A workforce in jeopardy - identifying the challenges of ensuring a sustainable advanced HIV nursing workforce.

PIERCY, Hilary, BELL, Gill, HUGHES, Charlie, NAYLOR, Simone and BOWMAN, Christine (2018). A workforce in jeopardy - identifying the challenges of ensuring a sustainable advanced HIV nursing workforce. Journal of Research in Nursing, 23 (8), 646-656.

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Introduction: 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. Methods: 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. Findings: '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 clear career pathway was seen as a barrier to recruitment. 'Developing a specialist workforce' explored 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. Conclusion: 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.

Item Type: Article
Uncontrolled Keywords: HIV, Nursing, qualitative, workforce
Research Institute, Centre or Group: Centre for Health and Social Care Research
Departments: Health and Well-being > Department of Nursing and Midwifery
Identification Number: https://doi.org/10.1177/1744987118780913
Depositing User: Hilary Piercy
Date Deposited: 22 Feb 2018 14:31
Last Modified: 19 Dec 2018 09:00
URI: http://shura.shu.ac.uk/id/eprint/18753

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