Peer Responses:
•    Length: A minimum of 150 words per post, not including references
•    Citations: At least one high-level scholarly reference in APA per post from within the last 5 years as required by APA 6th ed.

T4 W4 D1 R2 

The key word, “change”! It seems so difficult to achieve in any healthcare atmosphere wherein a culture of ‘this is how we have done it all this time and it has worked so far”. Change is difficult to achieve even if the evidence is proving otherwise. Nursing has an ever-evolving vision and that shared vision is somehow very difficult to accomplish simply because many nurses are having difficulty accepting it. This results in the profession not being able to achieve its full potential (Shaughnessy, Quinn, & Bhattacharya, 2018). Nursing leadership have preached the same mantra which, if enacted to its full effect, will allow not only leaders to be victorious, employees, organization and ultimately, the most important stakeholder of all, the patients.

HIV/AIDS, a disease that has plagued the world since its discovery in the 80’s. As the medication and care regiments of this dreadful disease has changed and evolved resulting in its most successful era this year so far with decreasing morbidity and mortality rates, mamy in our society, in poarticuar, the generation of today has not feared it. Although major success has been achieved, stil many countries have struggled including Nigeria, which boasts, unfortunately, the highest number of new pediatric cases in the world, numbering 260, 000, a fifth of them newly infected through mother to infant transmission allowing the formulation of Prevention of mother-to-child transmission of HIV (PMTCT) program (Itiola, Goga, & Ramokolo, 2019).

Nurse leaders from the country with the support of International nurse leader coalitions as well as the world health organization (WHO) have banded together to combat these dreadful progressions. PMTCT proved to be successful, resulting in a 60% decline in infection rate, however not reaching its target (Jones, Wringe, & Todd, 2019). They have done this through early testing and detection for mothers and infants, continuous education, travelling far within the inner slums of the country and support for either mixed feeding or sole bottle feeding of infants with positive HIV mothers. Although successful and to increase percentage of success, the Plan B+ project was launched secondary to achieved results. This in turn allowed administration of antiretroviral therapy (ART) for all HIV-positive pregnant and breastfeeding women regardless of immune status placing a huge dent in this universal struggle.  The project also looked at, with the help of the Government of Nigeria and neighboring countries of drop out rates of those participating in the project. Neighbor countries were placed into the mix because of migration of many in these areas secondary to tribal wars. Facilities as well as local nurses and physicians that served them were deeply recruited as they are the front lines particularly in the rural areas of the country where transmission of rampant. Educators were also placed in the mix as they have to continually educate about testing and modes of transmission. This involved the whole of the healthcare system as even social workers who tirelessly remind the public of testing dates and follow ups. Orderlies were also tasked to monitor testing supplies so as not to stop any testing and feeding from happening. Kudos to the men and women nurse leaders!

References
Shaughnessy, M., Quinn, G., & Bhattacharya, A. (2018, November). Transformational Leadership Practices and Work Engagement Among Nurse Leaders. Journal of Nursing Administration, 48(11), 574-579.
Itiola, AJ., Goga, AV., & Ramokolo, V. (2019, November). Trends and predictors of mother-to-child transmission of HIV in an era of protocol changes: Findings from two large health facilities in North East Nigeria. PLoS ONE, 14(11).
Jones, H., Wringe, A., & Todd, J. (2019, March). Implementing prevention policies for mother-to-child transmission of HIV in rural Malawi, South Africa and United Republic of Tanzania, 2013-2016. Bulletin of the World Health Organization (BULL WORLD HEALTH ORGAN), 97(2), 200-212.

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