Challenges and strategies in advice and information giving by hiv nurse counsellors

HIV counselling is a communication process between trained HIV nurse counsellors and patients to discuss and assist patients to deal with HIV-related problems. Despite the training undertaken by these nurses, communicating issues such as sensitive matters, medication adherence, and misconceptions ab...

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Main Author:	Haladin, Nur'Ain Balqis
Format:	Thesis
Language:	English
Published:	2017
Subjects:	P Philology Linguistics
Online Access:	http://eprints.utm.my/id/eprint/81723/1/NurainBalqisHaladinPABHS2017.pdf
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id	my-utm-ep.81723
record_format	uketd_dc
spelling	my-utm-ep.817232019-09-22T07:27:32Z Challenges and strategies in advice and information giving by hiv nurse counsellors 2017 Haladin, Nur'Ain Balqis P Philology. Linguistics HIV counselling is a communication process between trained HIV nurse counsellors and patients to discuss and assist patients to deal with HIV-related problems. Despite the training undertaken by these nurses, communicating issues such as sensitive matters, medication adherence, and misconceptions about HIV, remains a challenging task in the Malaysian setting. Due to the lack of research examining the structure of HIV counselling in Malaysia, this study investigated the problem. Moreover, past studies revealed that there are problems with advice and information giving in HIV counselling, hence, this study investigated the advice and information giving challenges, the sequence as well as the strategies. Data were gathered from twenty-four audio recordings of HIV counselling sessions and six focus group discussions from three government hospitals in Malaysia. Thematic analysis of the structure of HIV counselling revealed that the structure differed in terms of its themes and sequence from structures found in past studies. Next, thematic analysis of advice and information giving challenges identified that the most prominent issues were communicating with patients about sensitive matters, and dealing with patients’ medication adherence and misconceptions about HIV. In addition, thematic analysis of advice and information giving sequence identified that these challenges have impact on structural prioritization. Finally, discourse analysis of advice and information giving strategies revealed that apology, inclusive ‘we’, metaphor, and interrogation were the most prominent strategies employed by these nurses. To conclude, based on the findings, recommendations are made by presenting guidelines for advice and information giving strategies in HIV counselling to improve HIV nurse counsellors’ advice and information giving skills. 2017 Thesis http://eprints.utm.my/id/eprint/81723/ http://eprints.utm.my/id/eprint/81723/1/NurainBalqisHaladinPABHS2017.pdf application/pdf en public http://dms.library.utm.my:8080/vital/access/manager/Repository/vital:109893 phd doctoral Universiti Teknologi Malaysia Language Academy
institution	Universiti Teknologi Malaysia
collection	UTM Institutional Repository
language	English
topic	P Philology Linguistics
spellingShingle	P Philology Linguistics Haladin, Nur'Ain Balqis Challenges and strategies in advice and information giving by hiv nurse counsellors
description	HIV counselling is a communication process between trained HIV nurse counsellors and patients to discuss and assist patients to deal with HIV-related problems. Despite the training undertaken by these nurses, communicating issues such as sensitive matters, medication adherence, and misconceptions about HIV, remains a challenging task in the Malaysian setting. Due to the lack of research examining the structure of HIV counselling in Malaysia, this study investigated the problem. Moreover, past studies revealed that there are problems with advice and information giving in HIV counselling, hence, this study investigated the advice and information giving challenges, the sequence as well as the strategies. Data were gathered from twenty-four audio recordings of HIV counselling sessions and six focus group discussions from three government hospitals in Malaysia. Thematic analysis of the structure of HIV counselling revealed that the structure differed in terms of its themes and sequence from structures found in past studies. Next, thematic analysis of advice and information giving challenges identified that the most prominent issues were communicating with patients about sensitive matters, and dealing with patients’ medication adherence and misconceptions about HIV. In addition, thematic analysis of advice and information giving sequence identified that these challenges have impact on structural prioritization. Finally, discourse analysis of advice and information giving strategies revealed that apology, inclusive ‘we’, metaphor, and interrogation were the most prominent strategies employed by these nurses. To conclude, based on the findings, recommendations are made by presenting guidelines for advice and information giving strategies in HIV counselling to improve HIV nurse counsellors’ advice and information giving skills.
format	Thesis
qualification_name	Doctor of Philosophy (PhD.)
qualification_level	Doctorate
author	Haladin, Nur'Ain Balqis
author_facet	Haladin, Nur'Ain Balqis
author_sort	Haladin, Nur'Ain Balqis
title	Challenges and strategies in advice and information giving by hiv nurse counsellors
title_short	Challenges and strategies in advice and information giving by hiv nurse counsellors
title_full	Challenges and strategies in advice and information giving by hiv nurse counsellors
title_fullStr	Challenges and strategies in advice and information giving by hiv nurse counsellors
title_full_unstemmed	Challenges and strategies in advice and information giving by hiv nurse counsellors
title_sort	challenges and strategies in advice and information giving by hiv nurse counsellors
granting_institution	Universiti Teknologi Malaysia
granting_department	Language Academy
publishDate	2017
url	http://eprints.utm.my/id/eprint/81723/1/NurainBalqisHaladinPABHS2017.pdf
_version_	1747818398293688320

Challenges and strategies in advice and information giving by hiv nurse counsellors

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