Barriers and facilitators to maintaining confidentiality for HIV and AIDS patients in OR Tambo, Eastern Cape

Background Healthcare 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 lo...

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Vydáno v:Curationis (Pretoria) Ročník 48; číslo 1; s. e1 - e10
Hlavní autoři: Qotoyi, Ntombesitatu, Madolo, Agrinette N.
Médium: Journal Article
Jazyk:angličtina
Vydáno: South Africa AOSIS 31.10.2025
African Online Scientific Information Systems (Pty) Ltd t/a AOSIS
AOSIS (Pty) Ltd
Témata:
Acquired immune deficiency syndrome
Adult
AIDS
Attitude of Health Personnel
barriers
Beliefs, opinions and attitudes
boundaries
Care and treatment
Confidential communications
Confidentiality
Confidentiality - psychology
Confidentiality - standards
Data analysis
Data collection
Disease prevention
Eastern Cape
Employees
facilitators
Female
Health facilities
HIV
HIV (Viruses)
HIV and AIDS
HIV Infections - nursing
HIV Infections - psychology
HIV patients
Human immunodeficiency virus
Humans
Interviews
Interviews as Topic - methods
Male
Middle Aged
Nurses
Patients
Prevention
primary healthcare
Privacy
Privacy, Right of
Qualitative Research
Research design
Research ethics
Sexually transmitted diseases
South Africa
South Africa
Eastern Cape South Africa
Eastern Cape
primary healthcare
barriers
facilitators
HIV and AIDS
confidentiality
boundaries
ISSN:0379-8577, 2223-6279, 2223-6279
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Popis
Shrnutí:Background Healthcare 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. Objectives This study explored factors influencing professional nurses’ ability to maintain confidentiality in primary healthcare facilities in OR Tambo, Eastern Cape, aiming to develop intervention strategies. Method A 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. Results Findings 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. Conclusion Strengthening 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.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0379-8577
2223-6279
2223-6279
DOI:10.4102/curationis.v48i1.2768