Prevention: our major weapon against HIV infection and AIDS. Report on the Ninth International Conference on AIDS, Berlin, Germany, 6-11 June, 1993.
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Biomedical subjects
Publications and source records attributed to M F Lachat.
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The dramatic increase of new HIV/AIDS cases in women and their babies continues to require midwives to be vigilant in their efforts to identify clients at risk for HIV. The role of STDs in HIV transmission and disease progression is evident. Research is lacking on the effect of AIDS drugs, pregnancy and birth on the HIV-infected woman. Prevention, through safer sex, is a critical education strategy to consider. Data suggesting intrapartum transmission of HIV is particularly interesting and warrants further study. Development of the international framework for future clinical vaccine trials is underway. Initial studies on the ability of HIV vaccines to limit perinatal transmission may provide some encouraging future results.
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Reports of AIDS cases continue to increase in all countries. Heterosexual transfer is on the rise with subsequent implications for maternity care. Young men and women at the beginning of their sexual lives are at great risk for HIV exposure since unprotected sexual intercourse is rampant. Behaviour changes are necessary. Society is charged to indiscriminately care for all of its members. Legal protection for people with AIDS is necessary. Orphans, mothers and families need special assistance. The challenge has been made. History will determine our success.
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At the Georgetown University School of Nursing, a three-tiered team model is used to ensure the effectiveness of the undergraduate preceptor program. Using the three-tiered model, clinical teaching activities are shared among preceptors, clinical instructors, and the course coordinator. This strategy allows the assignment of more complex patients and groups of patients in a closely supervised learning environment. Through evaluations of the program, students have indicated that the preceptorship has increased their sense of independence with patient care and enhanced their satisfaction with the clinical experience.
Faculty members are challenged to promote professional nurse development in undergraduate students. The authors discuss an experimental teaching/learning strategy for senior nursing students and groups of freshman students in a baccalaureate nursing program. This strategy provided a unique opportunity for professional role socialization and school integration in first-year students and increased competence in teaching skills and confidence as professional role models in the seniors. Based on evaluations by the participants, the experimental teaching strategy was a positive experience for both freshman and senior students.
Challenged to enhance critical thinking concepts in a sophomore nursing process course, faculty expanded the lecture format to include group explorations of patient case studies. The group format facilitated a higher level of analysis of patient cases and more sophisticated applications of nursing process. This teaching strategy was a positive learning experience for students and faculty.
The need for continuing nursing education in the area of HIV/AIDS care and prevention has intensified. Planning community-wide HIV/AIDS programs is a challenge. This article describes a strategy that was successful in consolidating multi-agency expertise and in establishing a framework for subsequent continuing education programs.
A new clinical educator role implemented at Georgetown University Hospital is described in this article. Nurses in this role assume dual responsibilities for nursing staff development and clinical supervision of baccalaureate nursing students. These clinical educators have joint appointments in the Department of Nursing and the School of Nursing. This role helps to bridge the education-practice gap and encourages a more efficient use of nursing resources.
Clinical practicum abroad can offer a wealth of unique professional and personal experiences for nursing students. Most of the resources and expertise necessary to develop an international programme may already exist within the nursing school. Below, some pointers on how to plan a study-abroad programme, based on the successful experience of the School of Nursing at Georgetown University.
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