TY - JOUR
T1 - HIV Task Sharing Between Nurses and Physicians in Nigeria
T2 - Examining the Correlates of Nurse Self-Efficacy and Job Satisfaction
AU - Iwu, Emilia
AU - Holzemer, William L.
N1 - Publisher Copyright: © 2017 Association of Nurses in AIDS Care
PY - 2017/5
Y1 - 2017/5
N2 - A global shortfall of 12.9 million health care workers has been predicted to occur in the next two decades. Task sharing between physicians and nurses, a method used to help compensate for provider shortages, was shown to improve access to antiretroviral therapy in Africa, but led to nurses performing beyond their scopes of practice. We surveyed 508 nurses in task-shifted roles in Nigeria. Respondents (n = 399) provided information on age, years in practice, gender, registration status, employment site, and access to task-sharing training and mentoring. Years in practice negatively influenced task-sharing self-efficacy. Positive correlates of job satisfaction were years in practice, older age, male gender, single licensure, employment at a tertiary hospital, mentoring, and duration of training. System challenges and employment in faith-based and nontertiary hospitals increased likelihood of job dissatisfaction. Supportive practice and policy interventions are needed to minimize negative effects of disparities in job satisfaction across facilities.
AB - A global shortfall of 12.9 million health care workers has been predicted to occur in the next two decades. Task sharing between physicians and nurses, a method used to help compensate for provider shortages, was shown to improve access to antiretroviral therapy in Africa, but led to nurses performing beyond their scopes of practice. We surveyed 508 nurses in task-shifted roles in Nigeria. Respondents (n = 399) provided information on age, years in practice, gender, registration status, employment site, and access to task-sharing training and mentoring. Years in practice negatively influenced task-sharing self-efficacy. Positive correlates of job satisfaction were years in practice, older age, male gender, single licensure, employment at a tertiary hospital, mentoring, and duration of training. System challenges and employment in faith-based and nontertiary hospitals increased likelihood of job dissatisfaction. Supportive practice and policy interventions are needed to minimize negative effects of disparities in job satisfaction across facilities.
KW - job satisfaction
KW - nurse-managed antiretroviral therapy (NIMART)
KW - task sharing
KW - task shifting
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U2 - https://doi.org/10.1016/j.jana.2017.02.005
DO - https://doi.org/10.1016/j.jana.2017.02.005
M3 - Article
C2 - 28292563
SN - 1055-3290
VL - 28
SP - 395
EP - 407
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 3
ER -