+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A nurse- and pharmacist-led treatment advice clinic for patients attending an HIV outpatient clinic

A nurse- and pharmacist-led treatment advice clinic for patients attending an HIV outpatient clinic

Journal of Advanced Nursing 58(4): 320-326

This paper is a report of a study to map care pathways, examine the approach of different treatment advisors and explore the acceptability of a nurse- and pharmacist-led treatment advice clinic in order to aid decision-making for the future development and evaluation of the clinic. High levels of adherence to antiretroviral drugs are a prerequisite for a successful and durable virological and immunological response to HIV. Treatment guidelines acknowledge that adherence is a process, not a single event, and that adherence support must be integrated into clinical follow-up for all patients receiving these drugs. Data were collected between September 2004 and January 2005 through 17 consultation observations and 10 patient interviews in a specialist treatment advice clinic located within a central London HIV outpatient clinic providing care for over 2200 patients, of whom more than 1300 are taking highly active antiretroviral therapy. The nurses and pharmacist had similar consultation approaches, although follow-up care varied in extent. Benefits of the clinic approach included permitting patients to observe real tablets, tailoring regimens to lifestyles and telephone follow-up. These factors, particularly telephone support, were perceived by patients to assist with adherence. The role of telephone support, perceived to assist with initial adherence, requires further investigation. Future work is also needed to explore the health economics of this approach and to determine the actual impact of the clinic on clinical and adherence outcomes.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 051203234

Download citation: RISBibTeXText

PMID: 17442036

DOI: 10.1111/j.1365-2648.2007.04248.x

Related references

Cost to patients attending inflammatory bowel disease clinic and response to proposed nurse-led phone clinic. Gut 44(Suppl. 1): A93, 1999

Access to social coverage of uninsured patients attending a hospital clinic: a historical cohort study at the Baudelaire outpatient clinic in Paris. Revue d'Epidemiologie et de Sante Publique 46(5): 361-370, 1998

Experience from a local authority clinic for advice on contraception. A consecutive study of 1000 women attending a clinic for advice on contraception in the Municipality of Fredriksberg. Ugeskrift for Laeger 146(26): 1953-1957, 1984

Impact of a pharmacist consult clinic on a hospital-based geriatric outpatient clinic in Singapore. Annals of the Academy of Medicine, Singapore 33(2): 220-227, 2004

The oral education clinic: A pharmacist- and nurse-led clinic to support patients starting oral systemic anti-cancer treatments. Journal of Oncology Pharmacy Practice 2017: 1078155217727820, 2017

Nursing conference at the outpatient clinic. 4. At the Life Planning Center Clinic. Confusion of patients on adverse effects of drugs - the manner of response by the nurse toward to patient. Kangogaku Zasshi 45(4): 436-443, 1981

A study of modes of treatment in type II patients with diabetes attending outpatient clinic. Diabetologia 40(Suppl. 1): A348, 1997

Use of alternative forms of treatment by patients attending a pediatric outpatient clinic. A questionnaire study. Ugeskrift for Laeger 151(2): 87-90, 1989

Patient satisfaction with chronic HIV care provided through an innovative pharmacist/nurse-managed clinic and a multidisciplinary clinic. Canadian Pharmacists Journal 150(6): 397-406, 2017

Implementation of a pharmacist-supervised outpatient diabetes treatment clinic. American Journal of Health-System Pharmacy 71(1): 27-36, 2014

Outpatient rehabilitation of alcohol dependent patients in a day clinic: initial results of a comparative follow-up study of day clinic and inpatient treatment. Die Rehabilitation 41(2-3): 192-200, 2002

Analysis of referral of patients to the Periodontologic Outpatient Clinic of the Regional Stomatological Outpatient Clinic at Koszalin. Czasopismo Stomatologiczne 31(1): 105-107, 1978

A survey on low-vision patients attending our outpatient clinic. Rinsho Ganka 55(5): 825-828, 2001

Satisfaction among patients attending outpatient preventive medicine clinic. Revista de Calidad Asistencial 25(2): 83-89, 2010

Assessing the Perceived Needs of Patients Attending an Outpatient Melanoma Clinic. Journal of Psychosocial Oncology 17(3-4): 101-118, 2000