Changing HIV Clinical Knowledge and Skill in Context: The Impact of Longitudinal Training in the Southeast United States
Journal of the Association of Nurses in AIDS Care
Department of Family and Preventive Medicine, Training and Education Center, Emory University, Atlanta, GA, United States; Regional AIDS Initiative of Southern Africa, Voluntary Service Overseas, Pretoria, South Africa; Department of Family and Preventive Medicine, Southeast AIDS Training and Education Center, Emory University, Atlanta, GA, United States
In the Southeast United States, HIV care is provided in a context of disproportionate HIV prevalence and barriers to care, including rural locales, higher proportions of African American and uninsured patients, and inadequate health care workforce and infrastructure. The authors describe a regional on-site longitudinal training program developed to target multidisciplinary teams providing HIV primary care at clinical sites in the region. The effect of this training program was evaluated using pre- and 3-month post-program knowledge and skills tests, a post-training evaluation questionnaire, and a post-program focus group. The authors found desired effects, with increases in knowledge and skills and improved capacity of providers to meet patient care needs across all clinical sites despite variations in terms of HIV-infected patient loads. However, the lack of enabling factors present in clinic environments may attenuate the application of new knowledge and skills, underscoring the relevance of teamwork training in HIV care settings. © 2011 Association of Nurses in AIDS Care.
article; clinical competence; continuing education; female; human; Human immunodeficiency virus infection; longitudinal study; male; psychological aspect; United States; Clinical Competence; Education, Continuing; Female; HIV Infections; Humans; Longitudinal Studies; Male; Southeastern United States