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Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study

BACKGROUND: People living with HIV (PWH) in Africa have higher burden of cardiovascular diseases (CVD) compared to the general population, probably due to increased burden of hypertension (HTN). In this study, we explored nurses’ perceptions of factors that may influence the integration of an eviden...

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Autores principales: Aifah, Angela, Onakomaiya, Deborah, Iwelunmor, Juliet, Oladele, David, Gbajabiamila, Titilola, Obiezu-Umeh, Chisom, Nwaozuru, Ucheoma, Musa, Adesola Z., Ezechi, Oliver, Ogedegbe, Gbenga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427907/
https://www.ncbi.nlm.nih.gov/pubmed/32885213
http://dx.doi.org/10.1186/s43058-020-00048-y
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author Aifah, Angela
Onakomaiya, Deborah
Iwelunmor, Juliet
Oladele, David
Gbajabiamila, Titilola
Obiezu-Umeh, Chisom
Nwaozuru, Ucheoma
Musa, Adesola Z.
Ezechi, Oliver
Ogedegbe, Gbenga
author_facet Aifah, Angela
Onakomaiya, Deborah
Iwelunmor, Juliet
Oladele, David
Gbajabiamila, Titilola
Obiezu-Umeh, Chisom
Nwaozuru, Ucheoma
Musa, Adesola Z.
Ezechi, Oliver
Ogedegbe, Gbenga
author_sort Aifah, Angela
collection PubMed
description BACKGROUND: People living with HIV (PWH) in Africa have higher burden of cardiovascular diseases (CVD) compared to the general population, probably due to increased burden of hypertension (HTN). In this study, we explored nurses’ perceptions of factors that may influence the integration of an evidence-based task-shifting/sharing strategy for hypertension control (TASSH) into routine HIV care in Lagos, Nigeria. METHODS: Using group concept mapping, we examined the perceptions of 22 nurses from HIV clinics in Lagos. Participants responded to a focused prompt on the barriers and facilitators of integrating TASSH into HIV care; next, separate focus groups generated relevant statements on these factors; and statements were then sorted and rated on their importance and feasibility of adoption to create cluster maps of related themes. The statements and cluster maps were categorized according to the Consolidated Framework for Implementation Research (CFIR) domains. RESULTS: All study participants were women and with 2 to 16 years’ experience in the provision of HIV care. From the GCM activities, 81 statements were generated and grouped into 12 themes. The most salient statements reflected the need for ongoing training of HIV nurses in HTN management and challenges in adapting TASSH in HIV clinics. A synthesis of the cluster themes using CFIR showed that most clusters reflected intervention characteristics and inner setting domains. The potential challenges to implementing TASSH included limited hypertension knowledge among HIV nurses and the need for on-going supervision on implementing task-shifting/sharing. CONCLUSIONS: Findings from this study illustrate a variety of opinions regarding the integration of HTN management into HIV care in Nigeria. More importantly, it provides critical, evidence-based support in response to the call to action raised by the 2018 International AIDS Society Conference regarding the need to implement more NCD-HIV integration interventions in low-and middle-income countries through strategies, which enhance human resources. This study provides insight into factors that can facilitate stakeholder engagement in utilizing study results and prioritizing next steps for TASSH integration within HIV care in Nigeria.
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spelling pubmed-74279072020-09-02 Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study Aifah, Angela Onakomaiya, Deborah Iwelunmor, Juliet Oladele, David Gbajabiamila, Titilola Obiezu-Umeh, Chisom Nwaozuru, Ucheoma Musa, Adesola Z. Ezechi, Oliver Ogedegbe, Gbenga Implement Sci Commun Research BACKGROUND: People living with HIV (PWH) in Africa have higher burden of cardiovascular diseases (CVD) compared to the general population, probably due to increased burden of hypertension (HTN). In this study, we explored nurses’ perceptions of factors that may influence the integration of an evidence-based task-shifting/sharing strategy for hypertension control (TASSH) into routine HIV care in Lagos, Nigeria. METHODS: Using group concept mapping, we examined the perceptions of 22 nurses from HIV clinics in Lagos. Participants responded to a focused prompt on the barriers and facilitators of integrating TASSH into HIV care; next, separate focus groups generated relevant statements on these factors; and statements were then sorted and rated on their importance and feasibility of adoption to create cluster maps of related themes. The statements and cluster maps were categorized according to the Consolidated Framework for Implementation Research (CFIR) domains. RESULTS: All study participants were women and with 2 to 16 years’ experience in the provision of HIV care. From the GCM activities, 81 statements were generated and grouped into 12 themes. The most salient statements reflected the need for ongoing training of HIV nurses in HTN management and challenges in adapting TASSH in HIV clinics. A synthesis of the cluster themes using CFIR showed that most clusters reflected intervention characteristics and inner setting domains. The potential challenges to implementing TASSH included limited hypertension knowledge among HIV nurses and the need for on-going supervision on implementing task-shifting/sharing. CONCLUSIONS: Findings from this study illustrate a variety of opinions regarding the integration of HTN management into HIV care in Nigeria. More importantly, it provides critical, evidence-based support in response to the call to action raised by the 2018 International AIDS Society Conference regarding the need to implement more NCD-HIV integration interventions in low-and middle-income countries through strategies, which enhance human resources. This study provides insight into factors that can facilitate stakeholder engagement in utilizing study results and prioritizing next steps for TASSH integration within HIV care in Nigeria. BioMed Central 2020-06-26 /pmc/articles/PMC7427907/ /pubmed/32885213 http://dx.doi.org/10.1186/s43058-020-00048-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Aifah, Angela
Onakomaiya, Deborah
Iwelunmor, Juliet
Oladele, David
Gbajabiamila, Titilola
Obiezu-Umeh, Chisom
Nwaozuru, Ucheoma
Musa, Adesola Z.
Ezechi, Oliver
Ogedegbe, Gbenga
Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title_full Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title_fullStr Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title_full_unstemmed Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title_short Nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with HIV in Nigeria: a group concept mapping study
title_sort nurses’ perceptions on implementing a task-shifting/sharing strategy for hypertension management in patients with hiv in nigeria: a group concept mapping study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7427907/
https://www.ncbi.nlm.nih.gov/pubmed/32885213
http://dx.doi.org/10.1186/s43058-020-00048-y
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