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Journal of Transcultural Nursing
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Nursing Care of AIDS Patients in Uganda

Bonnie Fournier, MSc, RN

University of Alberta

Walter Kipp, PhD, MD

University of Alberta

Judy Mill, PhD, RN

University of Alberta

Mariam Walusimbi, MSN, RN

Mulago Hospital

This article reports the findings from a participatory action research study concerning the experience of Ugandan nurses caring for individuals with HIV illness. Six key informants from government and non-governmental organizations were interviewed using a semistructured format. Six nurses from a large national referral hospital in Kampala, Uganda, participated in 10 focus group meetings during a period of 11 months. In-depth interviews, focus groups, and photovoice were used to collect the data. Findings indicate that nurses faced many challenges in their daily care, including poverty, insufficient resources, fear of contagion, and lack of ongoing education. Nurses experienced moral distress due to the many challenges they faced during the care of their patients. Moral distress may lead nurses to quit their jobs, which would exacerbate the acute shortage of nurses in Uganda. This study provides important knowledge for guiding clinical practice and nursing education in resource-constrained countries like Uganda.

Key Words: HIV/AIDS • nursing • Uganda • participatory research • moral distress • photovoice

Journal of Transcultural Nursing, Vol. 18, No. 3, 257-264 (2007)
DOI: 10.1177/1043659607301301
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