The Impact of HIV Education on the Lives of Ugandan Nurses and Nurse-Midwives

Harrowing, Jean N.

doi:10.1097/ans.0b013e3181a3d754

Cited by 10 publications

(7 citation statements)

References 29 publications

(34 reference statements)

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“…Studies in Nigeria, India, and Vietnam for example, found that training on changing knowledge and attitudes about HIV/AIDS [ 128 , 129 ], and participatory processes whereby hospital staff develop action plans or policies to address stigma and discrimination [ 129 , 130 ] helped to improve attitudes towards HIV positive patients. Similarly, in Uganda, an education program on HIV for nurses and nurse-midwives had a positive effect on professional practice, communication, and self-confidence [ 131 ].…”

Section: Discussionmentioning

confidence: 99%

Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review

et al. 2015

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BackgroundHigh maternal mortality and morbidity persist, in large part due to inadequate access to timely and quality health care. Attitudes and behaviours of maternal health care providers (MHCPs) influence health care seeking and quality of care.MethodsFive electronic databases were searched for studies from January 1990 to December 2014. Included studies report on types or impacts of MHCP attitudes and behaviours towards their clients, or the factors influencing these attitudes and behaviours. Attitudes and behaviours mentioned in relation to HIV infection, and studies of health providers outside the formal health system, such as traditional birth attendants, were excluded.FindingsOf 967 titles and 412 abstracts screened, 125 full-text papers were reviewed and 81 included. Around two-thirds used qualitative methods and over half studied public-sector facilities. Most studies were in Africa (n = 55), followed by Asia and the Pacific (n = 17). Fifty-eight studies covered only negative attitudes or behaviours, with a minority describing positive provider behaviours, such as being caring, respectful, sympathetic and helpful. Negative attitudes and behaviours commonly entailed verbal abuse (n = 45), rudeness such as ignoring or ridiculing patients (n = 35), or neglect (n = 32). Studies also documented physical abuse towards women, absenteeism or unavailability of providers, corruption, lack of regard for privacy, poor communication, unwillingness to accommodate traditional practices, and authoritarian or frightening attitudes. These behaviours were influenced by provider workload, patients’ attitudes and behaviours, provider beliefs and prejudices, and feelings of superiority among MHCPs. Overall, negative attitudes and behaviours undermined health care seeking and affected patient well-being.ConclusionsThe review documented a broad range of negative MHCP attitudes and behaviours affecting patient well-being, satisfaction with care and care seeking. Reported negative patient interactions far outweigh positive ones. The nature of the factors which influence health worker attitudes and behaviours suggests that strengthening health systems, and workforce development, including in communication and counselling skills, are important. Greater attention is required to the attitudes and behaviours of MHCPs within efforts to improve maternal health, for the sake of both women and health care providers.Electronic supplementary materialThe online version of this article (doi:10.1186/s12992-015-0117-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review

et al. 2015

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“…They also came to understand the power of education to motivate and prepare themselves for leadership and advocacy roles with respect to policy development and other forms of political action. Full details of the study are provided elsewhere (Harrowing, 2009); in this article we focus on moral distress, which emerged as a dominant theme in the data.…”

Section: Author(s)mentioning

confidence: 99%

Moral distress among Ugandan nurses providing HIV care: A critical ethnography

Harrowing

Mill

2010

International Journal of Nursing Studies

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110

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“…Participants provided numerous examples of utilising what they learned in multiple domains. This outcome resembles those of other successful interventions in SSA that provide healthcare workers with specialised HIV-prevention training (Harrowing, 2009;Kaponda et al, 2009). In another effective intervention, Islamic religious leaders received specialised schistosomiasis-prevention training (Celone et al, 2016).…”

Section: Discussionmentioning

confidence: 60%