Experiences of Nurse Graduates of an Integrated HIV Curriculum from a Selected University in South Africa
DOI:
https://doi.org/10.25159/2520-5293/1228Keywords:
Nurse graduates, NIMART, HIV competencies, Bachelor of Nursing programmeAbstract
Nurses remain a crucial part in the management and care of HIV, especially in resource constrained settings where they fulfil a variety of roles and functions. Competent HIV healthcare providers, especially nurses who provide and support the first line of healthcare in South Africa, are needed to achieve optimal clinical outcomes for all people living with HIV. The integration of HIV-related competencies in an undergraduate nursing curriculum is critical to maintain continuity of HIV related knowledge, skills and competencies within undergraduate nursing programmes from the first year of training, as it builds on foundational levels of understanding to promote critical thinking and skills for continuing learning in the area of HIV care. Against this background, this article reports on the experiences of the first cohort of student nurses who were exposed to the integration of HIV nursing competencies within a four-year Bachelor of Nursing programme. A descriptive exploratory design using a focus group discussion underpinned the study and was considered appropriate to explore the graduated student nurses experiences of the integration of HIV competencies within a four-year Bachelor of Nursing programme and how the integrated HIV programme prepared them for their practice in the management of HIV nursing care. Three themes emerged from the study, namely, evidence informed nursing care, innovative problem-solving skills, and confident to practise. The results showed an overall positive experience from the participants in their ability to independently practise and fulfil a range of HIV-related nursing care. The findings have demonstrated that the first cohort of nurse graduates from an integrated HIV Bachelor of Nursing curriculum showed success in the participants’ experience of the HIV related content and their ability to transfer the knowledge, attitudes and skills to meaningfully and effectively manage HIV-related nursing care.
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References
Bartlett, H. P., V. Simonite, E. Westcott, and H. R. Taylor. 2000. “A Comparison of the Nursing Competence of Graduates and Diplomats from UK Nursing Programmes.†Journal of Clinical Nursing 9:369–381.
Biswas, S. A., A. Adikari, M. Ray, and P. Kundu. 2013. “A KAP Study on Graduate Nursing Students of a Tertiary Health Care Teaching Hospital in Rural West Bengal, India.†Nepal Medical Collection Journal 15 (1): 14–17.
Dharmalingam, M., V. Poreddi, S. Gandhi, and R. Chandra. 2015. “Undergraduate Nursing Students’ Knowledge and Attitude toward People Living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome.†International Journal of Advanced Medical and Health Research 2 (1): 22–27.
Dohrn, J., B. Nzama, and M. Murman. 2009. “The Impact of HIV Scale Up on the Role of Nurses in South Africa: Time for a New Approach.†Journal of Acquired Immune Deficiency Syndrome 52 (1): S27–S29.
Fairall, L., M. O’ Bachmann, C. Lombard, and E. Bateman. 2012. “Task Shifting of Antiretroviral Treatment from Doctors to Primary-care Nurses in South Africa (STRETCH): A Pragmatic, Parallel, Cluster-randomised Trial.†The Lancet 380 (9845): 889–898.
Mbombo, N., and M. Bimerew. 2012. “Integrating Prevention of Mother to Child HIV Transmission Competencies into the Nursing Curriculum: Methodological Lessons from a University-based Undergraduate Programme.†Curationis 35(1), Art. #12, 10 pages. http://dx.doi.org/10.4102/curationis
Modeste, R. R. M., and O. Adejumo. 2015. “Validation of the Integration of HIV and AIDS-related Nursing Competencies into the Undergraduate Nursing Curriculum in South Africa.†Curationis 38(2). http://dx.doi.org/10.4102
Relf, M. V., and J. L. Harmon. 2016. “Entry-level Competencies Required of Primary Care Nurse Practitioners Providing HIV Specialty Care: A National Practice Validation Study.†Journal of the Association of Nurses in AIDS Care. https://doi.org/10.1016/j.jana.2015.12.004
Relf, M. V., J. Mekwa, C. Chasokela, and A. Liddle. 2011. “Essential Core Competencies Related to HIV and AIDS are Critically Needed in Nursing.†Journal of the Association of Nurses in AIDS Care 22 (1): S2–S8. https://doi.org/10.1016/j.jana.2010.02.001
Smith, J., D. S. Odera, D. Chege, E. N. Muidai, P. Patnaik, S. M. Strasser, A. A. Howard, J. Yu-Shears, and J. Dohrn. 2016. “Identifying the Gaps: An Assessment of Nurses Training Competency and Practice in HIV Care and Treatment in Kenya.†Journal of the Association of Nurses in Aids Care 27 (3): 322–330.
Snell, L. A., and F. M. Daniels. 2014. “Perceptions of Professional Nurses Regarding Clinical Competence of Community Service Practitioners from Degree and Diploma Programmes Offered in the Western Cape.†African Journal of Physical, Health Education, Recreation and Dance Supplement 1 (1): 142–153.
Suominen, T. T., L. Laakkonen, D. Lioznov, and J. Kylmä. 2015. “Russian Nursing Students’ Knowledge Level and Attitudes in the Context of Human Immunodeficiency Virus (HIV) – A Descriptive Study.†BMC: Nursing 14:1. https://doi.org/10.1186/s12912-014-0053-7
(WHO) World Health Organization. 2014. Global update on HIV treatment 2013: Results, impact and opportunities. Geneva: World Health Organization.
Worthington, C. A., K. O’Brien, T. Myers, S. Nixon, and R. Cockerill. 2014. “HIV and Rehabilitation Training Needs of Health Professionals in Canada: Results of a National Survey.†Journal of Research in Interprofessional Practice and Education 4 (1): 1–17.
Zuber, A., C. F. McCarthy, A. R. Verani, E. Msidi, and C. Johnson. 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 the Association of Nurses in AIDS Care 25 (6): 520–531. https://doi.org/10.1016/j. jana.2014.02.003
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Accepted 2016-08-10
Published 2018-01-10