Professional Nurses' Views on HIV and AIDS Patient Care in Vhembe District, Limpopo Province

1. 12th world congress on Industrial Health, Healthcare and Medical Tourism • PROFESSIONAL NURSES’ VIEWS REGARDING THE CARE OF HIV AND AIDS PATIENTS IN HOSPITALS IN VHEMBE DISTRICT, LIMPOPO PROVINCE. • BY • Manganye Bumani Solomon • Lecturer : Department of Public Health • University of Venda • DATE : 16 October 2017 Time : 14H25 Venue: Dubai, UAE.

2. INTRODUCTION • South Africa has the highest number of people living with HIV and AIDS • 2013 only South Africa was having 6.3 million people living with HIV and AIDS • Estimated number in 2015 was 7 million • With 380 new infections and 48% of adults on ate-retroviral treatment (ART) • 200 000 death recorded from HIV and AIDS related infections • Although the Limpopo Province is not among the provinces with the highest HIV and AIDS prevalence (8.8%), • This figure could have a devastating effect on health services

3. INTRODUCTION CONT.. • Doctors and nurses were said to be sympathetic towards PLWHA • Use of nice tone when communicating with patients(Okoror et al, 2014) • The study comes at the time when HIV and AIDS is increasing rapidly in Africa • With South Africa being one of the countries with a high incidence of the disease and highest number of people on ART • People who are infected need to be cared for by nurses in hospital until their condition is satisfactory • The way health care professional’s views patient with HIV and AIDS

4. Problem statement • Throughout the history of HIV and AIDS epidemic, studies have shown that PLWHA have been discriminated against in communities and by health-care services. • These studies suggested that there was reluctance among health professionals to provide care to PLWHA • The causes of these are often alluded to lack of knowledge and understanding of the HIV and AIDS condition • They also found that there was a high level of stress experienced by those caring for PLWHA.

5. PURPOSE OF THE STUDY • The purpose of this study was to explore and describe the views of professional nurses towards caring for HIV and AIDS patients in Vhembe District Hospitals.

6. Objective OF THE STUDY • The objective of this study was: • To determine the views of professional nurses towards caring for HIV and AIDS patients in Hospitals in Vhembe District.

7. RESEARCH DESIGN • Qualitative • Exploratory and • Descriptive

8. population and sampling • Population included all professional nurses • Received specialized training on HIV and AIDS either in HCT, PMTCT, NIMART , Couple Counseling and adherence counselling • Nurses located three rural hospitals in Limpopo province: one regional and two district hospitals • All three hospital there is an anti-retroviral site managed by NGO, where stable patients are seen and managed

9. POPULATION AND SAMPLING • Purposive sampling was used to select the wards and professional nurses who participated in the present study. • A sample of 48 participants was used and it was determined by data saturation. • Three (3) participants were key informants and forty five (45) participants participated in a focus group interviews. • Data from key informants was collected through unstructured interview semi-structured interviews were used for focus group interview. • Average time spent for interviews is about 1 hour 30 minutes. • Appointments were secured through the Deputy Nursing Managers

10. SAMPLING TECHNEQUES

11. DATA ANALYSIS • Collected data were transcribed verbatim from tape recordings • Translated in to English and analysed • Professional translator was used for the translation • A combination of data analysis guidelines from Maier et al , Tesch eight steps of qualitative data analysis were used

12. ETHICAL CONSIDERATION • Higher degree of the University of Venda • Ethics committee for ethical clearance • Provincial Dept. of health- research committee for approval • CEOs of the hospitals and Operational managers of the units • Anonymity was maintained, no names mentioned, confidentiality • Data collected stored in a safe place

13. THEMES AND CATEGORIES CONT

14. THEMES AND CATEGORIES DEVELOPED

15. THEMES AND CATEGORIES CONT

16. THEMES AND CATEGORIES CONT

17. STUDY LIMITATIONS • Study included only the professional nurses who had specialized training on HIV and AIDS. • Only conducted in 3 hospitals in one District • Views of other professional nurses and other categories they were reporting were not tapped. • Those on leave, night duty were not able to participate in FGDS • Continuous rescheduling of meetings of data collection process • This situation compelled the researcher to conduct one FGD per hospital and only on Wednesday

18. CONCLUSION • Study highlighted the views of professional nurses who had specialized training on HIV and AIDS regarding manifestation of stigma and discrimination in the 3 rural hospitals • Although both negative and positive attitudes towards HIV-positive patients were found • The majority seemed to have positive attitudes. • Positive perceptions of HIV and AIDS were due knowledge of HIV and AIDS • Training of all health-care workers on HIV and AIDS related courses was found to be the key intervention

19. RECOMENDATIONS • Training of all categories of nurse in HIV and AIDS related courses • Regular in-service education provided to ensure that prof nurse’s knowledge remain at the highest possible level • Policies implemented in ward situation and awareness by management among staff about new practices • Support system to be developed for nurses- so that they can share their experiences and challenges in the care of PLWHA • Mentoring of all nurses who did HIV related courses

20. ACKNOWLEDGEMENTS • University of Venda research and innovation for funding • Conference Organizing committee for a chance to present • Professional nurses who participated in the study from the three hospitals • Professor RT Lebese for her continued support • Dean of the school of health sciences : Prof LB Khoza

21. THE END: THANK YOU FOR LISTENING • Inkomu- HikuTirhisana, HingaEndlaKu Hambana • (Working Together , We can do more)= RSA Government motto • Thank you • Obrigado

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