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The impact of HIV education on nurses and nurse-midwives in Uganda

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dc.contributor.author Harrowing, Jean N.
dc.date.accessioned 2012-10-02T14:34:22Z
dc.date.available 2012-10-02T14:34:22Z
dc.date.issued 2009
dc.identifier.citation Harrowing, J.N. The impact of HIV education on the lives of nurses and nurse-midwives in Uganda. Unpublished doctoral dissertation. Edmonton, Alberta: University of Alberta. en_US
dc.identifier.uri http://hdl.handle.net/10133/3138
dc.description.abstract Over the past three decades, the HIV epidemic has gained a stranglehold in sub-Saharan Africa, where 10% of the world‟s population comprises more than 60% of all people living with the disease. Recent initiatives to boost prevention and treatment interventions are beginning to yield modest but promising results, as infection rates slowly start to stabilize. However, continued improvement will require aggressive and unrelenting efforts to prepare and equip a workforce for the tremendous challenges that remain. The purpose of this critical ethnography was to explore the impact of an intensive 6-month HIV/AIDS education program on the lives of 24 Ugandan registered nurses and nurse-midwives who worked at a large referral hospital. The study began following completion of the course and involved participant observation and semi-structured interviews for 18 weeks over a 2-year period. The findings are presented in this dissertation, which consists of four published or publishable manuscripts along with introductory and concluding chapters. The first paper describes the impact of education on the personal, professional, and social lives of the participants, and provides an account of their new ways of viewing themselves as nurses, leaders, and advocates. The second paper addresses ethical issues concerning the conduct of research in international settings. The third paper identifies the phenomenon of moral distress as it manifested in the participants, and the effects of education on their ability to transform practice and attitudes. The final paper examines the congruence between the critical qualitative methodology used in the study and the concept of cultural safety in the context of international nursing research. The dissertation concludes with a discussion of the crucial role of continuing professional education for the development of a strong and responsive nursing workforce that is prepared to contribute leadership and vision to addressing the obstacles presented by HIV and AIDS. Dealing effectively with the epidemic requires numerous interventions at various levels; the potential synergies offered by a small investment in education may have far-reaching effects. Finally, implications for nursing practice are presented along with suggestions for further research. en_US
dc.language.iso en_US en_US
dc.publisher University of Alberta en_US
dc.subject HIV/AIDS en_US
dc.subject HIV testing and counseling en_US
dc.subject Nursing education--Uganda en_US
dc.subject Uganda en_US
dc.subject Qualitative research en_US
dc.subject HIV/AIDS--Nursing en_US
dc.subject HIV/AIDS--Uganda en_US
dc.subject AIDS (Disease)--Uganda en_US
dc.subject HIV infections--Uganda en_US
dc.title The impact of HIV education on nurses and nurse-midwives in Uganda en_US
dc.type Thesis en_US
dc.publisher.faculty Health Sciences en_US
dc.description.peer-review No en_US
dc.publisher.institution University of Lethbridge en_US

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