Jones M, Cameron D
East Sussex Healthcare NHS Trust, UK; Evaluation Unit, Foundation for Professional Development, Pretoria, South Africa.
S Afr Med J. 2017 Sep 22;107(10):839-842. doi: 10.7196/SAMJ.2017.v107i10.12392.
Task shifting has enabled South Africa (SA) to rapidly expand its HIV treatment programme. This has been achieved by training and mentoring primary-care nurses in nurse initiation and management of antiretroviral therapy (NIMART). Five years into its clinical mentoring programme, the Foundation for Professional Development conducted an evaluation that identified improved knowledge, attitudes and confidence perceived by nurses who received NIMART mentoring. Low completion rates for the Department of Health (DoH) NIMART training process were identified and therefore targeted mentoring was introduced; this increased the percentage of primary nurses eligible for DoH certificates of clinical competence in NIMART from 12%, adding a further 30%. There remain a large number of primary nurses who require mentoring in order to complete the NIMART process. For those who have completed the process, there remains a need for ongoing mentoring as SA's HIV programme evolves, complex cases emerge and primary care undergoes change.
任务转移使南非能够迅速扩大其艾滋病治疗项目。这是通过培训和指导初级保健护士进行抗逆转录病毒疗法的启动和管理（NIMART）来实现的。在其临床指导项目开展五年后，专业发展基金会进行了一项评估，结果显示接受NIMART指导的护士在知识、态度和自信心方面都有所提升。评估发现卫生部NIMART培训流程的完成率较低，因此引入了针对性指导；这使得有资格获得卫生部NIMART临床能力证书的初级护士比例从12%提高到了42%，又增加了30%。仍有大量初级护士需要指导才能完成NIMART流程。对于那些已经完成该流程的护士来说，随着南非艾滋病项目的发展、复杂病例的出现以及初级保健的变革，持续指导仍然是必要的。
