A study of nurses' experiences of paediatric care in resource-poor settings in the context of HIV and AIDS.
MetadataShow full item record
This study investigated the experiences of paediatric care nurses in a public, resource-poor hospital in Durban, KwaZulu-Natal to. A mixed methods design was used . The quantitative aspect focused on how contextual factors influenced nurses’ perceptions of the hospital ward where they worked. The Moos Ward Atmosphere Scale was used to assess ward environment. The Maslach Burnout Inventory Scale was used to explore the role of various aspects of vicarious job burnout. The study took place in four phases, baseline, pre-intervention, intervention and post-intervention. Quantitative analysis was done to explore possible relationships in burnout and ward atmosphere. A repeated (paired) measures t-test design was used to compare the pre- and post-intervention data, to test if the intervention process had any effect on the ward atmosphere and nurse burnout. As this was a small data set, quantitative analysis was done as an exploration for future research. The qualitative aspect explored how the intervention was utilized; how nurses talked about their issues in the support group and what issues they reported. Thematic analysis was used as the focus of this research was describe the experiences of nursing in a resource-poor setting, with the expectation that this could raise complex and new challenges faced in the context of HIV and AIDS. Although nurses in this study reported many challenges resulting from health sector problems, such as the shortage of staff and resources, they did not achieve high scores on the Maslach Burnout Inventory. The possible reasons for this are explored. The study also revealed that newly employed nurses expressed having more miscommunication problems with caregivers and other staff members. Other themes identified included, lack of HIV and AIDS disclosure, stressors related to the current South African context and trauma as a result of the death of patients and colleagues.