Article
- Barriers to effective patient care as experienced by nurses in primary healthcare clinics in African countries: a systematic review of qualitative studies.BMC nursing · 2025Article
- Nurse training to enhance adherence counselling for HIV-tuberculosis coinfection in South Africa: Integrative review.Curationis · 2024Review
- Midwives' compliance with post-exposure prophylaxis guidelines in Tshwane District, South Africa.Curationis · 2024Article
- Social Support, Quality of Care, and Patient Adherence to Tuberculosis Treatment in Peru: The Mediating Role of Nurse Health Education.Patient preference and adherence · 2023Article
- Isolation of Patients With Bacterial Pneumonia Suspected of COVID-19 Leads to Prolonged Hospitalization.Cureus · 2022Article
- Preparing the healthcare workforce in South Africa for short-course rifampicin-resistant TB treatment: inter-professional training and task-sharing considerations.Human resources for health · 2021Article
- Ten years of nurse-initiated antiretroviral treatment in South Africa: A narrative review of enablers and barriers.Southern African journal of HIV medicine · 2021Article
- Nurses' Safety in Caring for Tuberculosis Patients at a Teaching Hospital in South West Nigeria.Journal of environmental and public health · 2020Article
- Factors facilitating trained NIMART nurses' adherence to treatment guidelines: a vital matter in the management of TB/HIV treatment in South Africa.BMC nursing · 2020Article
- Improving Nurses' Knowledge, Practice, and Self-Efficacy Regarding Caring Patients with Tuberculosis: A Quasi-Experimental Design.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundNurses, as front-line care providers in the South Africa's health care system, are called upon to deliver integrated interventions for tuberculosis and human immunodeficiency virus (TB and HIV) including nurse-initiated management of anti-retroviral therapy (NIMART) and anti-TB treatment. Adherence to treatment guidelines and factors associated with non-adherence to treatment guidelines among nurses remain under explored. PURPOSE: To explore and describe barriers to treatment guidelines adherence among nurses initiating and managing anti-retroviral therapy and anti-TB treatment in KwaZulu-Natal and North West provinces.
designThis study employed a qualitative exploratory descriptive design.
methodsFour semi-structured focus group interviews were conducted during 2014 each consisting of four to eight NIMART trained nurses. Audiotaped interviews were transcribed verbatim and analysed using Atlas T.I. software.
findingsDuring data analysis, two themes emerged: (1) NIMART trained nurses' distress about TB and HIV guidelines adherence that is inclusive of lack of agreement with guidelines, poor motivation to implement guidelines, poor clinical support and supervision, resistance to change, insufficient knowledge or lack of awareness and (2) exterior factors inhibiting nurses' adherence to treatment guidelines which incorporated organisational factors, guidelines-related factors and patient-related factors.
conclusionThis qualitative study identified that nurses have substantial concerns over guideline adherence. If NIMART trained nurses' barriers inhibiting adherence to treatment guidelines cannot be remedied, patient outcomes may suffer and South Africa will struggle to meet the 90-90-90 targets.
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