Piercy Hilary, Bell Gill, Hughes Charlie, Naylor Simone, Bowman Christine
Principal Lecturer, Sheffield Hallam University, UK.
Nurse Consultant, Sexual Health Adviser, Sheffield Teaching Hospitals NHS Foundation Trust, UK.
J Res Nurs. 2018 Dec;23(8):646-656. doi: 10.1177/1744987118780913. Epub 2018 Jul 5.
HIV services in England face substantial challenges arising from financial pressures and changes to commissioning. A sustainable HIV specialist nursing workforce will be vital to enable them to respond to those challenges.
This paper examines the current workforce situation in HIV services across the country.
This mixed-method study involved semi-structured interviews with 19 key stakeholders and with 44 nurses/physicians from 21 purposively selected HIV services across England. Data were interpreted using a framework analysis approach.
'Building a career in HIV nursing' identified problems associated with retention and recruitment. Changes in commissioning are disrupting common career routes from sexual health to HIV nursing, and a perceived lack of a clear career pathway was seen as a barrier to recruitment. 'Developing a specialist workforce' explored the professional development of the current workforce, which was hampered by poor access to funding or study time for advanced study and the absence of an HIV-specific advanced nursing qualification.
The HIV nursing workforce, which provides an increasing proportion of HIV care, is facing serious recruitment and retention challenges. A strategic approach to workforce development and training is essential to overcome systemic barriers and secure the next generation of skilled practitioners.
英国的艾滋病服务面临着来自财政压力和委托方式变化带来的重大挑战。一支可持续的艾滋病专科护理队伍对于应对这些挑战至关重要。
本文考察了全国艾滋病服务领域当前的劳动力状况。
这项混合方法研究包括对19名关键利益相关者以及来自英格兰21家经过特意挑选的艾滋病服务机构的44名护士/医生进行半结构化访谈。采用框架分析方法对数据进行解读。
“投身艾滋病护理事业”发现了与留用和招聘相关的问题。委托方式的变化正在扰乱从性健康护理到艾滋病护理的常见职业路径，而且人们认为缺乏清晰的职业发展道路是招聘的障碍。“培养专科护理队伍”探讨了当前护理队伍的专业发展情况，其受到获取高级研究资金或学习时间困难以及缺乏艾滋病专科高级护理资格的阻碍。
提供越来越多艾滋病护理服务的艾滋病护理队伍正面临严重的招聘和留用挑战。采取战略性的劳动力发展和培训方法对于克服系统性障碍并确保下一代熟练从业者至关重要。
