Conflict between nursing student’s personal beliefs and professional nursing values

2017 ◽  
Vol 26 (4) ◽  
pp. 1087-1100 ◽  
Author(s):  
David Pickles ◽  
Sheryl de Lacey ◽  
Lindy King
Keyword(s):  
Nursing Students ◽  
Cultural Influences ◽  
Research Approach ◽  
People Living With Hiv ◽  
Personal Beliefs ◽  
Structured Interviews ◽  
Professional Nursing ◽  
Nursing Values ◽  
Living With Hiv ◽  
Hiv Aids

Background: Studies have established that negative perceptions of people living with HIV/AIDS exist among nursing students throughout the world, perceptions which can be detrimental to the delivery of high-quality nursing care. Objectives: The purpose of this research was to explore socio-cultural influences on the perceptions of nursing students towards caring for people living with HIV/AIDS. Research design: The study was guided by stigma theory, a qualitative descriptive research approach was adopted. Data collected via semi-structured interviews were thematically analysed. Participants and research context: Participants were 21 international and Australian undergraduate nursing students enrolled in a Bachelor of Nursing programme at an Australian university. Ethical considerations: Ethical approval was granted by the Social and Behavioural Research Ethics Committee at the study university. Participation was entirely voluntary; informed consent was obtained before the study commenced; confidentiality and anonymity were assured. Findings: Three major themes were found: blame, othering and values. Complex and interrelated factors constructed participant perceptions of people living with HIV/AIDS, perceptions underscored by the prevailing culturally construed blame and othering associated with HIV/AIDS. The study found discordance between the negative personal beliefs and perceptions some nursing students have towards people living with HIV/AIDS, and the professional values expected of them as Registered Nurses. Discussion: There was considerable commonality between this and previous studies on how homosexuality and illicit drug use were perceived and stigmatised, correlating with the blame directed towards people living with HIV/AIDS. These perceptions indicated some nursing students potentially risked not fulfilling the ethical and professional obligations the Registered Nurse. Conclusion: Nursing curriculum should be strengthened in relation to comprehending the meaning of being stigmatised by society. Educational institutions need to work towards enhancing strategies that assist nursing students to reconcile any incongruity between their personal beliefs and requisite professional nursing values.

scholarly journals CARE FOR THE PERSON WHO LIVES WITH HIV/AIDS IN PRIMARY HEALTH CARE

2019 ◽  
Vol 28 ◽  
Author(s):  
Aline Daiane Colaço ◽  
Betina Hörner Schlindwein Meirelles ◽  
Ivonete Teresinha Schülter Buss Heidemann ◽  
Mariana Vieira Villarinho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Term Care ◽  
Descriptive Research ◽  
Primary Health ◽  
Centered Care ◽  
Living With Hiv ◽  
Hiv Aids

ABSTRACT Objective: to understand the process of caring for the person with HIV/AIDS in the Primary Health Care of a capital in southern Brazil. Method: qualitative, exploratory and descriptive research, carried out in the Health Centers of this city, from March to August 2015. Sixteen nurses participated through semi-structured interviews, which were organized and codified with the help of the software QSR Nvivo®, version 10. Afterwards, the data were analyzed through comparative analysis. Results: results were described in two categories: “The inter-subjective encounter given the vulnerability to HIV/AIDS”, and, “Accepting needs and formulating actions given the reality”. Potentialities and weaknesses were evidenced through these categories, such as: reception, long-term care, active search, home visits, and, in return, lacking a formal flow of care for people living with HIV/ AIDS, lack of HIV/AIDS line of care and medical/centered care. Conclusion: the need to implement HIV/AIDS management in primary care was verified, as well as to overcome the fragilities in this care with the aid of implementing a formal care flow, establishing managerial processes and permanent education for the professionals. Then, expanding and qualifying care in HIV/AIDS, with important contributions of the nurse in the perspective of integral care in the process of living with HIV/AIDS.

scholarly journals PENGARUH CASE-BASED LEARNING TERHADAP PENGETAHUAN HIV/AIDS, STIGMA DAN PENERIMAAN MAHASISWA KEPERAWATAN PADA ODHA

2017 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Angga Wilandika
Keyword(s):  
Nursing Students ◽  
People Living With Hiv ◽  
Aids Stigma ◽  
Case Based Learning ◽  
Quasi Experimental ◽  
Nursing College ◽  
Living With Hiv ◽  
Case Based ◽  
Hiv Aids

ABSTRAKStigma dan diskriminasi terhadap orang dengan HIV/AIDS (ODHA), terutama pada kalangan perawat merupakan permasalahan yang dapat memengaruhi perawatan dan kualitas hidup ODHA. Ketidaktahuan mengenai penyakit HIV/AIDS sejak perawat masih dalam masa pendidikan merupakan permasalahan yang dapat mengarahkan kepada stigma dan diskriminasi dalam perawatan ODHA. Upaya untuk mereduksi stigma negatif terhadap ODHA yang dilakukan oleh mahasiswa keperawatan dapat dilakukan melalui pemberian pengetahuan dengan metode case-based learning. Tujuan penelitian ini adalah teridentifikasinya pengaruh metode case-based learning terhadap pengetahuan mahasiswa keperawatan tentang HIV/AIDS, stigma dan penerimaan pada ODHA. Metode penelitian ini menggunakan quasi-experimental dengan rancangan penelitian single group pretest-posttest. Sebanyak 49 mahasiswa yang mengikuti pembelajaran pada mata kuliah Keperawatan Medikal Bedah dilibatkan secara total sampling. Analisis deskriptif menggunakan mean, standar deviasi, persentase dan distribusi frekuensi. Sementara, analisis inferensial menggunakan Uji T. Hasil penelitian membuktikan adanya perbedaan dari pengetahuan mahasiswa tentang HIV/AIDS, stigma terhadap ODHA dan penerimaan mahasiswa pada ODHA sebelum dan sesudah case-based learning. Analisis lebih lanjut menemukan pengaruh signifikan (p < 0,005) dari metode case-based learning terhadap pengetahuan, stigma dan penerimaan mahasiswa keperawatan.Hasil temuan ini dapat digunakan oleh kalangan akademisi dan praktisi kesehatan dalam pengembangan program pendidikan yang dapat meningkatkan pengetahuan, mereduksi stigma negatif terhadap ODHA dan meningkatkan kemauan untuk menerima ODHA dilingkungan mereka. Lebih lanjut dapat dikembangkan penelitian mengenai pengembangan strategi metode case-based learning dalam intervensi untuk menurunkan stigma yang lebih luas dan tidak terbatas hanya pada kalangan mahasiswa, melainkan pada petugas kesehatan yang langsung berhubungan dengan pasien terinfeksi HIV/AIDS ABSTRACTStigma and discrimination against people living with HIV/AIDS (PLWHA), especially came from nurses was a problem that can affect the quality of care and quality of life of PLWHA. Ignorance about HIV/AIDS since the nurses are still in education is a problem that can lead to stigma and discrimination in treatment for PLWHA. The efforts to reduce the negative stigma against PLWHA performed by nursing students can be done through the provision of knowledge with case-based learning methods. The purpose of this study is the identification of the influence of methods of case-based learning to the knowledge of nursing students about HIV/AIDS, stigma and acceptance of people living with HIV. The study employed a quasi-experimental study with single group pretest-posttest. The sample size comprised 94 nursing college students who was attended Medical-Surgical Nursing Course with total sampling. Descriptive analysis using mean, standard deviation, percentage and frequency distribution. Meanwhile, inferential analysis using T-test. The result was found the differences in nursing college student knowledge about HIV/AIDS, stigma against PLWHA and the acceptance to PLWHA, before and after case-based learning. Further analysis revealed a significant effect (p <0.005) of methods of case-based learning toward a knowledge of HIV/AIDS, stigma and acceptance of nursing students for PLWHA in neighborhood. These findings can be used by academic and health professionals, to develop education program strategic to increase the knowlegde of nursing college student about HIV/AIDS, to reduction thenegative stigma againts PLWHA, and to raise the acceptance toward PLWHA in neighborhood. The further research can be focus on the development strategry of case-based learning methode in interventions to reduce stigma broader, not limited to the nursing student, meanwhile for health care workers that directly work with HIV/AIDS infected patient. 

scholarly journals The health literacy needs of women living with HIV/AIDS

2015 ◽  
Vol 20 (1) ◽  
Author(s):  
Judy Thompson ◽  
Yolanda Havenga ◽  
Susan Naude
Keyword(s):  
Health Literacy ◽  
Hiv Transmission ◽  
Qualitative Content Analysis ◽  
Sub Saharan Africa ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
The Impact ◽  
Hiv Aids

Women in Sub-Saharan Africa are disproportionately affected by the virus and constitute 60% of the total HIV/AIDS infections in this region. Current recommendations endorse the involvement of people living with HIV in the development of programmes for people living with the virus. The purpose of the study was to explore and describe the health literacy needs of women living with HIV. The research design was qualitative, explorative, descriptive and contextual. After women living with HIV/AIDS were sampled purposively, semi-structured interviews were conducted with eight women and qualitative content analysis done. The findings revealed that the women expressed a need to increase their knowledge about HIV/AIDS. The knowledge they needed ranged from basic pathophysiology about HIV/AIDS, to the impact of HIV/AIDS on their health, to an awareness of the modes of HIV transmission and methods of protecting others from being infected. Other important health literacy needs related to self-care and correct antiretroviral use. A need for psychosocial skills was also identified in order for women to build and maintain their relationships. Recommendations were made for nursing practice, education and further research, based on these findings.

scholarly journals Atuação da equipe multiprofissional na assistência especializada em HIV/AIDS

2021 ◽  
Vol 11 (34) ◽  
pp. 3-12
Author(s):  
Caroline Monte Caldas ◽  
Amuzza Aylla Pereira dos Santos ◽  
Maraysa Jéssyca de Oliveira Vieira ◽  
José Augustinho Mendes Santos ◽  
Deborah Moura Novaes Acioli ◽  
...  
Keyword(s):  
Health Care ◽  
Multidisciplinary Team ◽  
Hiv Infections ◽  
Care Patient ◽  
Patient Care Team ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Multiprofessional Team ◽  
Living With Hiv ◽  
Hiv Aids

A assistência às pessoas vivendo com Vírus da Imunodeficiência Humana/Síndrome da Imunodeficiência Adquirida sugere investimentos na prática interdisciplinar, substituindo a concepção fragmentária pela compreensão integral da saúde. Assim, objetivou-se conhecer a percepção das pessoas que vivem com síndrome da imunodeficiência adquirida sobre a assistência recebida pela equipe multiprofissional na perspectiva da integralidade da atenção. Trata-se de um estudo qualitativo, exploratório, fundamentado na teoria da integralidade em saúde. Participaram da pesquisa 18 pessoas que vivem com síndrome da imunodeficiência adquirida acompanhadas no serviço de assistência especializada. Os dados foram coletados mediante entrevista semiestruturada, e submetidos à análise de conteúdo segundo Bardin. Emergiram as categorias: “Percepção da assistência à saúde como modo de acolher o usuário”, “Percepção da assistência às necessidades de saúde como garantia de acesso a procedimentos e serviços” e “A assistência à saúde centrada na figura de um único profissional”. Constatou-se que a assistência da equipe multiprofissional é pouco perceptível pelos usuários, que reconhecem apenas um profissional como responsável pelo cuidado.Descritores: Infecções por HIV, Assistência à Saúde, Equipe de Assistência ao Paciente, Integralidade em Saúde. Performance of the multiprofessional team in specialized care in HIV/AIDSAbstract: Assistance to people living with HIV/AIDS suggests investments in interdisciplinary practice, replacing the fragmentary conception with a comprehensive understanding of health. Thus, the objective was to know the perception of people living with HIV/AIDS on the assistance received by the multidisciplinary team in the perspective of comprehensive care. It is a qualitative, exploratory study, based on the theory of integrality in health. The study included 18 people living with HIV/AIDS accompanied by the specialized assistance service. Data were collected through semi-structured interviews, and submitted to content analysis according to Bardin. The categories emerged: “Perception of health care as a way of welcoming the user”, “Perception of assistance to health needs as a guarantee of access to procedures and services” and “Health care centered on the figure of a single professional”. It was found that the assistance of the multidisciplinary team is barely noticeable by users, who recognize only one professional as responsible for care.Descriptors: HIV Infections, Delivery of Health Care, Patient Care Team, Integrality in Health. Desempeño del equipo multiprofesional en atención especializada en VIH/SIDAResumen: La asistencia a las personas que viven con el VIH/SIDA sugiere inversiones en la práctica interdisciplinaria, reemplazando el concepto fragmentario con una comprensión integral de la salud. Por lo tanto, el objetivo era conocer la percepción de las personas que viven con el VIH/SIDA sobre la asistencia recibida por el equipo multidisciplinario en la perspectiva de la atención integral. Este es un estudio cualitativo, exploratorio, basado en la teoría de la integralidad en salud. El estudio incluyó a 18 personas que viven con VIH/SIDA acompañadas por el servicio de asistencia especializada. Los datos se recopilaron a través de entrevistas semiestructuradas y se sometieron a análisis de contenido según Bardin. Surgieron las categorías: “Percepción de la atención médica como una forma de acoger al usuario”, “Percepción de la asistencia a las necesidades de salud como garantía de acceso a procedimientos y servicios” y “Atención médica centrada en la figura de un solo profesional”. Se descubrió que la asistencia del equipo multidisciplinario apenas se nota por los usuarios, que reconocen a un solo profesional como responsable de la atención.Descriptores: Infecciones por VIH, Prestación de Atención de Salud, Grupo de Atención al Paciente, Integralidad en Salud.

scholarly journals Protective Factors That Foster Resilience to HIV/AIDS: Insights and Lived Experiences of Older Gay, Bisexual, and Other Men Who Have Sex with Men

2021 ◽  
Vol 18 (16) ◽  
pp. 8548
Author(s):  
Renato M. Liboro ◽  
Tammy C. Yates ◽  
Sherry Bell ◽  
Brandon Ranuschio ◽  
George Da Silva ◽  
...  
Keyword(s):  
Health Disparities ◽  
Protective Factors ◽  
Lived Experiences ◽  
Committee Member ◽  
Ethnically Diverse ◽  
Research Approach ◽  
Structured Interviews ◽  
Sex With Men ◽  
Living With Hiv ◽  
Hiv Aids

Since the beginning of the HIV/AIDS epidemic, gay, bisexual, and other men who have sex with men (gbMSM) have been disproportionately impacted by HIV/AIDS health disparities. Research showed that resilience to HIV/AIDS is associated with increased use of relevant health services, lower sexual health risks, and improved mental health outcomes among racially and ethnically diverse gbMSM. As the subpopulation that has historically been impacted by HIV/AIDS the longest, older gbMSM living with HIV/AIDS have inarguably exhibited resilience to HIV/AIDS the most. The qualitative study described in this paper sought to identify and examine protective factors that fostered resilience to HIV/AIDS based on the insights and lived experiences of racially and ethnically diverse, older gbMSM. Applying a community-based participatory research approach that included the meaningful involvement of older gbMSM living with HIV/AIDS in different roles (i.e., advisory committee member, collaborator, peer researcher, and participant), the study recruited and included forty-one older gbMSM living with HIV/AIDS from Ontario, Canada, in confidential, semi-structured interviews. Utilizing thematic analysis, we identified three major themes from the participant interviews as factors that fostered the resilience of older gbMSM to HIV/AIDS and helped to address HIV/AIDS health disparities: (1) established protective factors, (2) behavioral protective factors, and (3) controversial protective factors. This paper argues for the importance of valuing and capitalizing on these protective factors in the conceptualization and development of interventions, services, and programs that are dedicated to fostering resilience to HIV/AIDS.

scholarly journals Knowledge gaps on HIV/AIDS among a group of nursing students in Sri Lanka

2020 ◽  
Vol 10 (6) ◽  
pp. 82
Author(s):  
Geethika N. Nanayakkara ◽  
Eun-Ok Choi
Keyword(s):  
Nursing Students ◽  
Sri Lanka ◽  
Nursing Student ◽  
Post Exposure Prophylaxis ◽  
People Living With Hiv ◽  
Knowledge Gaps ◽  
Modes Of Transmission ◽  
Depth Analysis ◽  
Living With Hiv ◽  
Hiv Aids

Objective: Prevalence of HIV is low in Sri Lanka. However, the incidence is rising gradually. Reducing stigmatization and discrimination of people living with HIV is important in health care settings. Nurses who have an important role in caring for HIV patients should have good knowledge to achieve this. The aim of this study was to identify the specific areas of knowledge deficit on HIV/AIDS among 2nd year nursing student in Sri Lanka.Methods: In-depth analysis of the knowledge component of the pretest responses of a study assessing the effectiveness of AIDS education program on nursing students’ AIDS knowledge and AIDS attitudes in Sri Lanka.Results: The results show poor knowledge of HIV and important knowledge gaps in areas of modes of transmission of HIV, mother to child transmission and universal precautions. Very high percentage believed they are at higher risk of contracting HIV due to the nature of their job, while the knowledge on post-exposure prophylaxis was poor.Conclusions: Correction of these knowledge gaps and improving knowledge on HIV/AIDS among nursing students is very important as they are going to be future nurses and they have a very important role in reducing the discrimination and stigmatization of people living with HIV.

scholarly journals Factor Assocoated with Stigma Towards People Living With HIV/AID Among Nursing Students

2019 ◽  
Vol 3 (2) ◽  
pp. 16
Author(s):  
Anselmus Aristo Parut ◽  
I Gusti Ayu Puja Astuti Dewi ◽  
Pw Wulandari
Keyword(s):  
Nursing Students ◽  
Educational Background ◽  
P Value ◽  
People Living With Hiv ◽  
Learning Program ◽  
Prior Learning ◽  
Cross Sectional ◽  
Recognition Of Prior Learning ◽  
Living With Hiv ◽  
Hiv Aids

Background: Stigma towards people living with HIV/AIDS is a problem in control, prevention and treatment of HIV/AIDS. Stigma by health care worker in hospital is one of the  main challenges in preventing and manage HIV/AIDS especially in developing country. Methods : this is a cross-sectional study, respondents were bachelor of nursing students program regular, program transfer and recognition of prior learning program. We used KQ-18 questionnaire to assess HIV/AIDS related knowledge,  belief and values questionnaire to asses religiosity, modified Nurse AIDS Attitude Scale to assess stigma and stigma perception in workplace. Data were analyzed using SPSS 20. Descriptive statistics were conducted to summarize the sample characteristics. Results: A total 132 nursing students participated, recognition of prior learning nursing students have higher knowledge about HIV/AIDS (mean=13,84), bachelor of nursing students regular program have higher stigma (mean=96,30), person correlation analysis showed that there is a significant correlations between knowledge and stigma towards people living with HIV ( p= 0,001), regression analysis showed that p value = 0,000 which mean that educational background, work experiences and knowledge simultaneously affect stigma towards people living with HIV/AIDS. Conclusions : the finding of this research showed high magnitude of stigma towards people living with HIV/AIDS among nursing students, training and continuing education are needed to improve knowledge and reduce stigma towards people living with HIV/AIDS.

scholarly journals Experiences of People Living with HIV (PLHIV) in Jahrom, Southern Iran: A Phenomenological Study

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Hassan Safarzadeh Jahromy ◽  
Mojtaba Hemayatkhah ◽  
Sedigheh Rezaei Dehnavi ◽  
Vahid Rahmanian
Keyword(s):  
Social Support ◽  
Phenomenological Study ◽  
Public Awareness ◽  
Public Health Issue ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Southern Iran ◽  
The Future ◽  
Living With Hiv ◽  
Hiv Aids

Background: HIV/AIDS has remained a public health issue, especially in developing countries. The contributing factors to HIV/AIDS include poor access to medical care, fear, shame because of stigmatization, and lack of social support resulting in the isolation of people who share their status. Objectives: Taking a phenomenological descriptive approach, this qualitative study investigated the experiences of people living with HIV (PLHIV) in Jahrom, Southern Iran. Materials and Methods: The data were collected through in-depth and semi-structured interviews (face to face) with 21 (10 males and 11 females) participants who were referred to the Jahrom Counseling Center for Behavioral Diseases. They were selected by the purposive sampling technique according to theoretical saturation. Results: Analysis of the interview data and notes resulted in the four key themes: (I) emotional and psychological disturbances with three sub-themes: fear, depression, and feeling victimized; (II) stigma with three subthemes, including fear of being exposed, false judgment, and discrimination; (III) supportive environment with two sub-themes of family and social support; (IV) patients’ perspective of the future with three sub-themes, including hopelessness for the future, the future importance of children and hope for the future, and find a cure. Conclusions: Developing educational programs for the public can greatly increase public awareness of HIV, change attitudes and beliefs about HIV, and modify the behavior of others in dealing with PLHIV. This change of attitude creates social support and facilitates the acceptance of the infection for PLHIV.

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