Global Research Nurses' Network

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• Zama 18 Oct 2013

  hi, NIMART's objectives is to ensure timely initiation of ART for treatment and prevention according to the President's mandate and to enable PHC nurses to initiate ART for treatment and prevention and manage, monitor and refer appropriately. what surprises me is that pertaining to regulations relating to the keeping, supply, administering or prescribing of medicines by Registered nurses are not promulgated or clear yet, unless I'm outdated.

• Nicola McHugh 27 Aug 2013

  What an interesting topic. Is hypothyroid a problem in Jordan?
  What is your role in the team Omymah?

• Omymah Zain Alddin Abed AlRaheem Al Rajabi 23 Aug 2013

  I am independent research nurse, nowadays, I start working in a project in Ministry of Health in Jordan with Dr Abed AlJawad (family medicine), Dr lourance Al-Hadid Phd Philosophy of nursing-SPSS statistical analysis & researchers -Luiza tukan Computer speciality the project is about
  ''antenatal screening for hypothyroidism in early pregnancy"" ...we start to collect data after attaining an approval from ethics commitee.

• Nicola McHugh 22 Aug 2013

  Dear Helen,
  Please could you tell us more about the e-learning research modules that you did in Belfast. It would be interesting to know who provides them and who can access them.
  Nicola

• helen vaughan 20 Aug 2013

  Hi everyone, I work in as a Clinical research nurse in Ireland, my job is with the university and our unit is based in the hospital as the university is affiliated with the training hospital. We run clinical and academic research trials and observational studies. Delighted to be part of this group- we all need support and advice as different and new situations arise in the research world -

• Hilarious de Jesus 15 Aug 2013

  Hi everyone! I am very glad to bump in to this site on one of my down time at the office. I am a clinical research nurse working for the Medicines for Children Research Network in London. I think this forum is a great opportunity to share best practices and possible experiences. This could also serve as a good avenue to open up international opportunities for everyone for further learning and development and multi-cultural ties. I would definitely try and be active on this site and hopefully gain a few networks myself. Nice meeting everone.

• Martin Jones 30 Jul 2013

  In South Africa, where I was working Professional (Registered) Nurses are the front line of the public healthcare system - there are many more nurses than doctors. HIV prevalence is high so the South African government has taken the strategic decision that, in order to achieve its targets for HIV testing and treatment, NIM-ART is its solution. Part of the thinking is that patients generally have easier access to primary care clinics / services than they do to specialist HIV clinics in hospitals. However its introduction was slower than hoped for. According to my induction training, Professional Nurses attended a course about antiretroviral therapy (ART) but needed a period of structured mentoring in order to develop their skills, experience and confidence.

  NIM-ART was introduced to primary care clinics in the district where I worked as a clinical mentor. The nurses offer HIV testing to their patients and if the result is positive, baseline tests are performed; if the CD4 count is <350 the patient is started on ART and monitored according to an algorithm. One of the significant challenges is retention in care - the so-called 'leaky cascade' - so effective systems are also necessary.

  http://martinjones183.wordpress.com/category/uk-hiv-nurse-in-south-africa/

• LAMUNU PASKA 23 Jul 2013

  Yes, nurses in Uganda do initiate ART treatment to patients following the WHO guidelines.there are few Doctors and in the rural areas where there is no doctor the nurses are trained on how and when to initiate a patient on ART.Nurses follow the WHO staging in areas where full investigation are not available..

• Asma' Salem 21 Jul 2013

  peace be upon you ,
  I'm happy to join you nurses , its a great site with a bright future to make change , my name is Asma'a Kana'an and i'm from Amman-Jordan .
  best wishes to all of you.

• Evelyn Lifa- Udedi 17 Jul 2013

  Nono i believe in Malawi nurses are allowed to initiate ART but in specific cases. I have copied this statement from and article from CDC, morbidity and mortality weekly report from 1st March 2013.

  'In Malawi, the MOH determined the health sector did not have the laboratory and infrastructure capacity to provide universal access to CD4 cell count testing needed to successfully implement either of the two recommended options. Instead, they proposed a modified Option B (called "Option B+"), in which all confirmed HIV-infected pregnant and breastfeeding women are offered lifelong ART regardless of CD4 count or clinical stage. This policy streamlined the process of ART initiation and had the potential to improve maternal health, facilitate access to PMTCT and ART, reduce HIV transmission risk to uninfected male partners, and provide protection against vertical HIV transmission in future pregnancies (4,6). Implementation of Option B+ also required integration of ART into all antenatal care (ANC) settings, training of nearly all health-care workers in a new integrated curriculum, and a change in the adult first-line ART regimen to one that included the antiretroviral medication efavirenz.* Implementation was facilitated by existing task-shifting policies that allow clinical officers, medical assistants, and nurses to start ART (4)'.

  I hope this answers the question on how things are done in other countries.
  

• Nono Nkupiso 11 Jul 2013

  Dear all
  Thank you so much for your interest on NIMART, in answering Vella's question. NIMART is a short accronym for Nurse Initiation and Management of ART. This was a pilot project that was started by Stretch in Cape town South Africa. in 2010 our SAG proposed task shifting in order to roll-out ART in primary health care clinics. in south Africa our PHC clinics are managed by nurses and doctors work on part time basis. since 2010 DOH started training nurses on ART initiation in order to equip the for this task. in 2011 I conducted a study with CAPRISA as part of my implementation science project on challenges faced by nurses on NIMART implementation, abstract can be accessed on the 6th SAAIDS conference website under abstracts.
  There is so much that still need to be done in improving our legislation as nurses, if we can be heard by our governing bodies i believe nurse can contribute a lot in our health care as researchers. Most nurses only know how to be on the patients bed side and are not exposed in the exiting part of nursing. i am hoping to publish the result of my project very soon. Nicola thank you for the references that you sent out to the team, however I still want to know how is NIMART implemented in other countries affected by HIV/TB. As the back bone of our health care system nurses need to be well equipped with knowledge and skills in order to function as independent health care practitioners

• Nicola McHugh 11 Jul 2013

  I look forward to hearing from Nono.
  There is a very good article in BMC about introducing NIMART in Free State Province in South Africa - http://www.implementationscience.com/content/7/1/66 - and attached below.
  And another study describes what what nurses are doing in Johannesburg -
  http://www.scielo.org.za/scielo.php?pid=S0256-95742013000400018&script=sci_arttext&tlng=pt

  What is happening in Malawi with ART?

  Attached files: Stretch_study.htm
• Vella Kaudzu 10 Jul 2013

  Nono Nkupiso brought out very important topics and I would like to hear more particularly on the NIMART program, what is it all about and what support do nurses get from stakeholders. was it an initiative from the nurses themselves or it is a government program.
  on the issue of nurses being the last ones to be recognized in research papers; I do share the same feeling and I hope we can change that as long as we have a VOICE which we don't have at the moment. in my opinion we need to have research based knowledge as a minimum not only knowing how to collect specimen, filling CRFs and consenting. may be we can as well lobby for incorporation of research subjects in nursing curriculums as research is now a growing industry. what do others think?

• Joby George 25 Jun 2013

  Dear Nicola,I'm based in India,well I think nurses could be one of the best researchers in patient care,as they are the primary contact of the patients,we can thereby develop a module thereby the nurses can get into the research at the same time they are focused on patient care,Proper education and training of research is what the nurses lack in India.
  Eg.Develop a training methodology for nurses who are taking care of patients in Ventillator,use of bundle in infection control,etc..

• Nicola McHugh 20 Jun 2013

  Dear Joby,
  Thanks for your endorsement! Where are you, and what training is available for you? It would be interesting to know how research nurses are prepared for their role and how an organized training programme for research nurses could be developed.

• Joby George 19 Jun 2013

  Hii,Great initiative to promote research nurses to a global level,I'm a research nurse involved in observational studies in Intensive care unit.I think there is a need to develop a proper training curriculum for nurses with course completion certificate.

• Violet Nour 7 May 2013

  This is an excellent opportunity for research nurses to connect with one another. I am interested in researching different approaches in teaching undergraduate students. I use problem based approach in my teaching and the students love it. However it is time consuming when one has to prepare case scenarios all the time. Also one needs smaller groups of students as it is difficult with a big class. I am willing to share my experiences with whoever is interested...

• Hani 1 May 2013

  Nice idea, hopefully get the benefit

• Peter Jones 17 Apr 2013

  Hello
  If I can help publicize any conferences on global health research I would be happy to. I champion a generic conceptual framework (a model) that can support local, global and glocal health taking in individual, social and environmental perspectives. The framework is quite easy to understand, open and free. The blog below includes posts on the model and bibliography.
  Best regards,
  Peter Jones
  Intermediate Support NHS & Hodges' model
  http://hodges-model.blogspot.co.uk/

• habtamu.abera64@gmail.com 14 Apr 2013

  Hello,nurses, how was your work going?