Globally, nurses' contribution to informed health policy decisions is limited, as there are many
barriers to Nurse led change to successfully influence the HIV and AIDS policy process. In
South Africa nurses at all levels of health care are not involved or consulted during the
formulation of the HIV and AIDS workplace policy. This has led to concern about the
absence of nurses at the policy table. This study forms part of a larger international study
programme entitled: “Strengthening Nurses’ Capacity in HIV and AIDS Policy Development
in Sub–Saharan Africa and the Caribbean”. This programme of international research aims
to empower nurses to become involved in the policy process (formulation, implementation
and evaluation) in order to strengthen health systems in the areas of HIV and AIDS care.
Nurses' absence at the policy table prompted the researcher to explore and describe barriers
to Nurse led change to influence HIV and AIDS workplace policy. Phase 1 of the research
consisted of a literature review to identify barriers to Nurse led change to influence the HIV
and AIDS workplace policy. Management's opinion about the human resource management
capacity and problems experienced working in an HIV and AIDS environment was obtained
through a quantitative and qualitative empirical method of data collection and analysis.
Frontline nurses' perspective was obtained through qualitative interviewing to identify
problems experienced with policy in an HIV and AIDS workplace environment. A mixedmethod
triangulation research design was used to achieve the objectives of phase 1 of the
study, and strategies applied included exploratory, descriptive and contextual designs.
The analysis of the data contributed to the identification and classification of problems
experienced by nurses to influence HIV and AIDS workplace policy at macro, meso and
microlevel, resulting in the formulation of fifty–nine (59) concluding problem statements.
These concluding statements formed the basis for the strategy development for Nurse led
change to influence HIV and AIDS workplace policy, which was the only objective of the
second phase of the research. The strategy for Nurse led change to influence HIV and AIDS workplace policy was
developed by using a strategic process to determine the vision, mission, values, principles,
assumptions, strategic objectives and functional tactics based on the concluding problem
statements. Finally, the research was evaluated, limitations were identified and
recommendations were formulated for practice, education, research and policy. / Thesis (Ph.D. (Nursing))--North-West University, Potchefstroom Campus, 2011.
| Identifer | oai:union.ndltd.org:NWUBOLOKA1/oai:dspace.nwu.ac.za:10394/4641 |
| Date | January 2010 |
| Creators | Muller, Catherina Elizabeth |
| Publisher | North-West University |
| Source Sets | North-West University |
| Detected Language | English |
| Type | Thesis |
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