Exploring Potential Influences On Practice Change Essay
In order to successfully implement evidence-based practice, Promoting Action on Research Implementation in Health Services (PARiHS) framework has been widely used (Stetler et al, 2011). The framework identifies three interacting factors, namely evidence, context and facilitation for the successful implementation of change within practice (Rycroft-Malone, 2004). These will be considered and evaluated to identify whether the implementation of individualised counselling would prevent non-adherence to HAART. On the continuum within PARiHS, “…patient experience is high when patient preferences are used as part of the decision making process and when patient narratives or experiences are seen as valid source of evidence…” (Rycroft-Malone, 2004, p.298).
A Randomized Controlled Trial Comparing the Effects of Counselling by Michael et al. (2011) discovered that HAART adherence was higher after delivering individualised counselling (p = 0.023) as compared to those who did not receive counselling. Another study by Ribeiro, et al. (2015) had statistically significant findings after delivering an individualised educational intervention, stating that non adherence dropped by 21.6% (p=0.002). The authors concluded that the programme seems to be feasible and efficient, improving adherence to HAART. However, 41% of the participants in a study carried out Ribeiro, et al. (2015) were non-compliant with the full schedule, and…