Evaluation of a brief intervention to improve the nursing care of young children in a high HIV and AIDS setting
SOURCE: Nursing Research and Practice
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2012
TITLE AUTHOR(S): L.M.Richter, T.J.Rochat, C.Hsiao, T.H.Zuma
KEYWORDS: CHILDREN, HIV/AIDS, NURSING
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7374
HANDLE: 20.500.11910/3305
URI: http://hdl.handle.net/20.500.11910/3305
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2012
TITLE AUTHOR(S): L.M.Richter, T.J.Rochat, C.Hsiao, T.H.Zuma
KEYWORDS: CHILDREN, HIV/AIDS, NURSING
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 7374
HANDLE: 20.500.11910/3305
URI: http://hdl.handle.net/20.500.11910/3305
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Caregivers and young children (107 pairs) and 17 nurses participated in an intervention to improve the care of young children in hospital in a high HIV and AIDS setting. The intervention addressed caregiver expectations about admission and treatment, responsive feeding, coping with infant pain and distress, assistance with medical procedures, and preparation for discharge and home care. Following a preparatory and piloting phase, measures of nurse burnout, caregiver physical and emotional wellbeing, and caregiver-child interaction were made before and after intervention. No changes were found between before and after intervention on assessments of caregiver wellbeing. However, mothers in the post intervention phase rated nurses as more supportive; mother-child interaction during feeding was more relaxed and engaged, and babies were less socially withdrawn. While the intervention proved useful in improving certain outcomes for children and their caregivers, it did not address challenging hospital and ward administration or support needed by caregivers at home following discharge. To address the latter need, the intervention has been extended into the community through home-based palliative care and support.-
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