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Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole
Thesis (MNur)--Stellenbosch University, 2025.
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867614051055435776 |
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| access_status_str | Open Access |
| author | Arison, Mellissa Lindsay |
| author2 | Modeste, Regis Rugira Marie |
| author_browse | Arison, Mellissa Lindsay Modeste, Regis Rugira Marie |
| author_facet | Modeste, Regis Rugira Marie Arison, Mellissa Lindsay |
| author_sort | Arison, Mellissa Lindsay |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MNur)--Stellenbosch University, 2025. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/133406 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:45:52.267Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
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| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/133406 Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole Arison, Mellissa Lindsay Modeste, Regis Rugira Marie Mabuda, Tendani Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing & Midwifery. Patient education -- Infections -- Treatment HIV infections -- Treatment HIV infections -- Patients -- Education Health facilities -- Discharge planning HIV infections -- Nursing UCTD Thesis (MNur)--Stellenbosch University, 2025. Arison, M. L. 2025. Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole. Unpublished masters thesis. Stellenbosch: Stellenbosch University [online]. Available: https://scholar.sun.ac.za/items/c778b44e-7c8d-4e7b-bde1-fa64c765d6a6 ENGLISH SUMMARY: Background: The human immunodeficiency virus (HIV) remains high on the list of burden of diseases and continues to be a challenge in healthcare. By the end of 2023, there were 39,9 million People Living with HIV (PLWHIV) globally, and South Africa remains the country with the highest number of PLWHIV. As a result of advances in HIV management, people infected with HIV live longer and the disease has become more of a chronic condition, as the risk and rate of HIV-related mortality has decreased. As in other chronic illnesses, active engagement in HIV self-management enhances health outcomes. However, there are still high rates of HIV-related hospital admissions and readmissions. Therefore, it is crucial that PLWHIV are educated on HIV self-management, hence the importance of including HIV self-management information as part of discharge information. However, there is limited information on the experiences of nurses in providing HIV self-management discharge information. Hence, the aim of this study was to explore the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole. Methods: A qualitative research approach, with an exploratory descriptive and contextual design, was followed. The study was conducted at a tertiary hospital in the Cape Metropole. The sample consisted of ten (10) nurses working in medical wards, selected through purposive sampling. Individual semi-structured interviews were conducted until data saturation was achieved. Thematic analysis was conducted to analyse the collected data. Steps to ensure trustworthiness and adherence to ethical principles were implemented. Results: Aligned to the study objectives, six themes emerged from the study. Participants expressed their understanding of HIV self-management and their experiences in providing HIV self-management discharge information to PLWHIV. The participants’ understanding of HIV self-management included realising disease presentation and progression, the value of patients’ active participation in HIV self-management, and their role in HIV self-management education at discharge. Their experiences in the provision of HIV self-management discharge information included their experiences in factors that inhibit patients’ HIV self-management, and their own experiences in fulfilling their responsibility in educating patients on HIV self-management so that the PLWHIV can continue with HIV self-management after hospital discharge. Furthermore, the study findings included the participants’ experiences related to healthcare professionals’ need for continuous training to support the provision of HIV self-management discharge information. Conclusion and recommendations: The study highlights that participants were aware of the challenges that inhibit HIV self-management for PLWHIV who are admitted in hospitals, and their practices in empowering patients to engage in HIV self-management. Although the participants had a good understanding of HIV and its progression as well as their responsibility in providing HIV self-management information on discharge, there were reports of gaps in knowledge and need for continuous training to empower nurses to provide HIV self-management information upon discharge. It is recommended that support systems or programmes be established to support PLWHIV with information on HIV self-management, and that nurses receive further training to improve their provision of HIV self-management information upon discharge. This will help improve PLWHIV’s self-management abilities, thereby decreasing the burden of HIV admissions to hospitals. AFRIKAANSE OPSOMMING: Agtergrond: Die menslike immuniteitsgebrekvirus (MIV) infeksie bly hoog op die lys van siektelas en bly ʼn uitdaging in gesondheidsorg. Teen die einde van 2023 was daar globaal 39,9 miljoen Mense Wat Met MIV Leef (MWMMIVL) en Suid-Afrika bly die land met die hoogste aantal MWMMIVL. As gevolg van vooruitgang in MIV-bestuur, leef mense wat met MIV geinfekteer is langer en die siekte het meer van ʼn chroniese toestand geword, aangesien die risiko en infeksiekoers van MIV-verwante sterftes afgeneem het. Soos in ander chroniese siektes, verhoog aktiewe betrokkenheid by MIV-selfbestuur gesondheidsuitkomste. Daar is egter steeds hoe infeksiekoerse van MIV-verwante hospitaal opnames en heropnames. Daarom is dit van kardinale belang dat MWMMIVL opgevoed word oor MIV-selfbestuur, vandaar die belangrikheid om MIV-selfbestuurinligting as deel van ontslaginligting in te sluit. Daar is egter beperkte inligting oor die ervarings van verpleegkundiges in die verskaffing van MIV-selfbestuurontladingsinligting. Die doel van hierdie studie was dus om die ervarings van verpleegkundiges in die verskaffing van MIV-selfbestuur ontslaginligting by ʼn tersiere hospitaal in die Kaapse Metropool te verken. Metode: ʼn Kwalitatiewe navorsing benadering, met 'n verkennende beskrywende en kontekstuele ontwerp, is gevolg. Die studie is by 'n tersiere hospitaal in die Kaapse Metropool uitgevoer. Die steekproef het bestaan uit tien (10) verpleegkundiges wat in mediese sale werk, geselekteer deur doelgerigte steekproefneming. Individuele semi-gestruktureerde onderhoude is gevoer totdat dataversadiging bereik is. ʼn Tematiese analise is uitgevoer om die versamelde data te ontleed. Stappe om betroubaarheid en nakoming van etiese beginsels te verseker, is geimplementeer. Resultate: In lyn met die studie-doelwitte het ses temas uit die studie na vore gekom. Deelnemers het hul begrip van MIV-selfbestuur en hul ervarings in die verskaffing van MIV-selfbestuur-ontslaginligting aan MWMMIVL beskryf. Die deelnemers se begrip van MIV-selfbestuur het die volgende ingesluit: realisering van siekte-aanbieding en verloop; die waarde van pasiente se aktiewe deelname aan MIV-selfbestuur; en hul eie rol in MIV-selfbestuur opvoeding tydens ontslag. Hul ervarings in die verskaffing van MIV-selfbestuur-ontslaan inligting het hul ervarings met faktore wat pasiente se MIV-selfbestuur belemmer, sowel as hul eie ervarings in die nakoming van hul verantwoordelikheid om pasiente oor MIV-selfbestuur op te voed, ingesluit, sodat MWMIVL voort kan gaan met MIV-selfbestuur na hospitaal ontslag. Verder het die studie se bevindings ook die deelnemers se ervarings oor die behoefte aan deurlopende opleiding vir gesondheidsorgpersoneel ingesluit om die verskaffing van MIV-selfbestuur-ontslaan inligting te ondersteun. Slotsom: Die studie beklemtoon dat deelnemers bewus was van die uitdagings wat MIV-selfbestuur inhibeer vir MWMMIVL wat in hospitale opgeneem word, en hul praktyke om pasiente te bemagtig om by MIV-selfbestuur betrokke te raak. Alhoewel die deelnemers ʼn goeie begrip gehad het van MIV en die verloop daarvan, sowel as hul verantwoordelikheid om inligting oor MIV-selfbestuur tydens ontslag te verskaf, was daar verslae van leemtes in kennis en ʼn behoefte aan deurlopende opleiding om verpleegkundiges te bemagtig om hierdie inligting effektief oor te dra. Daar word aanbeveel dat ondersteuning sisteme of programme gevestig word om MWMMIVL met inligting oor MIV-selfbestuur te ondersteun en dat verpleegkundiges verdere opleiding ontvang om hul vermoe om inligting oor MIV-selfbestuur tydens ontslag oor te dra, te verbeter. Dit sal MWMMIVL se self bestuursvermoe versterk en sodoende die las van MIV-opnames in hospitale verminder. Masters 2025-08-07T08:01:49Z 2025-08-07T08:01:49Z 2025-03 Thesis https://scholar.sun.ac.za/handle/10019.1/133406 en Stellenbosch University xiv, 146 pages : illustrations, maps, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Patient education -- Infections -- Treatment HIV infections -- Treatment HIV infections -- Patients -- Education Health facilities -- Discharge planning HIV infections -- Nursing UCTD Arison, Mellissa Lindsay Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title | Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title_full | Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title_fullStr | Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title_full_unstemmed | Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title_short | Exploring the experiences of nurses in providing HIV self-management discharge information at a tertiary hospital in the Cape Metropole |
| title_sort | exploring the experiences of nurses in providing hiv self management discharge information at a tertiary hospital in the cape metropole |
| topic | Patient education -- Infections -- Treatment HIV infections -- Treatment HIV infections -- Patients -- Education Health facilities -- Discharge planning HIV infections -- Nursing UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/133406 |
| work_keys_str_mv | AT arisonmellissalindsay exploringtheexperiencesofnursesinprovidinghivselfmanagementdischargeinformationatatertiaryhospitalinthecapemetropole |