Nawafleh Hani, Francis Karen, Chapman Ysanne
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, VIC, Australia.
Int J Nurs Pract. 2005 Oct;11(5):200-5. doi: 10.1111/j.1440-172X.2005.00528.x.
The role of nurses in raising community awareness about HIV/AIDS is well-reported. However, little is known about the practice of Jordanian nurses and the role they play in the prevention and control of HIV/AIDS. This interpretive ethnographic study sought to illuminate the role of primary care nurses and examine the influence of HIV/AIDS on their practice. The study was undertaken in Jordan in three rural and three urban primary health-care centres. Data collection included participant observation, key informant interviews and document analysis. These data informed the development of descriptive ethnographic accounts that allowed for the subsequent identification of common and divergent themes reflective of factors recognized as influencing the practice of the nurse participants. The findings indicate that the rhetoric offered by all levels of administration and endorsed in policy is not reflective of the reality of practice. Poor resources and educational preparation, a limited nursing skill mix and access to professional development, lack of nursing leadership and role models, cultural beliefs and geographic isolation are factors that reduced the capacity of the primary care nurses to raise awareness and, therefore, influence the prevention and control of HIV/AIDS.
护士在提高社区对艾滋病毒/艾滋病的认识方面所起的作用已有大量报道。然而，对于约旦护士的实际工作以及他们在艾滋病毒/艾滋病预防和控制中所扮演的角色却知之甚少。这项解释性人种志研究旨在阐明初级保健护士的角色，并考察艾滋病毒/艾滋病对其工作的影响。该研究在约旦的三个农村和三个城市初级卫生保健中心进行。数据收集包括参与观察、关键 informant 访谈和文件分析。这些数据为描述性人种志记录的发展提供了依据，从而得以随后识别出反映被认为影响护士参与者工作的因素的共同和不同主题。研究结果表明，各级管理层所宣扬并在政策中得到认可的言辞并不反映实际工作的现实情况。资源匮乏和教育准备不足、护理技能组合有限以及获得专业发展的机会、缺乏护理领导和榜样、文化信仰以及地理隔离等因素，降低了初级保健护士提高认识的能力，进而影响了艾滋病毒/艾滋病的预防和控制。
