| Title |
Implementing nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa: a qualitative process evaluation of the STRETCH trial
|
|---|---|
| Published in |
Implementation Science, July 2012
|
| DOI | 10.1186/1748-5908-7-66 |
| Pubmed ID | |
| Authors |
Daniella Georgeu, Christopher J Colvin, Simon Lewin, Lara Fairall, Max O Bachmann, Kerry Uebel, Merrick Zwarenstein, Beverly Draper, Eric D Bateman |
| Abstract |
Task-shifting is promoted widely as a mechanism for expanding antiretroviral treatment (ART) access. However, the evidence for nurse-initiated and managed ART (NIMART) in Africa is limited, and little is known about the key barriers and enablers to implementing NIMART programmes on a large scale. The STRETCH (Streamlining Tasks and Roles to Expand Treatment and Care for HIV) programme was a complex educational and organisational intervention implemented in the Free State Province of South Africa to enable nurses providing primary HIV/AIDS care to expand their roles and include aspects of care and treatment usually provided by physicians. STRETCH used a phased implementation approach and ART treatment guidelines tailored specifically to nurses. The effects of STRETCH on pre-ART mortality, ART provision, and the quality of HIV/ART care were evaluated through a randomised controlled trial. This study was conducted alongside the trial to develop a contextualised understanding of factors affecting the implementation of the programme. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 33% |
| Unknown | 2 | 67% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 249 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 3 | 1% |
| South Africa | 2 | <1% |
| United Kingdom | 2 | <1% |
| Georgia | 1 | <1% |
| Sweden | 1 | <1% |
| Unknown | 240 | 96% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 48 | 19% |
| Researcher | 43 | 17% |
| Student > Ph. D. Student | 29 | 12% |
| Student > Bachelor | 20 | 8% |
| Student > Doctoral Student | 12 | 5% |
| Other | 60 | 24% |
| Unknown | 37 | 15% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 91 | 37% |
| Nursing and Health Professions | 35 | 14% |
| Social Sciences | 31 | 12% |
| Psychology | 12 | 5% |
| Business, Management and Accounting | 7 | 3% |
| Other | 26 | 10% |
| Unknown | 47 | 19% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 July 2012.
All research outputs
#16,721,717
of 25,374,647 outputs
Outputs from Implementation Science
#1,621
of 1,809 outputs
Outputs of similar age
#114,102
of 177,873 outputs
Outputs of similar age from Implementation Science
#26
of 30 outputs
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