Developing Interdisciplinary Approach Competency Related to HIV and AIDS in. Preparing South African Nurses

Transcription

1 Developing Interdisciplinary Approach Competency Related to HIV and AIDS in 2_Supamanee_T_p79435_1.pdf Preparing South African Nurses RR Marie Modeste, PhD, MN, BN, RN, RM, NE Sigma Theta Tau International 27 th International Nursing Research Congress Cape Town, South Africa July 2016

2 Disclosure No conflicts of interest noted by the author Sponsorship for PhD studies received from South African medical Research Council University of the Western Cape Acknowledgement: Prof O Adejumo

3 Objectives Understand the role of nurses in the provision of HIV and AIDS related care within a multidisciplinary team Explain the specific competencies related to the interdisciplinary approach core competency for HIV and AIDS

4 Background Comprehensive health care delivery depends on different health care providers Application is relevant in the fight against HIV and AIDS HIV and AIDS are part of the main health priorities in South Africa (SA) The 2015 UNAIDS estimates: about 7 million people living with HIV in SA

5 Background The HIV epidemic affects all aspects of life: o Physiological o Economic at different levels o Social Nurses role in the fight against HIV is undisputable majority of health care professionals

6 Introduction Nurses training should be relevant and aligned to the workplace needs and functioning This involves functioning within a interdisciplinary team Hence the need to develop competencies to facilitate working with other health care providers in the fight against HIV and AIDS

7 Purpose Development of interdisciplinary approach competency related to HIV and AIDS for integration into the preservice training of nurses in one university in South Africa.

8 Methods Paradigm: Constructivism Intervention research: Design and development through three distinct phases Developing the HIV and AIDS related competencies Curriculum development workshops outcomes and integration plan Validation workshop and expert feedback

9 Content analysis Data collection and analysis 17 Individual interviews 9 Nominal group technique discussions 6 Workshops 3 expert feedback validation reports

10 Participants 112 participants in all three phases (64/30/18) 12.8% of participated in more than 1 phase Nurse educators from 7 of the 9 provinces in the country Nurses in practice Recent nurse graduates Members of the governing body (South African Nursing Council) People living with HIV

11 Interdisciplinary approach competency for HIV and AIDS Correct and appropriate participation in the interdisciplinary team Interdisciplinary provision of care for holistic care and enhanced quality HIV nursing care Continuous collaboration with other healthcare providers in different settings Participation and engagement in community programmes

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13 Specific competency areas Community engagement Participation and collaboration in community activities Referral systems Following proper referral pathway and be timeous Support systems Linking patients to support services

14 Specific competency areas Community engagement And the campaigns, the important thing is that our students need to be involved in campaigns of awareness. Referral systems Identify the need for referral system. Support systems Knowing what are the resources available to the community.

15 Discussion These competencies are needed for practice after graduation Opportunity for uninterrupted HIV and AIDS care Competencies to be developed in the preservice training of nurses

16 Conclusion Integration of these competencies provides opportunity to enhance nursing training for HIV and AIDS care Developed exit level and year level outcomes for each competency to facilitate integration in the pre-service nursing curriculum in South Africa

17 living with HIV and AIDS Examples of developed outcomes Participate in community activities with organizations targeting people at risk of being infected, infected with or affected by HIV Correctly refer patients by following proper pathways with the involvement of the multidisciplinary team for people infected with or affected by HIV and AIDS Set up and participate in support groups for people

18 References Campbell, C., Scott, K., Madanhire, C., Nyamukapa, C., & Gregson, S. (2011). A good hospital : Nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe a mixed-methods qualitative study. International Journal of Nursing Studies, 48(2), Canadian Association of Nurses in AIDS Care. (2013, May). Core competencies for HIV/AIDS nursing education at the undergraduate level: Position Paper Ottawa:Author. Retrieved December 11, 2013 from Canadian Association of Nurses in AIDS Care: De Wet, G. E., du Plessis, E., & Klopper, H. C. (2013). HIV-positive patients and their families comprehension of HIV- and AIDS-related information. Health SA, Gesondheid (Online), 18(1), 1-11, Art. #597. doi.org/ /hsag.v18i Delobelle, P., Rawlinson, J. L., Ntuli, S., Malatsi, I., Decock, R., & Depoorter, A. M. (2009). HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa. Journal of Advanced Nursing, 65(5), Department of Health. (2010). Policy guideline for HIV counselling and testing (HCT). Pretoria: Author. Puplampu, G. L., Olson, K., Ogilvie, L., & Mayan, M. (2014). Attracting and retaining nurses in HIV care. Journal of the Association of Nurses in AIDS Care, 25(3), Rackal, J. M., Tynan, A. M., Handford, C. D., Rzeznikiewiz, D., Agha, A., & Glazier, R. H. (2011). Provider training and experience for people living with HIV/AIDS. Cochrane Database Systematic Review, 6. Relf, M. V., Mekwa, J., Chasokela, C., Nhlengethwa, W., Letsie, E., Mtengezo, J.,... & Hopson, D. P. (2011) Essential nursing competencies related to HIV and AIDS. Journal of the Association of Nurses in AIDS Care. 22(1), e5 e40. Retrieved on April 16, 2011, from UNAIDS (2016) UNAIDS Countries South Africa HIV and AIDS estimates (2015). Accessed from on 20 June 2016 Zuber, A., McCarthy, C. F., Verani, A. R., Msidi, E., & Johnson, C. (2014). A Survey of Nurse-Initiated and- Managed Antiretroviral Therapy (NIMART) in Practice, Education, Policy, and Regulation in East, Central, and Southern Africa. Journal of Association of Nurses in AIDS Care, 25(6), DOI: /j.jana

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