The
trend for community-based health care is broadening as a result of decreased
lengths of stay in the hospital and cost-containment initiatives, coupled with
the fact that people are living longer; resulting in increased chronic diseases
that need nursing care. Developing competence in community health education and
health promotion has become increasingly important in addressing the new public
health agenda, particularly effective nursing skills in working with communities
to identify their shared needs and solutions (Ritchie, 2004.). HIV is one of
the prevalence community health concern. As HIV has become a chronic illness,
many individuals affected by the disease may have health learning needs that
affect their behavior, health status, and health care costs (Mendias, &
Paar, 2007). The curriculum will be on ‘Infection Control in the
Immunocompromised Persons with reference to HIV/AIDS patients.’ It will be
developed for the Nurse Group Facilitators to facilitate group discussion on
infection control and other health issues and concerns that impact group
members living with HIV/AIDS in agreement with Industry Standards.
Education-Based Industry Standard
The
purpose of education-based industry standards in nursing is to provide
guidelines and principles for professional nursing practice. It fosters a clear
and consistent direction that is based on the scope of practice which describes
the procedures, actions, and processes that the nurse is permitted to undertake
in keeping with the terms of his/her professional license and is limited to
what the law allow for specific education and competency. Developing curriculum
for the nurse group facilitator based on industry standard will promote
professionalism in practice. Accreditation and regulatory bodies providing oversight
of institutions preparing health professionals; accreditation and regulatory
organizations for clinics, home health agencies hospices, health professional
councils, and associations, and International Council of Nurses (ICN, 2008a),
have documented the need for competency-based education. There is critical need
to have clearly identified competencies to support the efficient and effective
use of resources, including human resources, in the delivery of nursing care
(Relf, M., et al., 2011).
Relevance and Influence of Industry
Standards
The
American Nurses Association (ANA) is dedicated to ensuring that an adequate
supply of highly-skilled and well-educated nurses is available. The Code of
Ethics for Nurses with Interpretive Statements (The Code) was developed as a
guide for carrying out nursing responsibilities in a manner consistent with
quality in nursing care and the ethical obligations of the profession (ANA,
2016). According to ANA Code of Ethics for Nurses 8.2 “All nurses commit to
advancing health, welfare, and safety. 3.4 Nurse must participate in the
development, implementation, and review of and adherence to policies that
promote patient health and safety...” (ANA, 2016).
The
New York State Department of Health (NYDOH), AIDS Institute has lead
responsibility for coordinating state programs, services, and activities
relating to HIV/AIDS. The Institute protects and promotes the health of New
York State’s diverse population through disease surveillance and the provision
of quality prevention, health care and support services for the affected
individuals (NYDOH, 2016). The Centers for Disease Control (CDC) currently
supports different activities for HIV prevention. According to CDC, HIV-related
prevention is a public health priority. Extensive treatment with antiretroviral
medications and effective health promotion programs in the United States have
reduced mortality and diminished morbidity and delayed progression of HIV/IDS
(CDC, 2003a). Each of the organization set standards for skilled and competent
nurses who will educate persons living with HIV/ADS on health promotion and
treatment modalities that can enhance their quality of life. It will eliminate
new infection and improve the health and well-being of the affected
individuals.
Integrating Industry Standards in
Curriculum
Nurses
practice in many settings with people living with HIV/AIDS. Taking an
increasing share of the professional burden of care and helping to reduce
morbidity and mortality according to industrial standard. The educated-based
industry standards provide the general guidelines for developing the curriculum
that will foster nursing competency in serving individuals living with HIV/AIDS.
The
figure illustrates the complex nature of HIV/AIDS nursing care. The patient
delineated in the middle represent an individual, family, or community affected
by HIV/AIDS with the nursing care activities surrounding the client. It
demonstrates the complex, multilevel need of persons living with HIV. In
partnering with the client to address these needs, the nurse uses many roles,
which are illustrated in the outer circles (Relf, M., et al., 2011).
Reference
American Nurse Association
(2016). Retrieved from http://www.nursingworld.org/FunctionalMenuCategories/AboutANA/Leadership-Governance
Centers for Disease Control
(2003a). Advancing HIV prevention: New strategies for a changing epidemic-
United States, 2003.
Morbidity and Mortality Weekly Report, 52, 329-332. Retrieved from http://www.cdc/gov/mmsr/previes/mmwhrhtml/mm.5215a1.htm
International Council of Nurses
(ICN). (2008a). Nursing care continuum - framework and competencies.
Geneva, Switzerland: ICN
Mendias, E. P., & Paar, D. P.
(2007). Perceptions of health and self-care learning needs of outpatients with
HIV/AIDS. Journal of Community Health Nursing, 24(1), 49-64.
Retrieved from the University of Phoenix Library. http://www.jstor.org.contentproxy.phoenix.edu/stable/pdf/20618242.pdf?_=1468304272952
Relf, M. V, Mekwa, J., Chasokela, C., more. (2011). Essential nursing competencies related to HIV and AIDS. Journal of the
Association of Nurses in AIDS Care, (22)1, p. e5-e40. DOI:
10.1016/j.jana.2010.07.007
Ritchie, D. (2004). Community health education and promotion—A guide
to program design and evaluation Mary Ellen Wurzbach (Ed.); 660 pages, ISBN
0-8342-2097-0 (£54.00). Public Health, 118(4), p. 303. DOI 10.1016/S0033-3506(03)00123-9
The New York State Department of
Health (2016). http://www.health.ny.gov/diseases/aids/general/about/index.htm
