ArticleCurationis2025
Barriers and facilitators to maintaining confidentiality for HIV and AIDS patients in OR Tambo, Eastern Cape.
Article in Curationis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
2 authors.
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Abstract
backgroundHealthcare practitioners are required to keep patient information private, though sharing is sometimes necessary for patient care, risking confidentiality breaches that can compromise privacy rights. Professional nurses lead HIV prevention, treatment, and care services, but issues like loss to follow-up and confidentiality breaches leading patients to move between clinics to hide their status pose challenges.
objectivesThis study explored factors influencing professional nurses' ability to maintain confidentiality in primary healthcare facilities in OR Tambo, Eastern Cape, aiming to develop intervention strategies.
methodA qualitative, descriptive, contextual design was used. Nineteen purposively sampled professional nurses participated in semi-structured interviews until data saturation. Interviews were audio-recorded, transcribed verbatim, and thematically analysed using Tesch's method.
resultsFindings revealed that confidentiality is impacted by resource shortages, limited knowledge, negative attitudes, and inadequate training. Challenges vary across facilities, but nurses recognize the importance of confidentiality. Participants suggested the need for ongoing training on guidelines and consent procedures to uphold confidentiality.
conclusionStrengthening confidentiality in HIV care requires comprehensive strategies, including staff empowerment, infrastructure improvements, and initiatives to positively influence staff attitudes.Contribution: These insights can guide the development of targeted interventions, inform curriculum enhancements, and support future research initiatives.
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