School of Nursing

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Browsing School of Nursing by Subject "AIDS (Disease) -- Patients -- Care"

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    The perceptions of voluntary aids caregivers concerning hospice managers' provision of support
    (University of the Free State, 2003) Gxabuza, Rosina Nomathamsanqa; Joubert, Annemarie
    English: The challenge of HIV/AIDS is a global issue. Instead of decreasing the number of people infected with the disease is increasing. Fortunately we have men and women who volunteer to fight the increase of this pandemic. These heroes and heroines are voluntary AIDS caregivers who are the mainstay of care of people with AIDS. However, the fact that caregivers suffer from loneliness and social isolation related to stigma and discrimination cannot be ignored (cjFlaskerud & Tabora, 1998:21). Voluntary caregivers could benefit from the opportunity to express basic emotions concerning financial, emotional, physical issues and an open line of communication should be in place. Providing an avenue for emotional expression may enhance both physical and mental health to voluntary AIDS caregivers. This is a qualitative study undertaken to explore the perceptions of voluntary AIDS caregivers concerning hospice managers' provision of support. An explorative, descriptive, contextual and qualitative design was used to determine the perceptions of AIDS caregivers concerning hospice managers. Voluntary AIDS caregivers were selected from hospices of the Motheo District. A pilot study was conducted prior to the commencement of the main study. This resulted in paraphrasing the central question as in the "grand tour" (Spradley, 1980:49), Marrow and Smith (1995:42) who ask question such as; "Tell me about your self." Initially two focus groups were selected, comprising of ten participants in each group. Participants were requested without leading them to give detailed information during interviews. Saturation principle was not reached with the two focus groups, as there was no redundancy of information. Subsequently two more focus groups were selected in an endeavor to reach the required saturation point. Eventually four focus groups participated in the study. Data collected was analysed according to Tesch [1990] in Creswell (1994:155) and also by making use of the N VIVO program, a design for qualitative research used to ensure that the complex data was correctly and systematically analysed. The data analysis was followed by a literature control. The findings with regard to the perceptions of voluntary AIDS caregivers concerning hospice managers' provision of support did not differ significantly in personal and vocational support that were identified as main categories. The researcher made recommendations and suggestions were made by voluntary AIDS caregivers are easy to follow and implement. Limitations encountered are discussed.
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    Verpleegsorgbehoeftes van HIV positiewe pasiënte
    (University of the Free State, 1996-05) Basson, Petro Magdalena; Van Rhyn, W. J. C.; Viljoen, M. J.
    English: HIV infection causes AIDS, a communicable, stigmatised and terminal disease. It leads to the progressive deterioration of the immune system that ends in death. HIV infection affects the total human being. Never in history were health care workers so drastically challenged to look beyond an illness and to take on a holistic approach to health, as in the case with AIDS. The research was done in two phases. The first phase was the reconnaissance and description of HIV positive patients' nursing care needs as well as nurses' view thereof. The selection of nurses and patients were done by purposiveness selection. The researcher has established the nursing care needs of the HIV positive patient in the study by in-depth interviews. Nurses' views of the nursing care were also obtained through in-depth interviews. Interviews were recorded on tape and were transcribed afterwards. Data analysis was done according to Giorgi's model. After data analysis had been done, the results were controlled and verifted with the literature. The abovementioned processes were completed according to the philosophic foundation of the researcher, namely the Christian anthropology. Several needs and problems of the HIV positive patients with regard to their nursing care were identified. Nurses also experienced problems in the delivery of their nursing care. The primary problems that nurses experienced were, a lack of information about HIV and AIDS as well as limited time to deliver quality nursing care. Phase two: From the gathered information from HIV positive patients, nurses and literature, a nursing care model was compile to provide in the needs of the HIV positive patients. The model makes provision for application in any stage of AIDS. The family, community, resources and the multi-disciplinary team fugerate in this model. The nurse is the key role player in the model. The model is framed by the 15 aspects of Dooyeweerd and therefore shows that the HIV positive patient is nursed according to the holistic approach. The description and reconnaissance of the concepts applicable to the model were done according to the theory generated by Marriiler-Tomey,(1989:5), Woods and Catenzaro (1988:20), Walker and Avant (1988: 10) and Kim (1983: 131). This middle range theoretical model was compiled to ease the task of the nurse in practice and also to deliver quality nursing care to HIV positive patients.