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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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Abstract
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 - Does NOT include content added after October 2018: | Centre for Health and Social Care Research |
| Departments - Does NOT include content added after October 2018: | Health and Well-being > Department of Nursing and Midwifery |
| Identification Number: | https://doi.org/10.1177/1744987118780913 |
| Page Range: | 646-656 |
| Depositing User: | Hilary Piercy |
| Date Deposited: | 22 Feb 2018 14:31 |
| Last Modified: | 18 Mar 2021 07:07 |
| URI: | https://shura.shu.ac.uk/id/eprint/18753 |
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