RUcore: Rutgers University Community Repository
HIV task shifting from physicians to nurses in Nigeria
Descriptive
TitleInfo
Title
HIV task shifting from physicians to nurses in Nigeria
SubTitle
correlates of nurse self-efficacy and job satisfaction
Name
(type = personal)
NamePart
(type = family)
Iwu
NamePart
(type = given)
Emilia Ngozi
NamePart
(type = date)
1960-
DisplayForm
Emilia Ngozi Iwu
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
HOLZEMER RN, PHD
NamePart
(type = given)
WILLIAM L.
DisplayForm
WILLIAM L. HOLZEMER RN, PHD
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
ELLER PHD, RN
NamePart
(type = given)
LUCILLE S.
DisplayForm
LUCILLE S. ELLER PHD, RN
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
WILLARD PHD, RN, APNC
NamePart
(type = given)
SUZANNE
DisplayForm
SUZANNE WILLARD PHD, RN, APNC
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
CIMIOTTI, PHD, RN
NamePart
(type = given)
JEANNIE P.
DisplayForm
JEANNIE P. CIMIOTTI, PHD, RN
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Graduate School - Newark
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
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(qualifier = exact)
2016
DateOther
(qualifier = exact);
(type = degree)
2016-01
CopyrightDate
(encoding = w3cdtf);
(qualifier = exact)
2016
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Rationale: With 25% global disease burden and only 3% global health workforce, the African region continues to account for the largest proportion of people living with HIV. While HIV task sharing between physicians and nurses, improved access to antiretroviral treatment, it led to African nurses acquiring roles beyond their traditional scope of practice. Numerous patient outcome research have identified the benefits of task sharing but research on nurse-related outcomes remains limited. This study attempts to fill the gap in knowledge by examining the demographic and setting correlates of self-efficacy and job satisfaction among Nigerian nurses in HIV task sharing roles. Method: A pilot study was conducted using a focus group of ten expert nurses to ascertain the content validity and appropriateness of the study instruments. In the main study, 508 nurses in task sharing roles from 8 of 36 states in Nigeria were surveyed. Result: A total of 399 surveys from tertiary (26%), secondary (46%) and primary (28%) facilities met criteria for analyses. The mean age and years in nursing practice were 42 (SD = 9.1) and 17 (SD = 9.2); 86% worked in Government hospitals, 76% were female and 70% Registered Nurse/Midwives. Over 95% received training and mentoring and 82% had previous HIV nursing experience. Self-Efficacy for task sharing had statistically significant correlation with female gender but negatively correlated with years in nursing practice. Job Satisfaction was statistically correlated with years in nursing practice; dual licensure as Nurse/Midwife; working in tertiary hospital; older age; male gender; duration of training and being mentored. Longer HIV nursing experience and working in secondary and primary health centers were found to increase the likelihood for job dissatisfaction. Conclusion: Although more than 95% of the nurses received WHO recommended training and mentoring, they still faced system related challenges which negatively affected job satisfaction. Similar to reports in literature, these findings have critical implications for burnout, retention and quality service delivery. System-specific strategies such as: complementary staffing mix; continuing education; certification; updated policies, guidelines, scope of practice and curriculum that reflect current professional practice are needed to support nurses in expanded roles.
Subject
(authority = RUETD)
Topic
Nursing
Subject
(authority = ETD-LCSH)
Topic
Antiretroviral agents
Subject
(authority = ETD-LCSH)
Topic
HIV infections--Nigeria--Treatment
RelatedItem
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
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ETD
Identifier
ETD_6931
PhysicalDescription
Form
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electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xv, 175 p. : ill.)
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = statement of responsibility)
by Emilia Ngozi Iwu
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - Newark Electronic Theses and Dissertations
Identifier
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rucore10002600001
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3DR2XKZ
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Iwu
GivenName
Emilia
MiddleName
Ngozi
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2015-12-19 23:25:34
AssociatedEntity
Name
EMILIA IWU
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - Newark
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2016-01-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2018-01-30
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2018.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
RULTechMD
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ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
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