J Assoc Nurses AIDS Care. 2019 Jul-Aug;30(4):e20-e37. doi: 10.1097/JNC.0000000000000103.
Antiretroviral therapy (ART) management is a core competency for nursing practice in HIV as documented in best practice guidelines. Nurse-led interventions are effective in fostering ART adherence in people living with HIV (PLWH). However, these evidence-based interventions and professional expectations pertaining to these guidelines do not reflect current practice, nor do they expose the challenges faced by nurses. We conducted a qualitative exploratory study with nurses to explore their professional practices in the context of ART adherence. Sixteen nurses participated in data collection: nine in a focus group and seven in individual interviews. We identified four themes: building a therapeutic relationship with PLWH as a foundation of HIV nursing care; nursing activities to support PLWH with ART adherence; challenges faced by nurses providing ART-related care; and resource mobilization supporting nursing practice development in ART management and HIV care. Aspects of HIV nursing practice need to be strengthened to enhance best practice care, such as managing powerlessness in the context of ART nonadherence.
抗逆转录病毒疗法（ART）管理是 HIV 护理实践的核心能力，这在最佳实践指南中有记录。护士主导的干预措施在促进 HIV 感染者（PLWH）的 ART 依从性方面是有效的。然而，这些循证干预措施和与这些指南相关的专业期望既不能反映当前的实践情况，也不能揭示护士面临的挑战。我们对护士进行了一项定性探索性研究，以探讨他们在 ART 依从性方面的专业实践。16 名护士参与了数据收集：9 名参加焦点小组，7 名参加个别访谈。我们确定了四个主题：与 PLWH 建立治疗性关系作为 HIV 护理的基础；支持 PLWH 进行 ART 依从性的护理活动；护士在提供 ART 相关护理方面面临的挑战；以及资源动员支持 ART 管理和 HIV 护理中护理实践的发展。需要加强 HIV 护理实践的各个方面，以加强最佳实践护理，例如在 ART 不依从的情况下管理无能为力。
