The Social Development Dimension Of The Nursing Profession In Managing HIV Cases
Index Term: At-Tawadzuun (Balance), HIV Cases, Holistic Care, Nursing Profession, Phenomenology, Social Development Dimention, Synergy.
ABSTRACT: In this study, the researcher attempted to understand and explain to explore the social development dimension of the nurse professions in managing HIV cases. Specifically the study sought to answer the following questions 1) what is the profile of the key informants with regards to HIV Patients ( age, gender, education and socio economics status), Nurses ( age, gender, no of years of work experiences specific to HIV), social workers ( age, gender and no of years of work experiences specific to HIV). 2) What are “lived experiences” of key informants on social development dimension of the helping process: HIV patients; Nurses; and Social Workers? 3) What social development model can be designed in managing HIV cases? 4) What policy recommendations can be developed pertaining to development dimension in managing HIV cases. This study utilized qualitative approach. The phenomenology was used to explore and describe HIV patients through their “lived experiences” in a selected rehabilitation center in Sukabumi, West Java, Indonesia, the nurses and social workers. The approach developed an understanding of the experiences as perceived by the key informants. Qualitative research aims to collect a deep understanding of human behavior. Survey checklists, In-depth interviews, repertory grid, and dendogram were utilized in the data gathering procedure, data presentations and data analyses. The informants of this study were focused on nurses, social workers and HIV Patients in the rehabilitation center, the Directorate General for Social Rehabilitation Social Ministries of the Republic of Indonesia, the school nurses, Ministry of Health, Community Health Centers that carry out community health care program-specific examination of VCT. Generally, the findings of the research conducted by qualitative research methods in a statement obtained significant categories and themes that emerged is significant for the statement is feeling sad, angry when patients get HIV diagnosis, the process of studying health, public health programs, how the role of each profession respectively, how should manage patients with HIV and the need for collaboration. The theme explored is the experience, moral development, to guide patients, friendship and trust, hope in treating patients with HIV and cooperation. Patients with HIV need support and encouragement not only a health problem but how to increase motivation to maintain the quality of life in the community by building a spiritual dimension, the ability to be independent in terms of the economy, and the ability to experience stigma discrimination to be faced by those in the community. Conclusions of this study were professional social workers and nurses are in the process of rehabilitation is a profession that is very influential. In this case the need for complementary capabilities in handling patients. Nurses must improve its ability to not only take care of the physical dimension but it required the ability to develop the social, psychological and spiritual patient. Vice versa a social worker who controls the social dimension of the patient's need to improve on the physical dimensions of the issue of the patient's health. It needs to be improved by structuring the task and program development cooperation profess. The researches gave recommendations: 1) develop the social, psychological and spiritual by increasing the values of life as a nurse who works with the basic devotion to God and develop therapeutic communication skills. Providing training to the nurses in the workplace, respectively, by the method of practice in improving therapeutic communication capabilities, make the procedure nursing care that explore the ability of communication theurapetic on the patient. 2) Improve the capability of knowledge in health by provide training to workers in the workplace each with its own methods of practice in improving the ability of HIV-disease control and how to maintain the health of patients after exposed to HIV disease. Make work procedures containing the capabilities of the exploration efforts in the workplace. 3) Evaluate curriculum and exploration in all human dimensions: physical, social, spiritual and psychological in practice method. 4) Develop healthy behaviors, be autonomous and joint the NGOs through the creation of rehabilitation centers for alumni organizations and online. Make the manual effort to build a good health behavior, an ongoing program of communication with friends and Rehabilitation Center Manager. 5) Organize training development and make procedure for harmonization among the professions in program and procedure. 6).Socialization program and synergy program Public Health Care with other Department programs.
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