Workshop on
Nursing Management of Cardio-thoracic and Vascular Surgeries from April 2-9, 2003

The overall purpose of the workshop is to update and improve upon the knowledge and skills of nurse practitioners of various levels concerning bio-technical advancement and challenges in the area of cardio-thoracic and vascular surgeries.


Policy & Position Statement > HIV/AIDS :
Policy > Strikes - Nursing Identity
Position Statement > Rights of Children - Safeguarding Environment - Substance Abuse/ Drug Abuse - Baby - Friendly Hospital Initiative - Nursing Education - HIV/AIDS - Population Stabilization - Disaster Preparedness - Womenís Health and Development - Nursesí Role in Planning and Policy Making - Nursesí Role in Care of the Elderly - Human Rights - Gender Management System - Safeguarding The Health Of Young People


The Trained Nursesí Association of India endorses the policy statement of the ICN on Acquired Immuno Deficiency Syndrome (AIDS) and further specifies the position of Nurses on HIV/AIDS. Acquired Immuno Deficiency Syndrome (AIDS) is a global problem and is evolving in epidemic proportions the world over. In the absence of a vaccine or effective drug, the disease is fatal. Enough Information is available on the nature of the Human Immuno Deficiency Virus (HIV) and its mode of transmission.

The disease is therefore preventable through modification of behaviours that result in HIV transmission by educating individuals about actions they can take to protect themselves from becoming infected. The disease poses a challenge to the Nurses as they are working directly with infected individuals, families and the community. The Nurses must accept the challenge of caring for the HIV infected persons and AIDS patients.

The TNAI believes that the essential principles in Nursing care with regard to HIV/AIDS are: to prevent the spread of HIV infection; to provide care to patients infected with HIV/AIDS and to provide support for their families and friends; to participate in effective educational and counselling services. The TNAI, through its infrastructure of Branches all over the country can work towards and carry out the under mentioned activities:

Prevention of Infection

The Nurses can help in prevention of spread of infection by providing appropriate care and through practice of universal precautions. Information should be imparted to the public on HIV/AIDS transmission and about safety measures for protection from HIV/AIDS infection. The health education programmes should be targeted for general public, groups practising high-risk behaviour and individuals. The educational efforts should be aimed at modifying the high-risk behaviour, reducing the risk of exposure and transmission and diminishing the stress that the infection produces.

Providing Care

Nurses play a crucial role in providing physical care to HIV infected and AIDS patients in whichever setting they may be placed i.e., in the hospital, clinics or community. The fear of contagion and stigma associated with the disease produces social ostracism and isolation of those infected. The Nurses play an important role in psychological counselling of patients, families and high risk groups. They must protect the basic human rights of HIV infected persons and must maintain confidentiality of victims, carriers and their families, and follow special guidelines in caring for dying HIV/AIDS patients.

Nursing Education

All Nurses need a working knowledge of HIV/AIDS, its transmission, the psychological, social and ethical implications, preventive measures and safety precautions. They require a wide variety of professional, educational and counselling skills to meet the challenges posed by the disease and its impact. There is need for revising the curricula for Nursing Education at all levels to include teaching of necessary knowledge and skills related to AIDS. The Nursing administrators should ensure in-service education on AIDS and its prevention with special emphasis on safety precautions for all Nurses.

Nursing Research

To ensure that Nursing Management principles adopted are effective for prevention of AIDS and care of patients with AIDS, research should be conducted especially in behavioural aspects to identify the determinants of the given behaviour, and in evaluation to assess the effectiveness of programmes implemented.

Safety of Nurses

Nurses, by virtue of their work, are more exposed to blood, body fluids and tissues suspected of being infected and, therefore, to the risk of acquiring HIV infection. The Nurses should be informed as soon as the diagnosis of HIV is established. Standards for handling infected patients and materials must be developed and enforced in all health care settings.

Adequate protective equipment and facilities should be made available to ensure the practice of universal precautions for protection of Nursing staff and care of victims and carriers. In the event of adequate protective equipment not being available, the Nurses may decline to look after AIDS patients for reasons of their safety.

Nurses who are exposed to HIV infection during the course of their work should follow the directions as laid down by the hospital infection committee. They must be followed up for a period of six months to ensure that they do not develop the infection.

© 2002, Trained Nurses' Association of India (TNAI), All Rights Reserved.
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