207232 Building the capacity of nurses in southern African countries to deliver HIV/AIDS services: A comprehensive approach

Monday, November 9, 2009

Amanda J. Liddle, DrPH , School of Nursing and Health Studies, Georgetown University, Washington, DC
Irene Anne Jillson, PhD , School of Nursing and Health Studies, Georgetown University, Washington, DC
R. Kevin Mallinson, PhD, AACRN, FAAN , School of Nursing and Health Studies, Georgetown University, Washington, DC
Michael Relf, PhD, AACRN, FAAN , School of Nursing, Duke University, Durham, NC
John Rosselli, MS, CFNP, ACRN , School of Nursing and Health Studies, Georgetown University, Washington, DC
Adele Webb, PhD, AACRN, FAAN , Association of Nurses in AIDS Care, Fairlawn, OH
Background: Nurses play an increasingly critical role in caring for the majority of people infected or affected by HIV/AIDS in southern Africa. This requires a comprehensive service delivery capacity that often has not been developed during pre-or-in-service education, or by supplemental HIV/AIDS, didactic training focused, capacity building programs.

Methods: Comprehensive nurse capacity building activities were conducted to meet nurse stated need across Lesotho, South Africa and Swaziland. Between July 2007 and December 2008 over i) 1200 nurses participated in short-term didactic, active-learning courses and individual clinical mentoring; ii) 200 nurses received leadership mentoring; and iii) 115 participated in activities to support nurses living with HIV or managing multiple loss and grief experienced by nurses in their workplaces, homes and communities. Pre-post and follow-up data were collected from participants and supervisors.


1) Nurses reported gaining HIV/AIDS knowledge, skills and attitudes from didactic activities.

2) Clinical nurse mentors reported collaborating with nurses to overcome challenges to the application of knowledge, skills and attitudes learned through didactic activities into clinical care.

3) Nurse leaders were engaged in regional partnerships to strengthen the role of nurses in HIVAIDS policy, education and practice.

4) Nurses reported that ‘care of the nurse' activities improved their understanding of the need to address grief and loss among nurses.

Conclusions: It is likely that a comprehensive approach, including HIV/AIDS knowledge, clinical skills, leadership skills and care of the nurse, is required to strengthen nurses' capacity to deliver HIV/AIDS services in the demanding environment of southern Africa.

Learning Objectives:
1)Identify the differences between didactic training and comprehensive nurse capacity building for the delivery of HIV/AIDS services in southern Africa 2)Discuss the evidence that supports a comprehensive approach for the strengthening of nurses’ capacity to deliver HIV/AIDS services in southern Africa

Keywords: HIV/AIDS, Training

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a doctorate in Maternal Child Health. I have worked as Project Director for the program that developed and implemented the capacity building approach and activities reported in the abstract, for the past three years. I have collected or over seen the data collection and its analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.