Abstract
M.Cur. (Nursing Education)
There is a high number of nursing students suffering from the HIV and AIDS pandemic, causing them to have low self-esteem, being stigmatized and being on the receiving end of negative attitudes from their nursing colleagues. The infected students perform poorly and decide to terminate their training. This has a significant impact on the nursing profession, which is already suffering from a tremendous shortage of nurses (Minaar, 2005: 31). The purpose of this study is to explore and describe the experiences of student nurses living with HIV and AIDS at a nursing college in Gauteng, and to describe the strategies to improve the support system for these student nurses. A qualitative, exploratory, descriptive, contextual phenomenological study was used in order to gain insight into the experience of student nurses living with HIV and AIDS. A purposive sampling method was used. The data collection method was collated through an individual semi-structured interview. Open-coding data analysis method using Tesch’s protocol (in Creswell 2009: 186) was used. Measures to ensure trustworthiness were used according to Lincoln and Guba’s Model (1985: 327). Ethical standards for nurse researchers were adhered to in accordance with the DENOSA position statement (1998).
The experiences of nursing students living with HIV and AIDS at a nursing college in Gauteng included both positive and negative categories. The following sub-category emerged under the positive experiences of coping with HIV and AIDS: aspects related to internal motivation and positive self-talk. Emerging themes were: 1. living positively with HIV and AIDS, 2. spiritual fulfillment, 3. Hope: 3.1 hope to live for one’s child/children and 3.2 hope for a cure of HIV and AIDS; 4. concern for colleagues and patients living a risky lifestyle. The following sub-category emerged under the negative experiences: The negative emotion related to the disease process. Emerging themes were: 1 fear: 1.1 fear of disclosure, 1.2 fear of stigmatisation, 1.3 fear of re-infection; 2 stress: 2.1 stress experienced when nursing terminally ill HIV and AIDS patients, 2.2 stress caused by inability to meet academic requirements due to the physical impact of the disease (sickness, exhaustion and fatigue); 3 side effects of ARVs; 4 the lack of support: 4.1 lack of support from family members, 4.2 lack of support from tutors and colleagues. The supportive strategies were described. Recommendations for Nursing Education, Nursing Research and Nursing Practice were made.