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The book comprises chapters written by researchers who carry out their projects in different parts of the world and each chapter contains empirical information based on real life situations. It will be useful for students and lecturers in courses such as anthropology, sociology, social work, nursing, public health and medicine.
About the Book
She has published several books and a large number of papers in these areas. Her most recent books include Infant feeding practices: A cross-cultural perspective Springer, , Motherhood and postnatal depression: Narratives of women and their partners , for Springer with Carolyn Westall, Springer, and Health, illness and well-being: Perspectives and social determinants with Rebecca Fanany and Glenda Verrinder, Oxford University Press, Pranee has also published several method books.
Her first method book is titled Qualitative research methods: A health focus with Douglas Ezzy, Oxford University Press, , reprinted in , , , , ; and the second edition of this book is titled Qualitative research methods This book is now in its third edition and she is the sole author of this edition Liamputtong Free Preview.
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Buy Softcover. FAQ Policy. Show all. Show next xx. Read this book on SpringerLink. The audio recordings with their accompanying field notes were transcribed, and the data from the interviews were analysed using thematic analysis. The trustworthiness and credibility of the research was accomplished by prolonged engagement, referential adequacy and member checks with the participants to ensure the correct interpretation.
To ensure dependability and confirmability, a subject specialist from the Department of Health DoH and Social Development in Limpopo Province was consulted to audit the study. All participants provided written informed consent. Other factors were also mentioned: nurses felt that they educated patients and that their effective communication with the patients and the DoH monthly site visits from the DoH delegate were key in the success of the PMTCT programme.
Successful aging and the epidemiology of HIV
The participant who suggested this felt that the Department of Home Affairs could convene stakeholder meetings to address late bookings because of human migration immigration , by educating immigrants on the importance and availability of antenatal care. This study found, according to the perceptions of the nurses working at the implementation level of the PMTCT guidelines, that the PMTCT programme is effective and that there is a definite tendency of pregnant women to report earlier for antenatal care.
Importantly, according to the participants, fewer HIV-positive infants are born. With the steady increase in mothers taking part in the programme, the South African MTCT rates have dropped significantly to 1. Nurses feel that their education and commitment is instrumental in the success of the PMTCT programme. However, in spite of the efficacy of the programme, the participants were of the opinion that their patients and the communities they come from have a significant lack of knowledge where it pertains to HIV and HIV treatment.
This lack of understanding prevented women from seeking care earlier in pregnancy and reduced their adherence to the prescribed treatment.
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With the increased burden of NIMART, nurses feel overwhelmed at times, having to spend a great deal more time per patient. There is an increased work burden, but no additional support is given. This staff shortage could lead to longer waiting periods for patients at PHC facilities and decreased morale amongst staff members. It is clear that the nursing population at the sites studied is aging, and this could be a contributing factor to the nursing shortage currently experienced at these PHC facilities.
In this study, the participants stressed that the ineffective management of facilities, dilapidated buildings and shortages of working equipment could lead to protracted patient visits.
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According to Ho, 15 this particular problem is also relevant in the Mpumalanga Province Gert Sibande District where buildings and facilities are inadequate, unhygienic and unsafe, resulting in substandard patient care. Rutter 16 also referred to the mounting evidence of inefficiencies and undignified conditions patients in the Free State are subjected to. The facility management challenges seem to be a countrywide problem and do not only influence the implementation of the PMTCT programme but other healthcare programmes as well.
During the interviews, participants were asked how they would address the challenges that they experienced. A general idea that emerged from this study is that the communities around the Polokwane District needed more education and that this could be addressed by launching more national and community campaigns to increase adherence to the PMTCT programme and encourage earlier bookings. It was also found that the participants believed the nursing shortage could be addressed by staff recruitment and the implementation of support services like tracing teams.
Because of the small sample size, it will not be possible to generalise conclusions to all PHC facilities in the Limpopo Province, and these conclusions may not be applicable to all South African PHC facilities. The language barrier was partly addressed by the use of a fieldworker who was able to assist in the clarification of any questions and responses of the participants and the researcher.
This was accomplished by communicating in the mother tongue of the participants. In some cases, however, it appeared that the participants comprehended the questions fully but, on analysing the responses, some doubt may be cast on this assumption. During data analysis, it became evident that the fieldworker had simplified some of the questions to the effect that the questions were not as open-ended as originally intended. MTCT rates have dropped significantly to 1. The findings and commentary in this study call for further research about the perspectives of nurses on the PMTCT policies and guidelines, as well as other national healthcare guidelines which could result in policy changes and improvements on a national level.
National policy and guideline committees need to take cognisance of the suggestions made by the healthcare workers on the ground. This requires a commitment to change management in order to accept the views expressed by the nurses working at the proverbial coalface.
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