Title: The Role of the Nurse and Health Care Worker in HIVAIDS Prevention
1The Role of the Nurse and Health Care Worker in
HIV/AIDS Prevention Education
- Christopher Shaw, ACRN
- Partners AIDS Research Center, Harvard Medical
School - University of Natal, Nelson R. Mandela Medical
School - St. Marys Hospital-Marionhill, Durban
2Overview
- Nurse and Health Care Workers role in HIV/AIDS
prevention /education, and promotion of wellness
in profession and communities affected.
3She is remembered throughout the world for her
heroic, almost superhuman labors during the
Crimean War. But in reality these formed only the
beginning of a long life of continuous effort,
marked by achievements of truly amazing character
which have lived, grown, and spread to the ends
of the earth. Her reforms were fundamental and
searching. They struck at the roots of things,
dealing with hospitals, the health of the British
soldier, the health of the working people,
culminating in the founding of District Nursing
the institution of home based care, and the
opening of Professional Nursing Educational
Institutions.
4History of Nursing
- Florence Nightingale, Nursing Philosopher and
pioneer elevated level of respect for nursing by
reforming The British Military Health Care
System. - By understanding the impact nurses had to effect
changes. - By consulting with governments and Public Health
sectors to promote, hygiene, nutrition, well baby
care. - Instituting Nursing School of excellence.
5Recognizing Nursing Potential
- South Africas political history and nursing
history present incredible opportunities to
continue to elevate the nursing profession here
in S.A. - To acknowledge the expertise of nurses here
challenges at hand regarding HIV/AIDS.
6Nursing In South Africa
- Opportunity to be part of an evolving solution to
prevent further spread of HIV/AIDS. - To be on the frontlines of caring as your
presence is needed now more than ever. - To creatively care for patients and each other.
- To renegotiate the roles and stereotypes of the
past into meaningful encounters of healing. - Promoting nursing by role modeling the profession
to newcomers.
7Responsibility of Nurses and Health Care Worker
- Provide compassionate ongoing accessible care
- Educate
- Advocate
- Continually update knowledge
- Community Outreach
- Role model
We who are nurses are inheritors of a great
tradition. It is ours to guard, to strengthen, to
enlarge where needed, and to equip ourselves
worthily for so doing. - Anonymous
8Compassionate Care
- The Art and Science of attending to patients so
to promote spiritual, physical and emotional
healing. - Recognize that each patient interaction is a
profound opportunity to communicate. - Every encounter with patient, spouse, family and
friend provides time to demonstrate holistic
nursing excellence and to teach care and
prevention strategies that promote health and
well being. - In HIV/AIDS care - these are paramount !
9Adopting or Creating a Philosophy of Nursing Care
- Watsons Theory of Altruistic Care loving
kindness, sensitivity to self/others. - Hildegard Peplau fostering therapeutic
relationships with patients. - Callista Roy Adaptation Model promotes
conscious awareness of the thinking person, to
create an integrative healing environment. - Orems Self Care Model Nurse
promotes/maintains health by motivating,
informing and helping people adopt healthy
lifestyle.
10Knowledge Illuminates Ignorance
- De-mystifying HIV/AIDS helps with
- de-stigmatization.
- Breaks down barriers that undermine prevention
efforts. - Identifies and targets communities individuals
most at risk. - Encourages respectful dialogue.
11Empathetic Care
- Understand the patient perspective.
- Illness embodies physical, psychological, social
and cultural layers of suffering. - HIV/AIDS can affix negative labels to patients
ie Venereal Sin. - Patients describe the impact of nurses, HCWs
prejudice.
12Understand Negative Repercussions of Stigma
- Fear of status being discovered.
- Fear of rejection.
- The Radio Disease A I D S.
- ( there are reminders of it 24/7).
- Fear of being labeled.
- Fear and prejudice can easily become
part of our thought process. -
13Harnessing Nursing Power to Create Changes
- Self-care is essential if it doesnt happen?
burnout will. - Support/social groups to address burnout and
flight. - Redefining professional goals, opportunities,
writing mission statement. - Recognize awesome challenge/opportunity to
address HIV/AIDS education prevention.
14Each Encounter with Patient
- Prevention
- Reinforce prevention strategies patient uses..
- Safety always important for both HIV-negative and
positive persons. - Encourage patients to become teachers in the
prevention effort.
- Education
- Provide resources appropriate to level of
learning. - Reinforce adherence/with appointment schedules
and med regimens. - 3. Provide STD counseling and treatment.
15Address Barriers to Prevention (factors
undermining prevention)
- Social, economic and political forces.
- Cultural beliefs.
- Stigma of poverty.
- Migration of working population.
- Reluctance to openly discuss sexuality.
16Provide Risk Assessment of Community/Individuals
Most in Need
- Practicing unsafe sex
- Sex workers
- Adolescents (invincibility, peer pressure)
- Vulnerable children
- Victims of rape
- Elderly