Provision of Care to the People with HIV: Voices of Professional Nurses in the Public Hospitals of Limpopo Province, South Africa

Moshidi, Maria Lebeko; Malema, Rambelani Nancy; Muthelo, Livhuwani; Mothiba, Tebogo Maria

doi:10.3390/ijerph18063112

Cited by 7 publications

(7 citation statements)

References 27 publications

(29 reference statements)

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“…This means that some of the participants might even have been infected with HIV, carrying the physical effects of living with HIV and its corresponding opportunistic infections. The risk of contracting HIV while working with patients living with HIV is a reality which has also been documented by Moshidi et al [ 13 ], where participants mentioned that they accidently could have touched patients' body fluids, while delivering invasive or noninvasive medical intervention in an emergency. They thought that they would be safe from HIV exposure if they took precautions when in direct contact with the patient.…”

Section: Discussionmentioning

confidence: 77%

“…The stigma of and discrimination against people living with HIV do not end only in general wards but also extend to special nursing units such as the theatre. Theatre nurses view their environment as stressful and not conducive to providing quality care to patients living with HIV [ 13 ]. Studies have indicated the reluctance of nurses to scrub for a patient living with HIV.…”

Section: Introductionmentioning

confidence: 99%

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The Effect on Theatre Nurses for Rendering Perioperative Care to Patients Living with HIV in a South African Tertiary Hospital

Ngaledzani,

Ndou-Mammbona,

Mavhandu-Mudzusi

2023

AIDS Research and Treatment

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Purpose. The study aimed to gain an in-depth understanding of how theatre nurses are being affected when they render perioperative care to patients living with HIV in a South African tertiary hospital. Background. There is a scarcity of studies that focus solely on the wellbeing of theatre nurses who render perioperative care to HIV patient due to the ramifications of the nurses’ fear of contracting HIV. Patients living with HIV often receive substandard care. Objectives. To establish how theatre nurses are being impacted when rendering perioperative care to patient living with HIV, the study followed a qualitative approach using an interpretative phenomenological analysis design. Data were collected through in-depth individual interviews from ten theatre nurses who were purposively selected according to specific criteria. They voluntarily agreed to participate. An interpretive phenomenological analysis framework was used to analyse the data. Two main themes emerged from the data analysis, namely, the negative effect on nurses’ wellbeing and the impact that it had on them professionally. Results. The study revealed that the perioperative care of patients living with HIV had a negative impact on physical, mental, and social wellbeing of theatre nurses. Their compromised wellbeing in turn led to poor patient care, which put nurses at risk of losing their jobs and even potentially having to face litigation. The study further indicated that nurses did not receive psychological support from the management which further affected their health and professional performance. Conclusion. The study proposes that theatre nurses rendering perioperative care to people living with HIV should receive proper training and support; staff shortages should also be addressed. There is also an urgent need for appropriate and sufficient protective equipment. Such changes will be essential in order to mitigate the negative impact that their jobs have on their wellbeing and on them in their professional capacity.

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Section: Discussionmentioning

confidence: 77%

Section: Introductionmentioning

confidence: 99%

The Effect on Theatre Nurses for Rendering Perioperative Care to Patients Living with HIV in a South African Tertiary Hospital

Ngaledzani,

Ndou-Mammbona,

Mavhandu-Mudzusi

2023

AIDS Research and Treatment

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“…This contention seems to fit the thoughts of Dilu et al (2017), who argue that low government support creates several issues such as lack of skilled employees, heavy workload, staff turnover, high absenteeism and poor commitment in the health sector. Interestingly, these issues are part of the major reasons why HRIS has not been able to prove its efficiency in the health sector (Maruru, 2014;Moshidi, Malema, Muthelo, & Mothiba, 2021).…”

Section: Government Support For Effective Hris Adoption In the Health Sectormentioning

confidence: 99%

Descriptive literature review of human resource information systems (HRIS) adoption issues in the health sector, South Africa

Iwu

Udekwe

Harpe

et al. 2021

IJRBS

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No organisation is ever static. For several reasons, each organisation reviews its aims and objectives from time to time. These reasons may be internally or externally driven. They could also be politically, economically and or socially motivated. Research has established that most of the attempts at bringing about change are based on the needs of employees and customers. Essentially, for the purposes of better management of employees and customers, human resource information systems (HRIS) are touted as the panacea for effective and efficient health sector service delivery. Focusing on South Africa, this paper used the descriptive literature review method to determine HRIS adoption issues within the health sector of South Africa. As an important sector in any growing economy, the health sector in our view benefits from a constant review of its mission. Within the context of South Africa, substantial emphasis is yet to be placed on health sector effectiveness. Elsewhere, in other regions and continents, research on HRIS adoption within the health sector suggests that its adoption is problematic but useful. The South African health sector is yet to fully embrace this technology and as a result is suffering from employee dissatisfaction, brain drain, and general maladministration. Investment in HRIS research is therefore instructive especially within the context of South Africa. What we have found through this review is that investing in HRIS is crucial; however, it requires thorough consideration for its funding, infrastructural support, and skilled manpower among others.

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“…Kigoma region decided to comprehensively accelerate the HIV interventions, including providing frontline healthcare providers with skills and knowledge, provision of essential equipment, and other infrastructure per National AIDS control guidelines to institutional capacity to provide HIV and AIDS care to PLHIV [ 10 ]. Afterward, the region assessed the HIV and AIDS service delivery.…”

Section: Introductionmentioning

confidence: 99%

Accelerating HIV and AIDS services delivery in Kigoma region, Tanzania

Hiliza,

Ndizeimana,

William

et al. 2023

Pan Afr Med J

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Introduction Tanzania Commission for AIDS and UNAIDS reports 1.7 million Tanzanians are HIV-positive. The Joint United Nations Program on HIV/AIDS set 95%, 95% 95% targets to be achieved by 2025. An assessment was done to understand the region’s position, which found the underperformance of critical HIV and AIDS indicators. This prompted the region to accelerate HIV interventions by providing frontline healthcare providers with skills and knowledge, essential equipment, and other infrastructure, after which the assessment of the indicators was conducted to document the outcome of interventions. Methods we conducted a descriptive study in Kigoma region in June 2022 by comparing HIV and AIDS indicators performance in the pre-intervention and post interventions arms. High-volume CTCs were purposefully selected. We used a pre-tested checklist to assess new HIV-positive on antiretroviral (ARV), pregnant women living with HIV on ARV, and people living with HIV offered multi-month dispensing. We further assessed HIV viral load (HVL) specimen collection, HIV suppression status, and HVL test results turnaround time. We cleaned the information using an MS Excel sheet and tabulated results using STATA software version 13. Results we assessed 27 care and clinics. The proportion gain in the index client elicitation was 13%. Sexual partners mentioned during index client elicitation had an increase of 145 individuals. The yield among consented sexual partners gained by 14%. The ARV initiation among new HIV -positive and pregnant women living with HIV gained a proportion of 2%. Multi-month dispencing was found to have an 8% increase. The turnaround time for HVL test results decreased by 21 days, and the viral load suppression status increased by 4%. Conclusion the assessment demonstrated the accelerated HIV and AIDS service delivery due to implementing a comprehensive package of HIV and AIDS management. We recommend in-service capacity building regarding training, basic equipment, and infrastructure.

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Provision of Care to the People with HIV: Voices of Professional Nurses in the Public Hospitals of Limpopo Province, South Africa

Cited by 7 publications

References 27 publications

The Effect on Theatre Nurses for Rendering Perioperative Care to Patients Living with HIV in a South African Tertiary Hospital

The Effect on Theatre Nurses for Rendering Perioperative Care to Patients Living with HIV in a South African Tertiary Hospital

Descriptive literature review of human resource information systems (HRIS) adoption issues in the health sector, South Africa

Accelerating HIV and AIDS services delivery in Kigoma region, Tanzania

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