BRIDGING THE NURSING CARE GAP: BUILDING QUALITY NURSING SERVICES FOR GAYS WITH HIV/AIDS THROUGH STANDARDIZATION, ENHANCEMENT OF NURSES' COMPETENCE, AND PATIENT PARTICIPATION
Keywords:
Nursing Care, Gay, HIV/AIDS, Nursing Competence, MentoringAbstract
Nursing care is a crucial aspect in addressing health issues, including Human Immunodeficiency Virus (HIV)/ Acquired Immunodeficiency Syndrome (AIDS), especially within the gay population. A lack of knowledge regarding nursing care for this population can hinder the reduction of HIV/AIDS cases. There is a need for HIV/AIDS nursing care standards that are not only comprehensive but also sensitive to the specific perceptions and needs of gay patients. Negative perceptions of nursing care can affect the quality of care and patient involvement in managing their health. Therefore, this study aims to explore these perceptions. This study employed a qualitative descriptive design to gain a deep understanding of the perceptions of gay patients with HIV/AIDS towards nursing care. Data was collected through in-depth interviews with 14 participants selected purposively. The interviews were designed to explore the participants' views, experiences, and expectations regarding the nursing services they received. The collected data was analyzed using thematic analysis, allowing the researchers to identify and categorize the main themes from the gathered information. Two main themes were identified during this study: The desired professional nursing services for gay individuals with HIV/AIDS and the limitations of nurses in involving gay clients with HIV/AIDS in the nursing care planning process. Consistent and standardized nursing care services, as well as enhancing nurses' skills and abilities through mentoring and training, are the expectations of gay individuals with HIV/AIDS towards professional nursing care. A heavy workload is a limitation faced by nurses in providing optimal nursing care to gay individuals with HIV/AIDS.
References
Astuti, D., & Mulyaningsih, M. (2017). Nurse Role As Educator Affected the Compliance of Antiretroviral (ARV) Consumption for Patients with HIV/AIDS in the VCT Clinic of Dr. Moewardi Hospital. Jurnal Ners Dan Kebidanan (Journal of Ners and Midwifery), 3(3), 183. https://doi.org/10.26699/jnk.v3i3.ART.p183-188
Chen, L., Guo, Y., & Shi, J. (2019). Social Support Seeking on social media among Chinese Gay Men Living with HIV/AIDS: The Role of Perceived Threat. Telemedicine and E-Health, 25(7), 655-659. https://doi.org/10.1089/tmj.2018.0136
Colorafi, K. J., & Evans, B. (2016). Qualitative Descriptive Methods in Health Science Research. Health Environments Research and Design Journal, 9(4), 16-25. https://doi.org/10.1177/1937586715614171
Connolly, M. P., & Lynch, K. (2016). Is being gay bad for your health and wellbeing? Cultural issues affecting gay men accessing and using health services in the Republic of Ireland. Journal of Research in Nursing, 21(3), 177-196. https://doi.org/10.1177/1744987115622807
Darmawan, B. A., & Permatasari, I. (2022). Upaya Penurunan stigma Dan Diskriminasi Terhadap ODHA Menuju Indonesia Bebas HIV/AIDS 2030. Faculty of Public Health Universitas Indonesia, December. https://www.researchgate.net/publication/366658016
Demeke, J., Djiadeu, P., Yusuf, A., Whitfield, D. L., Lightfoot, D., Worku, F., Abu-Ba’are, G. R., Mbuagbaw, L., Giwa, S., & Nelson, L. R. E. (2024). HIV Prevention and Treatment Interventions for Black Men Who Have Sex with Men in Canada: Scoping Systematic Review. JMIR Public Health and Surveillance, 10. https://doi.org/10.2196/40493
Dirks, J. L. (2021). Alternative approaches to mentoring. Critical Care Nurse, 41(1), e9-e16. https://doi.org/10.4037/ccn2021789
Fukada, M. (2018). Nursing competency: Definition, structure and development. Yonago Acta Medica, 61(1), 1-7. https://doi.org/10.33160/yam.2018.03.001
Gupta, A. Sen. (2010). Impact of Counselling upon Anxiety and Depression of AIDS Patients. 36(2), 249-253.
Handayani, Y., Susanti, H., & Mustikasari. (2019). The self-esteem of gay men with HIV/AIDS in social adaptation. Enfermeria Clinica, 29, 874-878. https://doi.org/10.1016/j.enfcli.2019.04.132
Hoover, J., Koon, A. D., Rosser, E. N., & Rao, K. D. (2020). Mentoring the working nurse: a scoping review. Human Resources for Health, 18(1), 1-10. https://doi.org/10.1186/s12960-020-00491-x
Jones, M., Smith, J. C., Moore, S., Newman, A., Camacho-Gonzalez, A., Harper, G. W., Del Rio, C., & Hussen, S. A. (2022). Passion, commitment, and burnout: Experiences of Black gay men working in HIV/ AIDS treatment and prevention in Atlanta, GA. PLoS ONE, 17(8 August), 1-15. https://doi.org/10.1371/journal.pone.0264680
Kementerian Kesehatan RI. (2022). Laporan Tahunan HIV AIDS 2022. In Kementerian Kesehatan RI. http://p2p.kemkes.go.id/wp-content/uploads/2023/06/FINAL_6072023_Layout_HIVAIDS-1.pdf
Maier, J., Kandelbauer, A., Erlacher, A., Cavaco-Paulo, A., & Gübitz, G. M. (2014). Undang-Undang Kesehatan Jiwa 2014. Applied and Environmental Microbiology, 70(2), 837-844.
Manuho, E., Warouw, H., & Hamel, R. (2015). Hubungan beban kerja dengan kinerja perawat dalam pemberian asuhan keperawatan di instalasi rawat inap C1 RSUP Prof. DR. R. D. Kandou Manado. Ejournal Keperawatan, 3.
Parameshwaran, V., Cockbain, B. C., Hillyard, M., & Price, J. R. (2017). Is the Lack of Specific Lesbian, Gay, Bisexual, Transgender and Queer/Questioning (LGBTQ) Health Care Education in Medical School a Cause for Concern? Evidence From a Survey of Knowledge and Practice Among UK Medical Students. Journal of Homosexuality, 64(3), 367-381. https://doi.org/10.1080/00918369.2016.1190218
Persatuan Perawat Nasional Indonesia (PPNI). (2018). Standar Intervensi Keperawatan Indonesia: Definisi dan Tindakan Keperawatan. Dewan Pengurus PPNI Pusat.
Pop, R. S. (2017). Mentoring nurse practitioners in a hospital setting. Journal of Nursing Research, 25(4), 304-309. https://doi.org/10.1097/jnr.0000000000000161
Pratiwi Yuliansari, C. N. (2020). Hubungan Berbagi Pengetahuan Terhadap Budaya Keselamatan Pasien Pada Perawat the Relationship Of Knowledge Transfer On Nurses Patient Safety’s Culture. Journals Of Ners Community, 11, 1-9.
Priharwanti, A., & Raharjo, B. B. (2017). Problems Focused Coping Penderita HIV Positif Abstrak. 2(2), 131-139.
Puplampu, G. L., Olson, K., Ogilvie, L., & Mayan, M. (2014). Attracting and retaining nurses in HIV care. Journal of the Association of Nurses in AIDS Care, 25(3), 253-261. https://doi.org/10.1016/j.jana.2013.01.002
Ranuschio, B., Bell, S., Waldron, J. M., Barnes, L., Sheik-Yosef, N., Villalobos, E., Wackens, J., & Liboro, R. M. (2023). Promoting Resilience among Middle-Aged and Older Men Who Have Sex with Men Living with HIV/AIDS in Southern Nevada: An Examination of Facilitators and Challenges from a Social Determinants of Health Perspective. Healthcare (Switzerland), 11(20). https://doi.org/10.3390/healthcare11202730
Salsabila, R., & Fitriyani, H. (2020). Pengaruh Teknik Self-Instruction Dalam Pendekatan Cognitive Behavior Therapy untuk Meningkatkan Harga Diri Korban Perundungan. INSIGHT: Jurnal Bimbingan Konseling, 9(1), 56-69. https://doi.org/10.21009/insight.091.06
Silalahi, M., & Fitriani, N. (2024). Psychological Responses and Coping Mechanisms of Gay Men in Adapting HIV/AIDS: A Qualitative Study. Indonesian Contemporary Nursing Journal (ICON Journal), 8(2), 101-111. https://doi.org/10.20956/icon.v8i2.32679
Silalahi, M., Susanti, H., & Panjaitan, R. U. (2019a). Pengkajian Keperawatan Yang Efektif Bagi Gay Dengan Hiv/Aids. Jurnal Kesehatan Holistic, 3(2), 44-57. https://doi.org/10.33377/jkh.v3i2.55
Silalahi, M., Susanti, H., & Panjaitan, R. U. (2019b). The expectations of gay with HIV/AIDS regarding nurses in Indonesia. Enfermeria Clinica, 29, 396-401. https://doi.org/10.1016/j.enfcli.2019.04.057
Silalahi, M., Susanti, H., & Panjaitan, R. U. (2019c). The expectations of gay with HIV/AIDS regarding nurses in Indonesia. Enfermeria Clinica, 29(xx), 396-401. https://doi.org/10.1016/j.enfcli.2019.04.057
Slater, L. Z., Moneyham, L., Vance, D. E., Raper, J. L., & Mugavero, M. J. (2015). The Multiple Stigma Experience and Quality of Life in Older Gay Men With HIV. Journal of the Association of Nurses in AIDS Care, 26(1), 24-35. https://doi.org/10.1016/j.jana.2014.06.007
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