Stigma in AIDS Nursing Care in Sub-Saharan Africa and the Caribbean

Mill, Judy; Harrowing, Jean N.; Rae, Tania; Richter, Solina; Minnie, Karin; Mbalinda, Scovia Nalugo; Hepburn-Brown, Cerese

doi:10.1177/1049732313494019

Cited by 26 publications

(21 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…When HCWs do not use universal precautions consistently and correctly, they may perpetuate the stigma associated with infectious diseases and act as poor role models for health professions students (Aultman & Borges, 2011). In low-resource countries where HIV stigma is high (Mill et al, 2013;Reda et al, 2009), it is particularly important for nurses to use universal precautions with all patients and with all required procedures. The benefits of practicing universal precautions extend beyond the primary issue of infection control.…”

Section: Discussionmentioning

confidence: 99%

“…Several researchers (Aultman & Borges, 2011;Mill et al, 2013) have also reported that HCWs made decisions about the practice of universal precautions based on whether the patient looked infectious. A few participants demonstrated some hesitance to care for patients whom they suspected had a communicable disease.…”

Section: Discussionmentioning

confidence: 99%

“…HCWs in Ethiopia (Reda et al, 2009) and nurses in sub-Saharan Africa (Mill et al, 2013) also believed that they should know the HIV status of their patients. Despite this finding, most of the participants realized that there were many infectious diseases, in addition to HIV, that required exposure protection.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

The Experience of Ugandan Nurses in the Practice of Universal Precautions

Nderitu¹,

Mill²,

Richter³

2015

Journal of the Association of Nurses in AIDS Care

Self Cite

View full text Add to dashboard Cite

In Uganda, nurses do not always practice universal precautions unless they know the patients' HIV status. In our study, focused ethnography was used to explore the experiences of Ugandan nurses in the practice of universal precautions while caring for persons living with HIV. In-depth interviews were completed with 16 participants from a variety of units at a large teaching hospital in Uganda. Although participants were knowledgeable about universal precautions, the primary challenge to the practice of universal precautions was the inadequate supply of resources, both material and human. Despite challenges, the nurses displayed an enthusiasm for their work and a dedication to provide the best possible care for patients. The findings highlight the urgent need for governments and institutions, particularly in resource-constrained countries, to develop and implement policies related to universal precaution practice and to provide a consistent supply of protective equipment to ensure that universal precautions are consistently used.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Experience of Ugandan Nurses in the Practice of Universal Precautions

Nderitu¹,

Mill²,

Richter³

2015

Journal of the Association of Nurses in AIDS Care

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Disclosuresmentioning

confidence: 99%

“…PLWH;Mill, Edwards, Jackson, MacLean, & Chaw-Kant, 2010;Mill et al, 2013). Stigma may result in people at risk for HIV delaying testing (Pottie et al, 2014) and lead to HCP providing differential care to PLWH (Mill et al, 2013). Stigma perpetuated by nurses may be related to a lack of knowledge and educational preparation about HIV clinical management and counseling, religious background, or workplace culture (Waluyo, Culbert, Levy, & Norr, 2015).…”

Section: Disclosuresmentioning

confidence: 99%

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Worthington

O’Brien

Mill

et al. 2016

Journal of the Association of Nurses in AIDS Care

Self Cite

View full text Add to dashboard Cite

We assessed the impact of an HIV care mentorship intervention on knowledge, attitudes, and practices with nurses and people living with HIV (PLWH) in Canada. We implemented the intervention in two urban and two rural sites with 16 mentors (eight experienced HIV nurses and eight PLWH) and 40 mentees (nurses with limited HIV experience). The 6-to 12-month intervention included face-to-face workshops and monthly meetings. Using a mixed-methods approach, participants completed pre-and postintervention questionnaires and engaged in semistructured interviews at intervention initiation, mid-point, and completion. Data from 28 mentees (70%) and 14 mentors (87%) were included in the quantitative analysis. We analyzed questionnaire data using McNemar test, and interview data using content analysis. Results indicated positive changes in knowledge, attitudes, and practices among nurse mentees, with qualitative interviews highlighting mechanisms by which change occurred. Mentorship interventions have the potential to engage and educate nurses in HIV treatment and care. *Correspondence to: vera.caine@ualberta.ca. DisclosuresThe authors report no real or perceived vested interests that relate to this article that could be construed as a conflict of interest. PLWH;Mill, Edwards, Jackson, MacLean, & Chaw-Kant, 2010;Mill et al., 2013). Stigma may result in people at risk for HIV delaying testing (Pottie et al., 2014) and lead to HCP providing differential care to PLWH (Mill et al., 2013). Stigma perpetuated by nurses may be related to a lack of knowledge and educational preparation about HIV clinical management and counseling, religious background, or workplace culture (Waluyo, Culbert, Levy, & Norr, 2015).HIV education for HCP is important to promote best practices. Education increases knowledge and promotes positive changes in attitudes, making it key to addressing HIV stigma in health care settings (Aggleton, Yankah, & Crewe, 2011). Despite the benefits, limited evidence exists to evaluate the impact of different approaches to HIV education for HCP (Aggleton et al., 2011). The Canadian Association of Nurses in AIDS Care (CANAC, 2013) recently highlighted deficits in education for nurses in HIV care. CANAC argued that nurses were graduating with insufficient theoretical and clinical experience in HIV care and with "… limited understanding of the broader social, cultural, and historical contexts with which HIV/AIDS is located" (CANAC, 2013, p. 2). WHO (2013) suggested that nurses were in key positions to provide HIV care, treatment, and prevention, and thus it was essential to prepare nurses at the undergraduate and graduate levels, as well as those in practice, to successfully engage in these roles. However, the impact of HIV education programming for nurses to advance knowledge, and practice and address stigma was unclear. Mentorship is one strategy to increase knowledge and skills in HCP. In order to advance education programming for nurses, we implemented and evaluated a mentorship intervention in HIV care for nu...

show abstract

Sustaining hope: A narrative inquiry into the experiences of hope for nurses who work alongside people living with HIV in Ghana

2020

View full text Add to dashboard Cite

Aim In this research, we explored how nurses working in HIV care in Ghana live and work with hope. Background Nurses who work with people living with HIV have concerns about their well‐being and quality of life. They also complain of stress‐related workload due to high nurse–patient ratio. The study sought to examine the experiences of nurses in Ghana and the ways that hope is intertwined with their experiences in working with people living with HIV. Design This study was a narrative inquiry study. Narrative inquiry is a collaborative way to inquire into participants' experiences in the three‐dimensional spaces of temporality, sociality and place. Methods We engaged with five nurses who work in an acute care setting where their primary focus is to provide care to people living with HIV. We engaged in six to eight conversations with each participant over several months. We asked participants to describe memories of significant experiences in their past and present lives, and share experiences that they would describe hopeful in their HIV nursing practice. Results In this narrative inquiry study, four resonant threads emerged and included: (a) becoming a nurse for people living with HIV took time; (b) experiences of practising with hope were important; (c) faith in God, allowed them to gain strength, which was connected to hope; and (d) learning to live with hope was shaped by childhood experiences.

show abstract

Stigma in AIDS Nursing Care in Sub-Saharan Africa and the Caribbean

Cited by 26 publications

References 42 publications

The Experience of Ugandan Nurses in the Practice of Universal Precautions

The Experience of Ugandan Nurses in the Practice of Universal Precautions

A Mixed-Methods Outcome Evaluation of a Mentorship Intervention for Canadian Nurses in HIV Care

Sustaining hope: A narrative inquiry into the experiences of hope for nurses who work alongside people living with HIV in Ghana

Contact Info

Product

Resources

About