Dapaah Jonathan M
Sociology and Social Work Department, Faculty of Social Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Nurs Res Pract. 2016;2016:5172497. doi: 10.1155/2016/5172497. Epub 2016 Dec 28.
. This article discusses how health workers relate to and communicate with clients of VCT and ART treatment. It also looks at how health worker practices in the form of attitudes and behaviours towards clients influence the use of these services. . In-depth interviews, informal conversations, and participant observation were used to collect data from health workers providing VCT and ART and clients who access these services in two Ghanaian hospitals. . The study found that health workers providing these services, with the exception of a few, generally showed positive attitudes and behaviours towards clients during clinical encounters. Health workers warmly received clients to the facilities, addressing clients with courtesy, advising clients on a wide range of issues, sometimes supporting clients financially, and comfortably interacting with them. This is contrary to the findings of most studies in the literature that health workers often do not communicate and relate to these patients well. . It concludes that dealing with clients well during interactions in the centres and clinics is crucial for reducing the perceived stigma associated with the use of services and increasing use as part of the national effort to reduce the infection rate of the disease in Ghana.
本文讨论了卫生工作者如何与自愿咨询检测（VCT）和抗逆转录病毒治疗（ART）的服务对象建立联系并进行沟通。它还探讨了卫生工作者以对服务对象的态度和行为形式所采取的做法如何影响这些服务的使用。通过深入访谈、非正式交谈和参与观察，从在加纳两家医院提供VCT和ART服务的卫生工作者以及接受这些服务的服务对象那里收集数据。研究发现，除少数人外，提供这些服务的卫生工作者在临床接触期间总体上对服务对象表现出积极的态度和行为。卫生工作者热情欢迎服务对象到医疗机构，礼貌地称呼服务对象，就各种问题为服务对象提供建议，有时还在经济上支持服务对象，并与他们进行轻松的互动。这与文献中大多数研究的结果相反，那些研究表明卫生工作者往往与这些患者沟通不畅且关系不佳。研究得出结论，在中心和诊所的互动过程中善待服务对象对于减少与使用服务相关的感知耻辱感以及作为加纳降低该疾病感染率国家努力的一部分增加服务使用至关重要。
