Missing appointments by patients on antiretroviral therapy: Professional nurses' perspective.

Q2 Medicine Curationis Pub Date : 2022-01-31 DOI:10.4102/curationis.v45i1.2213
Mygirl P Lowane, Rachel T Lebese
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Abstract

Background:  Missed appointments for medicine pick-ups are regarded as a predictor of poor adherence, and should trigger immediate questions about issues that may affect follow-up visits to healthcare settings.

Objectives:  The study explored and described professional nurses' perspectives about the factors that contribute to missing appointments by people living with Human Immunodeficiency Virus (PLWHIV) on antiretroviral therapy (ART) at Mopani and Vhembe district in Limpopo Province.

Method:  A qualitative explorative contextual approach was used for the study. Non-probability, purposive sampling was used to select 14 professional nurses who met the inclusion criteria. Data were collected through face-to-face unstructured interviews. One central question was asked and probing questions were based on the participants' responses to the central question. Thematic analysis of the findings was carried out. Trustworthiness was ensured through intercoder agreement, audio recording, triangulation, bracketing, and member checking. Required permission, approval, and ethical clearance were also ensured.

Results:  Organisational health system and management of the healthcare facility were found to be the barriers that negatively impacted on the ability of the PLWHIV on ART to maintain clinic visits appointments. Lack of patient involvement, stereotyped appointment dates selection, poor patient-provider relationships, errors of recording appointment dates and long waiting times came up as sub-themes derived from the main theme.

Conclusion:  The results suggest that there is a need to increase and improve mutual trust in patient-provider relationships, improve nurses working conditions, develop proper booking systems and reduce clinic waiting hours.

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患者错过抗逆转录病毒治疗的预约:专业护士的观点。
背景:错过预约取药被认为是依从性差的预测指标,应该立即引发可能影响医疗机构随访的问题。目的:本研究探讨并描述了专业护士对导致Limpopo省Mopani和Vhembe地区人类免疫缺陷病毒(PLWHIV)感染者错过抗逆转录病毒治疗(ART)的因素的看法。方法:采用定性探索性语境法进行研究。采用非概率、有目的抽样方法,选取符合纳入标准的14名专业护士。数据通过面对面的非结构化访谈收集。研究人员提出了一个中心问题,并根据参与者对中心问题的回答提出了探索性问题。对调查结果进行了专题分析。通过编码间协议、录音、三角测量、括号划分和成员检查来确保可信度。还确保了所需的许可、批准和道德许可。结果:组织卫生系统和医疗机构的管理被发现是对抗逆转录病毒治疗的PLWHIV维持门诊就诊预约的能力产生负面影响的障碍。缺乏患者参与,刻板的预约日期选择,糟糕的医患关系,记录预约日期的错误和漫长的等待时间作为主旋律衍生的子主题出现。结论:需要加强和改善医患互信关系,改善护士工作条件,建立合理的预约系统,减少门诊候诊时间。
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来源期刊
Curationis
Curationis Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
22
审稿时长
19 weeks
期刊最新文献
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