Nursing practice in sexually transmitted infections and HIV in British Columbia : report of survey findings
Notice bibliographique
Résumé
During 2009-2010 investigators from the BC Centre for Disease Control (BCCDC) and the School of Nursing at the University of British Columbia, in collaboration with regional health authorities, First Nations communities and private service organizations undertook a project aimed at understanding the nature and scope of public health nursing practice in the area of sexually transmitted infection including HIV prevention and control. The final data set included responses from 314 public health nurses. Data sources consisted primarily of census data from the College of Registered Nurses and a self-administered 62-item questionnaire. A total of 576 public health nurses working in STI including HIV prevention and control were identified through analysis of employing agencies identified within the CRNBC census data. The questionnaire was designed to assess the demographic characteristics of public health nurses, the client populations served, workload distribution, clinical practice activities, nursing practice resources, and continuing education needs. The majority of nurses were baccalaureate-prepared women with an average age of 44. The nurses, had been practicing for an average of 18 years, nine of which were in STI and HIV prevention and control. Approximately half of the nurses worked on a full-time basis. Community/public health centres in urban settings were the most common site of employment. On average, nurses spent 28% of their work in the area of STI and HIV care. Women were reported as recipients of nursing care more frequently than any other client population. The majority of nurses (76%) provided care in both STI and HIV prevention and control and spent at least half of their time in direct client care activities. Approximately 78% of nurses undertook STI and HIV testing. Seventy-four percent of the nurses provide clients with medication as part of STI treatment and oral antibiotics were the most commonly administered and dispensed medications. Emergency contraceptives and oral contraceptives were also administered by over 70% of the nurses. Referrals to other health service providers was common practice with physicians, abortion services, mental health care, and community organizations identified as the most common sources of referrals. Nurses were active in the reporting process for reportable infections and regularly engaged in health education activities primarily at the level of individual clients, although community-based education practice was reported by half the participants. Public health nurses were predominantly satisfied with many elements of their work, particularly in relation to direct client care interactions. Nurses were less satisfied with the amount of administrative support they obtained in their work setting, the physical space in which they worked, and their limited opportunities for continuing education and professional development activities. This project represents a detailed analysis of nursing practice in STI prevention and control in British Columbia and will provide an essential baseline for future investigations pertaining to the outcomes associated with legislated changes in nursing practice in the field of STI prevention and control.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,004 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».