Physiotherapy Department, University of KwaZulu-Natal, Durban, South Africa.
J Assoc Nurses AIDS Care. 2013 Mar-Apr;24(2):166-75. doi: 10.1016/j.jana.2012.04.005. Epub 2012 Jul 31.
After antiretroviral therapy (ART) became available in South Africa, persons living with HIV (PLWH) began to survive, but they often experienced disability as a result of their illness and treatments. Management of HIV is more often successful with a holistic approach including medicine, rehabilitation, and social care. There is limited literature on collaborations between nurses and allied health professionals in the rehabilitation of PLWH, with no documentation of partnerships between nurses and physiotherapists in high-HIV burdened countries. We investigated the collaboration between nurses and physiotherapists in the rehabilitation of PLWH. We conducted two focus groups with experienced nurses at two residential facilities for PLWH in KwaZulu-Natal, South Africa, using Van Manen's pedagogy on interpretive phenomenology as the conceptual framework. Three barriers to collaboration were found: role governance, environmental structure, and organizational variance. Education and in-service programs and workshops were suggested to curb the divide.
抗逆转录病毒疗法(ART)在南非问世后,艾滋病毒感染者(PLWH)开始存活,但他们经常因疾病和治疗而残疾。采用包括药物、康复和社会关怀在内的整体方法来管理艾滋病毒,效果会更好。关于护士和辅助卫生专业人员在艾滋病毒感染者康复方面的合作,文献有限,在艾滋病毒负担高的国家,也没有关于护士和物理治疗师之间伙伴关系的记录。我们调查了护士和物理治疗师在艾滋病毒感染者康复方面的合作。我们在南非夸祖鲁-纳塔尔省的两个艾滋病毒感染者居住设施中,对有经验的护士进行了两次焦点小组讨论,采用范马伦的解释现象学教育学作为概念框架。发现合作存在三个障碍:角色治理、环境结构和组织差异。建议开展教育和在职培训计划和研讨会,以遏制这种分歧。