Browsing Research articles (Nursing) by Title
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Now showing items 21-31 of 31
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Phaladze, N.A.; Human, S.; Dlamini, S.B.; Hulela, E.B.; Hadebe, I.M.; Sukati, N. A.; Makoae, L.N.; Seboni, N.M.; Moleko, M.; Holzemer, W.L. (Journal of Nursing Scholarship. http://www.ingentaconnect.com/content/bsc/jnu, NaN, 2005)[more][less]
Abstract: Purpose: To increase understanding of the meaning of quality of life for people living with HIV/AIDS in four countries in sub-Saharan Africa: Botswana, Lesotho, South Africa, and Swaziland. Methods: Using a cross-sectional design and convenience sample, we administered a survey and collected data on demographic characteristics, measures of severity of illness, and perceptions of quality of life. The purposefully selected sample (N=743) consisted of community-based people living with HIV/AIDS in 2002. Based on the Wilson and Cleary framework for organizing variables related to quality of life, a hierarchical multiple regression was conducted with quality of life as the dependent variable. Results: The sample of 743 persons was 61.2% female with a mean age of 34 years. Approximately 62% of the sample reported having received an AIDS diagnosis. Ten predictor variables explained 53.2% of the variance in life satisfaction. Those participants with higher life satisfaction scores were less educated, had worries about disclosure and finances, did not have an AIDS diagnosis or other comorbid conditions, had lower symptom intensity, had greater functioning, and had fewer health worries. None of these participants was taking antiretroviral medications at the time of this study. Conclusions: Several dimensions of the Wilson and Cleary model of quality of life were significantly related to life satisfaction for people living with HIV/AIDS in sub-Saharan Africa. Quality of life for this sample was primarily defined as overall functional ability and control over symptom intensity. These findings are similar to studies in developed countries that have shown the significant relationships among functional abilities, symptom control, and perceived quality of life. As antiretroviral medications become more available in these areas, community members and care providers can help clients realize the possibility of living well with HIV/AIDS, and can work with clients to improve functional ability and control symptom intensity to make living well a reality. URI: http://hdl.handle.net/10311/570 Files in this item: 1
Quality of life.pdf (1.142Mb) -
Phaladze, N.A. (International Council of Nurses. http://www.ingentaconnect.com/content/bsc/inr;jsessionid=81ud25de419e.alexandra, NaN, 2003)[more][less]
Abstract: In Botswana, there is dearth of literature on the role of nursing in health-care policy and resource allocation and yet nurses constitute the majority (85%) of health manpower. The health-care delivery system depends mostly on nurses for service provision. There were two main purposes of this study: first, to gather descriptive data from major key players (with particular emphasis on nurses) concerning knowledge of the policy process and resource allocation for management and care of clients with human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS) in Botswana; and, second, to identify nurse characteristics (e.g. position, education, experience, job category) associated with motivation to influence healthcare policy in HIV/AIDS management and care in Botswana. A policy process conceptual framework was used to guide data collection and analysis. A case-study research method was used to conduct in-depth interviews from a purposive sample of 19 policy makers, and a survey questionnaire was used to collect data from a purposive sample of 95 registered nurses from six study sites in Botswana. The study findings indicate minimal participation of nurses in health-care policy process and resource allocation. The demographic variable of position was a predictor of the involvement of nurses in policy and in budgetary decisions. Both survey and interview data indicated that this minimal participation of nurses in the policy process resulted in implementation problems, thus compromising service provision. Implications of the findings for the nursing profession, nursing practice and policy, which address the importance of nurses’ involvement, are discussed. URI: http://hdl.handle.net/10311/571 Files in this item: 1
Role of nurses.pdf (1.855Mb) -
Weiser, S.D.; Heisler, M.; Leiter, K.; Percy-de Korte, F.; Tlou, S.; DeMonner, S.; Phaladze, N.; Bangsberg, D.R.; Iacopino, V. (PLoS Medicine. www.plosmedicine.org, NaN, 2006)[more][less]
Abstract: Background The Botswana government recently implemented a policy of routine or "opt-out" HIV testing in response to the high prevalence of HIV infection, estimated at 37% of adults. Methods and Findings We conducted a cross-sectional, population-based study of 1,268 adults from five districts in Botswana to assess knowledge of and attitudes toward routine testing, correlates of HIV testing, and barriers and facilitators to testing, 11 months after the introduction of this policy. Most participants (81%) reported being extremely or very much in favor of routine testing. The majority believed that this policy would decrease barriers to testing (89%), HIV-related stigma (60%), and violence toward women (55%), and would increase access to antiretroviral treatment (93%). At the same time, 43% of participants believed that routine testing would lead people to avoid going to the doctor for fear of testing, and 14% believed that this policy could increase gender-based violence related to testing. The prevalence of self-reported HIV testing was 48%. Adjusted correlates of testing included female gender (AOR ¼ 1.5, 95% CI ¼ 1.1–1.9), higher education (AOR¼2.0, 95% CI¼1.5–2.7), more frequent healthcare visits (AOR¼ 1.9, 95% CI ¼ 1.3–2.7), perceived access to HIV testing (AOR ¼ 1.6, 95% CI ¼ 1.1–2.5), and inconsistent condom use (AOR ¼ 1.6, 95% CI ¼ 1.2–2.1). Individuals with stigmatizing attitudes toward people living with HIV and AIDS were less likely to have been tested for HIV/AIDS (AOR ¼ 0.7, 95% CI ¼ 0.5–0.9) or to have heard of routine testing (AOR ¼ 0.59, 95% CI ¼ 0.45–0.76). While experiences with voluntary and routine testing overall were positive, 68% felt that they could not refuse the HIV test. Key barriers to testing included fear of learning one’s status (49%), lack of perceived HIV risk (43%), and fear of having to change sexual practices with a positive HIV test (33%). Conclusions Routine testing appears to be widely supported and may reduce barriers to testing in Botswana. As routine testing is adopted elsewhere, measures should be implemented to assure true informed consent and human rights safeguards, including protection from HIV-related discrimination and protection of women against partner violence related to testing. URI: http://hdl.handle.net/10311/554 Files in this item: 1
Routine HIV testing.pdf (1.339Mb) -
Shaibu, S.; Phaladze, N.A. (Cambridge University Press. http://journals.cambridge.org/action/displayJournal?jid=PHC, NaN, 2010)[more][less]
Abstract: This paper reports an evaluation of the implementation of the School Health Policy (SHP) in Botswana schools. Historically, school health originated with a concern for the number of children being excluded from school owing to communicable diseases. In 1999, the three ministries, Ministry of Health, Ministry of Education and Ministry of Local Government, developed the Botswana School Health Policy and Procedures Manual. The school health services are organized at national, district and local levels. The purpose of the evaluation was to explore how school health services were delivered in schools in Botswana. Data on current practices on school health were collected using observations, field notes and interviews of various school personnel in 27 schools located in the Gaborone district, and surrounding villages using the assessment guide in the SHP. Content analysis was used to analyse the data. Several challenges to implementing the school health policy were identified, for example, lack of human resources, lack of equipment supplies, lack of health knowledge among teachers, as well as organizational problems. This has budgetary implications for Botswana at both central and district levels. Commitment of all stakeholders in all ministries concerned would also improve the implementation of school health services. URI: http://hdl.handle.net/10311/563 Files in this item: 1
School health.pdf (911.5Kb) -
Voss, J.; Sukati, N.; Seboni, N.; Makoae, L.; Moleko, M.; Human, S.; Molosiwa, K.; Holzemer, W. (Elsevier; http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description; Association of Nurses in AIDS Care. http://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=3277, NaN, 2007)[more][less]
Abstract: HIV-related fatigue is a debilitating and disabling symptom that persists for months and years. In 743 HIV/AIDS patients from Southern Africa, the authors found ratings of HIV-related fatigue to be highly prevalent. The authors conducted a secondary data analysis within the theoretical context of the University of California, San Francisco Symptom Management Model. The analysis focused on 538 patients who reported fatigue to investigate correlates and predictors of fatigue severity in relationship to demographic and HIV/AIDS illness indicators, as well as HIV-specific physical and psychological symptoms. A hierarchical regression model explored the contributions of those five blocks on fatigue severity. Of the 47% of the total variance in fatigue severity, a combination of variables within the health and illness block (6%), the physical symptoms block (7%) and the psychological symptom block (2%) contributed significantly to the increase in fatigue severity scores. Fatigue severity in Southern Africa was moderate, and the factors contributing to the perceived fatigue were most likely related to symptoms of acute HIV disease (such as fever and gastrointestinal problems). In conclusion, fatigue severity is less impacted by demographic or environmental variables but much more by co-occurring symptoms and HIV disease severity. The results of this study imply the need for more research to understand if improvements in water quality and access to food would prevent infection and diarrhea and whether sufficient access to antiretroviral treatments to manage the HIV infection would improve fatigue and co-occurring symptom profiles. URI: http://hdl.handle.net/10311/263 Files in this item: 2
license.txt (1.998Kb)Symptom Burden of Fatigue.pdf (5.279Mb) -
Voss, J.G.; Sukati, N.A.; Seboni, N.M.; Makoae, L.N.; Moleko, M.; Human, S.; Molosiwa, K.; Holzemer, W.L. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/description#description, NaN, 2005)[more][less]
Abstract: HIV-related fatigue is a debilitating and disabling symptom that persists for months and years. In 743 HIV/AIDS patients from Southern Africa, the authors found ratings of HIV-related fatigue to be highly prevalent. The authors conducted a secondary data analysis within the theoretical context of the University of California, San Francisco Symptom Management Model. The analysis focused on 538 patients who reported fatigue to investigate correlates and predictors of fatigue severity in relationship to demographic and HIV/AIDS illness indicators, as well as HIV-specific physical and psychological symptoms. A hierarchical regression model explored the contributions of those five blocks on fatigue severity. Of the 47% of the total variance in fatigue severity, a combination of variables within the health and illness block (6%), the physical symptoms block (7%) and the psychological symptom block (2%) contributed significantly to the increase in fatigue severity scores. Fatigue severity in Southern Africa was moderate, and the factors contributing to the perceived fatigue were most likely related to symptoms of acute HIV disease (such as fever and gastrointestinal problems). In conclusion, fatigue severity is less impacted by demographic or environmental variables but much more by co-occurring symptoms and HIV disease severity. The results of this study imply the need for more research to understand if improvements in water quality and access to food would prevent infection and diarrhea and whether sufficient access to antiretroviral treatments to manage the HIV infection would improve fatigue and co-occurring symptom profiles. URI: http://hdl.handle.net/10311/538 Files in this item: 1
The symptom experience.pdf (1.131Mb) -
Makoae, L.C.; Seboni, N.M.; Molosiwa, K.; Moleko, M.; Human, S.; Sukati, N.A.; Holzemer, W.L. (Association of Nurses in AIDS Care. http://www.elsevier.com/wps/find/journaldescription.cws_home/704632/authorinstructions, NaN, 2005)[more][less]
Abstract: This study describes the symptom experience of 743 men and women living with HIV/AIDS in Botswana, Lesotho, South Africa, and Swaziland. Data were obtained in 2002 by using a cross-sectional design. A survey of participants included 17 sociodemographic items and the 64-item Revised Sign and Symptom Checklist for Persons with HIV Disease. Results indicate a strong correlation between the frequency of reported symptoms and their intensity (r .84, p .00). Participants who reported having enough money for daily expenses also reported significantly fewer symptoms. There were no significant differences in symptom frequency between men and women or by location of residence. The study showed a complex picture of HIV-related symptoms in all four countries. Because of the high levels of symptoms reported, the results imply an urgent need for effective home- and community-based symptom management in countries where antiretroviral therapy is unavailable to help patients and their families manage and control AIDS symptoms and improve quality of life. URI: http://hdl.handle.net/10311/558 Files in this item: 1
Symptom experience.pdf (1.693Mb) -
Thupayagale-Tshweneagae, G.; Dithole, K. (Nursing Forum.http://www.ingentaconnect.com/content/bsc/nuf, January 1, 2007)[more][less]
Abstract: The purpose of this paper is to elucidate contributing factors to the disunity in nursing, and argue that if united nursing would be able to achieve harmony, respect, and, above all, recognition. Social and historical identities imperil nurses, make them defenseless, and cause disunity. The relation between nursing and effects of gender discourses in power struggles is also accentuated. The paper concludes by advancing solutions to the disunity and argues that if measures are not taken urgently, unity in nursing will remain intangible and a legacy of disunity passes to the incoming generation. URI: http://hdl.handle.net/10311/566 Files in this item: 1
Unity among nurses.pdf (628.6Kb) -
Teitelman, A.M.; Seloilwe, E.S.; Campbell, J.C. (Taylor & Francis, LLC. http://www.tandf.co.uk/journals/authors/uhcwauth.asp, NaN, 2009)[more][less]
Abstract: The papers in this special issue focus on the topic of violence against women. This group of scholarly works explores theoretical issues, context and health care interventions pertaining to violence in women’s lives. In conjunction with this special issue, this editorial provides a synopsis of presentations and discussions about the topic of the intersections of genderbased violence, HIV and the girl child that took place in July 2008 as part of the 17th conference of International Council of Women’s Health Issues (ICOWHI) held in Gaborone, Botswana, focusing on the Girl Child. ICOWHI, in conjunction with the University of Botswana, Centre for the Study of HIV and AIDS (CSHA) sponsored a one day preconference on “Gender-based violence and HIV Risk among Adolescent Girls.” A diverse interdisciplinary group of scholars from around the world closely examined these interconnected epidemics in a rich day long discussion. The aim of the preconference as well as the articles in this special issue is to build scholarship and inform practice of cultural and contextual factors as they pertain to violence in the lives of women and girls in order to promote their health, safety and well-being globally. URI: http://hdl.handle.net/10311/574 Files in this item: 1
Voices from the frontlines.pdf (1.170Mb) -
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Abstract: wa74Fl <a href="http://zktcwfdlzbbr.com/">zktcwfdlzbbr</a>, [url=http://eijbvhxjtazy.com/]eijbvhxjtazy[/url], [link=http://lhtzfesyvbsi.com/]lhtzfesyvbsi[/link], http://gsugjhnddfme.com/ URI: wa74Fl <a href="http://zktcwfdlzbbr.com/">zktcwfdlzbbr</a>, [url=http://eijbvhxjtazy.com/]eijbvhxjtazy[/url], [link=http://lhtzfesyvbsi.com/]lhtzfesyvbsi[/link], http://gsugjhnddfme.com/ Files in this item: 1
koevmh@fjltkh.com (1.855Mb) -
Thupayagale, G.; Dithole, K. (Nursing Forum. http://www.ingentaconnect.com/content/bsc/nuf, NaN, 2005)[more][less]
Abstract: The purpose of this paper is to create a debate on whether the name “nursing” has any influence on how the nursing profession is perceived today by other healthcare professionals and the general public the nursing profession serves. A quantum leap is being suggested by the authors, as only a paradigm shift could change the world’s mindset on nursing and its recognition as a profession. A change in name is what the authors see as a way of changing the unflattering perception of nurses and enhancing its status to the level of respectability of other healthcare professions. URI: http://hdl.handle.net/10311/568 Files in this item: 1
What is in a name.pdf (565.0Kb)
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