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纵向指导对加强艾滋病防治工作队伍的影响:临床医生知识、态度和实践变化的定性证据

Impacts of Longitudinal Mentorship to Strengthen the HIV Workforce: Qualitative Evidence of Changes in Clinicians' Knowledge, Attitudes, and Practice.

作者信息

Wagner Cornelia M J, Carlberg-Racich Suzanne, Linsk Nathan L, Sherer Renslow, Alabduljabbar Salma A, Hasnain Memoona, Rivero Ricardo

出版信息

J Assoc Nurses AIDS Care. 2017 Nov-Dec;28(6):938-952. doi: 10.1016/j.jana.2017.06.013. Epub 2017 Jun 27.

Abstract

The Clinician Scholars Program at the Midwest AIDS Training and Education Center strengthens the workforce by increasing knowledge and skills related to HIV prevention and care. The 1-year individualized training program for minority-serving clinicians includes intensive mentoring and networking. Qualitative exit interviews (N = 50) conducted over 4 years demonstrate the effectiveness of the training, including changes at the individual and systems levels. Findings show that almost all graduates reported improvements in knowledge, two-thirds reported changes in empathic capacity and cultural competence, and nearly three-quarters reported changes in clinical practice. Scholars indicated improvements in knowledge and practice of HIV prevention, including pre-exposure prophylaxis and managing medications and comorbidities. A third of the Scholars reported improvements in their clinical practices related to linking and retaining patients in HIV care, which demonstrated positive movement along the HIV care continuum, a key focus area of the National HIV AIDS Strategy.

摘要

中西部艾滋病培训与教育中心的临床医生学者项目通过增加与艾滋病毒预防和护理相关的知识和技能来加强医疗队伍。这个为期一年的针对服务少数族裔临床医生的个性化培训项目包括强化指导和建立人际关系网络。在4年时间里进行的定性离职访谈(N = 50)证明了该培训的有效性,包括个人层面和系统层面的变化。研究结果表明,几乎所有毕业生都报告知识有所提高,三分之二的人报告共情能力和文化能力有变化,近四分之三的人报告临床实践有变化。学者们指出在艾滋病毒预防的知识和实践方面有所改进,包括暴露前预防以及药物和合并症管理。三分之一的学者报告说,他们在将患者与艾滋病毒护理联系起来并留住患者方面的临床实践有所改进,这表明在艾滋病毒护理连续过程中取得了积极进展,这是《国家艾滋病毒/艾滋病战略》的一个关键重点领域。

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