Exploring SDM in HIV nursing care
Activities
1
2
3
4
5
Psychologicalcare
1.6%(n=1)
4.7%(n=3)
18.8%(n=12)
42.2%(n=27)
32.8%(n=21)
Disclosureofstatusto
3.1%(n=2)
3.1%(n=2)
17.2%(n=11)
48.4%(n=31)
28.1%(n=18)
others
Dietaryadvice
1.6%(n=1)
1.6%(n=1)
29.7%(n=19)
39.1%(n=25)
28.1%(n=18)
Exerciseadvice
1.6%(n=1)
1.6%(n=1)
23.4%(n=15)
45.3%(n=29)
28.1%(n=18)
Cardiovascularrisk
1.6%(n=1)
3.1%(n=2)
20.3%(n=13)
43.8%(n=28)
31.3%(n=20)
advice
Alcoholconsumption
0%(n=0)
4.7%(n=3)
10.9%(n=7)
50%(n=32)
34.4%(n=22)
advice
Nurseswereaskedtoscalehowconfidenttheyfeltinundertakingshareddecisionmakingin
17differentareas.RespondentsweremostconfidentintheareasofHIVtestingandtreatment
adherence,butexpressedhighlevelsofconfidenceinmostareaslisted.Respondentswereleast
confidentintheareasoftreatmentcessationortreatmentswitching.
Challenges for SDM
Q.11 HoweasyisittopractiseshareddecisionmakinginyourareaofHIVcare?
Level
Response(n=64)
Easy
46.9%(n=30)
Moderate
42.2%(n=27)
Veryeasy
7.8%(n=5)
Veryhard
3.1%(n=2)
Hard
0%(n=0)
WhenaskedhoweasyitwastopractiseshareddecisionmakingintheirareaofHIV,30nurses
(46.9%),thoughtthatitwaseasyand27nurses(42.2%)thoughtthatitwasmoderate.
Q.12 Thefollowinghavebeenidentifiedaspotentialbarrierstoimplementingshareddecisionmakingin
everydayconsultations.Pleasetickthetopthreethathaveappliedtoyouinyourclinicalrole.
Potentialbarriers
Response
Notenoughconsultationtime
45.3%(n=29)
Culturalissues/beliefsofpatients
2016
45.3%(n=29)
Patientdoesn'twanttoinputintotheprocess/patientwantsmetomakethedecision
39.1%(n=25)
Lackofup-to-datebackgroundknowledgeonthepatient
21.9%(n=14)
Lackconfidenceinmyownskills
21.9%(n=14)
Feelingunskilled
20.3%(n=13)
www.nhivna.org
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