Nderitu Esther Wanjiku, Mill Judy, Richter Solina
J Assoc Nurses AIDS Care. 2015 Sep-Oct;26(5):625-38. doi: 10.1016/j.jana.2014.10.003. Epub 2014 Nov 6.
In Uganda, nurses do not always practice universal precautions unless they know the patients' HIV status. In our study, focused ethnography was used to explore the experiences of Ugandan nurses in the practice of universal precautions while caring for persons living with HIV. In-depth interviews were completed with 16 participants from a variety of units at a large teaching hospital in Uganda. Although participants were knowledgeable about universal precautions, the primary challenge to the practice of universal precautions was the inadequate supply of resources, both material and human. Despite challenges, the nurses displayed an enthusiasm for their work and a dedication to provide the best possible care for patients. The findings highlight the urgent need for governments and institutions, particularly in resource-constrained countries, to develop and implement policies related to universal precaution practice and to provide a consistent supply of protective equipment to ensure that universal precautions are consistently used.
在乌干达，护士并非总是采取普遍预防措施，除非她们知道患者的艾滋病毒感染状况。在我们的研究中，采用了聚焦人种志方法来探究乌干达护士在护理艾滋病毒感染者时采取普遍预防措施的经历。对乌干达一家大型教学医院各个科室的16名参与者进行了深入访谈。尽管参与者了解普遍预防措施，但实施普遍预防措施的主要挑战是物资和人力等资源供应不足。尽管面临挑战，护士们仍对工作充满热情，并致力于为患者提供尽可能最好的护理。研究结果凸显了政府和机构，尤其是资源有限国家的政府和机构，迫切需要制定和实施与普遍预防措施实践相关的政策，并持续供应防护设备，以确保始终如一地采用普遍预防措施。
