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

## TL;DR

This study examines what helps and hinders nurses in keeping HIV patient information private in a South African region, aiming to improve confidentiality practices.

## Contribution

The study identifies specific workplace and training-related barriers and facilitators to maintaining HIV patient confidentiality in primary healthcare settings.

## Key findings

- Confidentiality challenges include resource shortages, poor training, and negative attitudes among staff.
- Nurses suggest ongoing training and better infrastructure to improve confidentiality practices.
- Facility-specific differences in confidentiality challenges were observed.

## Abstract

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.

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.

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.

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.

Strengthening confidentiality in HIV care requires comprehensive strategies, including staff empowerment, infrastructure improvements, and initiatives to positively influence staff attitudes.

These insights can guide the development of targeted interventions, inform curriculum enhancements, and support future research initiatives.