Masuka, Sindiso (2023). Improving service engagement and adherence to antiretroviral therapy for homeless people living with HIV: a qualitative focus group study with healthcare workers. University of Birmingham. M.Res.
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Masuka2023MRes_Redacted.pdf
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Abstract
Objectives: Homeless people living with HIV face significant challenges when engaging with HIV health services and adhering to their antiretroviral therapy. There is limited data on the perspectives of those that deliver their HIV care concerning these issues. This study sought to explore the barriers and facilitators to service engagement and adherence from the viewpoint of healthcare workers. It also set out to identify the factors that enable service engagement and recommend any changes required to improve existing practice. Another objective was to identify elements of a best practice model that will guide healthcare workers on how to engage with homeless people living with HIV. The overall aim of this study is to improve adherence to ART, service engagement and associated health benefits of homeless people living with HIV.
Design: A qualitative descriptive design study involving two focus groups with healthcare workers. Audio recordings were transcribed verbatim, and data were analysed using thematic analysis.
Setting: Healthcare workers were recruited from a large West Midlands NHS Trust providing comprehensive HIV Services on two sites.
Participants: A purposive sample of 16 healthcare workers was recruited who were representative of the multi-disciplinary team providing services to this population.
Results: Healthcare workers’ perceptions on how to improve service engagement and health outcomes for homeless people living with HIV were summarised in four themes: Collaboration, Revised service model, Integration of cross-disciplinary care and an Individualised approach. Participants highlighted that while some of the existing systems and processes were working, there was a need for change. There were uncertainties about the viability of implementing some of the proposed recommendations due to financial and legislation constraints. There was enthusiasm for more feasible plans, such as establishing a weekly walk-in nurse-led clinic.
Conclusion: This study captured the perceptions of healthcare workers about the service they deliver. The results highlight areas of concern and potential obstacles to an ideal model of care for homeless people living with HIV, together with recommendations to address these issues.
| Type of Work: | Thesis (Masters by Research > M.Res.) | |||||||||
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| Award Type: | Masters by Research > M.Res. | |||||||||
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| Licence: | All rights reserved | |||||||||
| College/Faculty: | Colleges (2008 onwards) > College of Medical & Dental Sciences | |||||||||
| School or Department: | School of Nursing and Midwifery | |||||||||
| Funders: | None/not applicable | |||||||||
| Subjects: | R Medicine > RT Nursing | |||||||||
| URI: | http://etheses.bham.ac.uk/id/eprint/13572 |
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