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1.
Med Care ; 59(1): 46-52, 2021 01.
Artículo en Inglés | MEDLINE | ID: mdl-33027238

RESUMEN

BACKGROUND: As the population with human immunodeficiency virus (HIV) continues to age, the need for nursing home (NH) care is increasing. OBJECTIVES: To assess whether NH's experience in treating HIV is related to outcomes. RESEARCH DESIGN: We used claims and assessment data to identify individuals with and without HIV who were admitted to NHs in 9 high HIV prevalent states. We classified NHs into HIV experience categories and estimate the effects of NH HIV experience on patient's outcomes. We applied an instrumental variable using distances between each individual's residence and NHs with different HIV experience. SUBJECTS: In all, 5,929,376 admissions for those without HIV and 53,476 admissions for residents with HIV. MEASURES: Our primary outcomes were 30-day hospital readmissions, likelihood of becoming a long stay resident, and 180-day mortality posthospital discharge. RESULTS: Residents with HIV tended to have poorer outcomes than residents without HIV, regardless of the NH they were admitted to. Residents with HIV admitted to high HIV experience NHs were more likely to be readmitted to the hospital than those admitted to NHs with lower HIV experience (19.6% in 0% HIV NHs, 18.7% in 05% HIV NHs and 22.9% in 5%-50% HIV NHs). CONCLUSIONS: Residents with HIV experience worse outcomes in NHs than residents without HIV. Increased HIV experience was not related to improved outcomes.


Asunto(s)
Infecciones por VIH/enfermería , Revisión de Utilización de Seguros/estadística & datos numéricos , Casas de Salud/estadística & datos numéricos , Evaluación del Resultado de la Atención al Paciente , Readmisión del Paciente/estadística & datos numéricos , Anciano , Femenino , Infecciones por VIH/epidemiología , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Medicaid/estadística & datos numéricos , Medicare/estadística & datos numéricos , Persona de Mediana Edad , Estados Unidos
2.
PLoS One ; 15(12): e0243814, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33315923

RESUMEN

BACKGROUND: Access to healthcare services, from diagnosis through end of life (EOL), is important among persons living with Human Immunodeficiency Syndrome (HIV) and Acquired Immunodeficiency Syndrome (AIDS) (PLWHA). However, little is known about the availability of hospice services in Appalachian areas. Therefore, the objective of this study is to describe the geographic distribution of hospice, homecare and nursing home facilities in order to demonstrate current existence of and access to resources for EOL care among PLWHA in the Appalachian regions of Tennessee and Alabama. METHODS: This paper reports on the second aim of a larger sequential, mixed methods qualitative-quantitative (qual→quan) study. Data from advance care planning (ACP) surveys were collected by both electronic (n = 28) and paper copies (n = 201) and, among other things, obtained information on zip codes of residence of PLWHA. This enabled assessment of the geographic distribution of residences of PLWHA in relation to the distribution of healthcare services such as hospice and home healthcare services. Hospice and Home Healthcare data were obtained from the Tennessee and Alabama Departments of Health. The street addresses of these facilities were used to geocode and map the geographic distributions of the facilities using Street Map USA. Travel times to Hospice and Home Healthcare facilities were computed and mapped using ArcGIS 10.3. RESULTS: We identified a total of 32 hospice and 69 home healthcare facilities in the Tennessee Appalachian region, while the Alabama Appalachian region had a total of 110 hospice and 86 home healthcare facilities. Most care facilities were located in urban centers. The distribution of care facilities was worse in Tennessee with many counties having no facilities, requiring up to an hour drive time to reach patients. A total of 86% of the PLWHA indicated preference to die at home. CONCLUSIONS: Persons living with HIV/AIDS in Appalachia face a number of challenges at the end of life that make access to EOL services difficult. Although respondents indicated a preference to die at home, the hospice/homecare infrastructure and resources are overwhelmingly inadequate to meet this need. There is need to improve access to EOL care in the Appalachian regions of both Tennessee and Alabama although the need is greater in Tennessee.


Asunto(s)
Infecciones por VIH/patología , Servicios de Atención de Salud a Domicilio/estadística & datos numéricos , Hospitales para Enfermos Terminales/estadística & datos numéricos , Casas de Salud/estadística & datos numéricos , Cuidado Terminal , Alabama , Región de los Apalaches , Femenino , Sistemas de Información Geográfica , Infecciones por VIH/enfermería , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Humanos , Masculino , Persona de Mediana Edad , Tennessee
3.
Enferm. clín. (Ed. impr.) ; 30(supl.5): 216-220, jun. 2020. tab
Artículo en Inglés | IBECS | ID: ibc-196673

RESUMEN

OBJECTIVES: The study explored the variations of registered nurses' perceived roles and experiences before, during and after HIV counseling. METHODS: The study is anchored on Parse's Human Becoming Theory structured around three abiding themes: meaning, rhythmicity, and transcendence. A qualitative phenomenographical approach was used and the data were collected through semi structured, face-to-face, in-depth interview sessions with ten registered nurses who were eligible under the set criterion: HIV counselors employed in both government and private health facilities with HIV Testing and Counseling facilities and services in Iligan City and Cagayan de Oro City. Verbatim transcriptions were analyzed in iterative process using Jan Larssons and Inger Holmstrom's (2007) seven simple steps of phenomenographic analysis. Triangulation and validation established rigor and trustworthiness of the data. RESULTS: Emergent themes of differences in participants' perceived roles and experiences conveyed in a metaphor: The Employee vs. The Educator; The Professional vs. The Shepherd. CONCLUSION: The variations ascertained the association of perceived roles and experiences of HIV Counselors and posited equally vast challenges as nursing takes the core in collaboration for the care of persons living with HIV toward a dignified death


No disponible


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Consejeros/organización & administración , Rol de la Enfermera , Infecciones por VIH/enfermería , Atención de Enfermería/normas , Enfermeras y Enfermeros/organización & administración , Pautas de la Práctica en Enfermería/organización & administración , Encuestas y Cuestionarios , Actitud del Personal de Salud
4.
BMC Public Health ; 20(1): 577, 2020 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-32345293

RESUMEN

BACKGROUND: Sexually transmitted infections (STIs) during pregnancy result in neonatal morbidity and mortality, and may increase mother-to-child-transmission of HIV. Yet the World Health Organization's current syndromic management guidelines for STIs leaves most pregnant women undiagnosed and untreated. Point-of-care (POC) diagnostic tests for STIs can drastically improve detection and treatment. Though acceptable and feasible, poor medication adherence and re-infection due to lack of partner treatment threaten the programmatic effectiveness of POC diagnostic programmes. METHODS: To engender patient-provider trust, and improve medication adherence and disclosure of STI status to sexual partners, we trained study nurses in compassionate care, good clinical practices and motivational interviewing. Using qualitative methods, we explored the role patient-provider communications may play in supporting treatment adherence and STI disclosure to sexual partners. Nurses were provided training in motivational interviewing, compassionate care and good clinical practices. Participants were interviewed using a semi-structured protocol, with domains including STI testing experience, patient-provider communication, and HIV and STI disclosure. Interviews were audio-recorded, transcribed and analyzed using a constant comparison approach. RESULTS: Twenty-eight participants treated for Chlamydia trachomatis (CT), Trichomonas vaginalis (TV), and/or Neisseria gonorrhea (NG) were interviewed. Participants described strong communications and trusting relationships with nurses trained in patient-centered care training and implementing POC STI diagnostic testing. However, women described a delayed trust in treatment until their symptoms resolved. Women expressed a limited recall of their exact diagnosis, which impacted their ability to fully disclose their STI status to sexual partners. CONCLUSIONS: We recommend implementing patient health literacy programmes as part of POC services to support women in remembering and disclosing their specific STI diagnosis to sexual partners, which may facilitate partner treatment uptake and thus decrease the risk of re-infection.


Asunto(s)
Relaciones Enfermero-Paciente , Aceptación de la Atención de Salud/psicología , Pruebas en el Punto de Atención , Mujeres Embarazadas/psicología , Diagnóstico Prenatal/psicología , Adulto , Femenino , Infecciones por VIH/enfermería , Infecciones por VIH/psicología , Infecciones por VIH/transmisión , Alfabetización en Salud , Humanos , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/enfermería , Complicaciones Infecciosas del Embarazo/psicología , Diagnóstico Prenatal/métodos , Diagnóstico Prenatal/enfermería , Enfermedades de Transmisión Sexual/diagnóstico , Enfermedades de Transmisión Sexual/enfermería , Enfermedades de Transmisión Sexual/psicología , Sudáfrica , Confianza
6.
Enferm. glob ; 19(58): 494-506, abr. 2020. tab
Artículo en Español | IBECS | ID: ibc-195564

RESUMEN

OBJETIVO: Analizar si existen diferencias entre las características sociodemográficas, clínicas y afectivas sexuales en las diferentes asociaciones sexuales entre personas viviendo con VIH / sida. MÉTODOS: Se trata de un estudio transversal realizado en un servicio de asistencia especializada en el tratamiento de personas con el Virus de la Inmunodeficiencia Humana, con 173 participantes. Los datos fueron recolectados por medio de entrevistas con cuestionarios construidos para el estudio. RESULTADOS: Se verificaron evidencias estadísticas entre la serología del compañero y el sexo, estado civil, hijo, número de hijos. La serología del compañero sexual también presentó evidencias científicas entre las variables tipo de asociación, uso del preservativo masculino, práctica sexual vaginal insertiva, divulgación del diagnóstico del VIH para la asociación sexual y considera importante la divulgación del VIH para el socio. CONCLUSIÓN: La serología del compañero fue influenciada por las variables sociodemográficas y afectivo-sexuales


OBJECTIVE: To analyze whether there are differences between socio-demographic, clinical and affective-sexual characteristics in the different sexual partnerships between people living with HIV/AIDS. METHODS: This is a cross-sectional study carried out in a care service specialized in the treatment of people with Human Immunodeficiency Virus, with 173 participants. Data were collected through interviews with a questionnaire built for the study. RESULTS: Statistical evidences were verified between the serology of the partner and the sex, marital status, child, number of children. The serology of the sexual partner also presented scientific evidence among the type variables of partnership, use of the male condom, insertive vaginal sex, dissemination of the HIV diagnosis to the sexual partnership and the importance of spreading HIV to the partner. CONCLUSION: The serology of the partner was influenced by sociodemographic and affective-sexual variables


OBJETIVO: Analisar se existe diferenças entres as características sociodemográficos, clínicos e afetivos-sexuais nas diferentes parcerias sexuais entre pessoas vivendo com HIV/aids. MÉTODOS: Trata-se de um estudo transversal realizado em um serviço de assistência especializada no tratamento de pessoas com o Vírus da Imunodeficiência Humana, com 173 participantes. Os dados foram coletados por meio de entrevistas com questionário construído para o estudo. RESULTADO: Verificou-se evidencias estatísticas entre a sorologia do parceiro e o sexo, estado civil, filho, número de filhos. A sorologia do parceiro sexual também apresentou evidências científicas entre as variáveis tipo de parceria, uso do preservativo masculino, prática sexual vaginal insertivo, divulgação do diagnóstico do HIV para a parceria sexual e considera importante a divulgação do HIV para o parceiro. CONCLUSÃO: A sorologia do parceiro foi influenciada pelas variáveis sociodemográficas e afetivo-sexuais


Asunto(s)
Humanos , Masculino , Femenino , Conducta Sexual/clasificación , Sexualidad/estadística & datos numéricos , Infecciones por VIH/enfermería , Síndrome de Inmunodeficiencia Adquirida/enfermería , Seropositividad para VIH/epidemiología , Estudios Transversales , Parejas Sexuales , Infecciones por VIH/prevención & control , Carga Viral/estadística & datos numéricos , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Hepatitis Viral Humana/prevención & control
7.
Rev Med Suisse ; 16(686): 539-542, 2020 Mar 18.
Artículo en Francés | MEDLINE | ID: mdl-32186799

RESUMEN

HIV affection affects sexual function, sexual health and relationships as well as mental health and quality of life. Due to the importance of sexual health for each individual and in order to ensure optimal and quality care, we have assessed the demand for sexual health and advise not only among HIV patients but also among professionals in this area and nursing staff. The results showed that sexuality was important both for patients and caregivers. Also, we did find out that carers want to create a better professional network with the aim of redirecting patients to specialists according to their specific needs. Carers have also expressed a desire to have relevant training in sexology and sexual health to achieve this.


Asunto(s)
Infecciones por VIH/psicología , Infecciones por VIH/terapia , Conducta Sexual/psicología , Salud Sexual , Sexualidad/psicología , Cuidadores , Infecciones por VIH/enfermería , Humanos , Calidad de Vida
8.
Prog Cardiovasc Dis ; 63(2): 92-100, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32092444

RESUMEN

Stakeholder-informed strategies addressing cardiovascular disease (CVD) burden among people living with HIV (PWH) are needed within healthcare settings. This study provides an assessment of how human-centered design (HCD) guided the adaptation of a nurse-led intervention to reduce CVD risk among PWH. Using a HCD approach, research staff guided two multidisciplinary "design teams" in Ohio and North Carolina, with each having five HCD meetings. We conducted acceptability and feasibility testing. Six core recommendations were produced by two design teams of key stakeholders and further developed after the acceptability and feasibility testing to produce a final list of 14 actionable areas of adaptation. Acceptability and feasibility testing revealed areas for adaptation, e.g. patient preferences for communication and the benefit of additional staff to support patient follow-up. In conclusion, along with acceptability and feasibility testing, HCD led to the production of 14 key recommendations to enhance the effectiveness and scalability of an integrated HIV/CVD intervention.


Asunto(s)
Fármacos Anti-VIH/uso terapéutico , Enfermedades Cardiovasculares/prevención & control , Prestación Integrada de Atención de Salud , Infecciones por VIH/tratamiento farmacológico , Sobrevivientes de VIH a Largo Plazo , Rol de la Enfermera , Atención Dirigida al Paciente , Servicios Preventivos de Salud , Fármacos Anti-VIH/efectos adversos , Enfermedades Cardiovasculares/diagnóstico , Enfermedades Cardiovasculares/enfermería , Estudios de Factibilidad , Femenino , Infecciones por VIH/diagnóstico , Infecciones por VIH/enfermería , Estado de Salud , Humanos , Liderazgo , Masculino , Persona de Mediana Edad , North Carolina , Ohio , Aceptación de la Atención de Salud , Participación de los Interesados , Resultado del Tratamiento , Carga Viral
9.
J Acquir Immune Defic Syndr ; 84(1): 122-131, 2020 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-32049772

RESUMEN

BACKGROUND: Disclosing HIV status to HIV-positive children is a major challenge facing families and health care providers. Despite recommendations for disclosure, rates remain low. We tested whether a pediatric HIV disclosure intervention delivered as an integral component of routine HIV health care in Ghana would improve disclosure to children. METHODS: Dyads of HIV-infected children aged 7-18 years and their caregivers were enrolled from 2 HIV clinics in Accra and Kumasi, Ghana. The sites were randomly assigned to one of the 2 intervention arms to avoid treatment contamination between intervention and control participants. Trained interventionist used theory-guided therapeutic communication and personalized interaction to promote disclosure. Disclosure outcomes were measured at 12-week intervals. All analyses were completed using a modified intention-to-treat approach. RESULTS: We enrolled 446 child-caregiver dyads (N = 240 intervention group; N = 206 control group); 52% of the children were boys, mean age 9.78 (±2.27) years. For disclosure at 1 year, a better overall treatment effect was observed (P < 0.001). Children in the treatment group had greater disclosure at each time point (P < 0.001) and a higher proportion of them had been disclosed to by 1 year (51.4% vs. 16.2%; P < 0.001; un-adjusted hazard ratio = 3.98: 95% confidence interval: 2.63 to 6.03) and 3 years (71.3% vs. 34.0%; unadjusted hazard ratio = 4.21: 95% confidence interval: 3.09 to 5.72). In the multivariate Cox model, factors associated with disclosure were treatment group (P < 0.001), children <11 years of age (P < 0.001), HIV-infected caregivers (P = 0.015), and caregiver's with greater education (P = 0.022). CONCLUSIONS: This practical clinic-based disclosure intervention shows excellent promise as a means of improving HIV pediatric disclosure outcomes.


Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Infecciones por VIH/psicología , Pediatría , Autorrevelación , Adolescente , Cuidadores , Niño , Femenino , Ghana , Infecciones por VIH/enfermería , Humanos , Capacitación en Servicio/organización & administración , Masculino , Estereotipo
10.
Creat Nurs ; 26(1): 9-16, 2020 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-32024732

RESUMEN

Combination antiretroviral therapy (cART) has improved the health and life expectancy of people living with human immunodeficiency virus (HIV). Comorbidities and geriatric syndrome are more prevalent in patients with HIV than in the general population. As a result, people living with HIV may face unique characteristics and needs related to aging. Health-care systems need to prepare to encounter those issues that not only focus on virology suppression and cART management but also chronic non-AIDS comorbidities and geriatric syndrome. However, there are limited data on geriatric assessment among people living with HIV. The purpose of this article is to present findings of a literature search that integrate age-related issues in HIV care management for health-care professionals caring for people living with HIV in Indonesia to consider. Integrating comprehensive geriatric assessment (CGA) into HIV care is essential. However, some critical issues need to be considered prior to implementing CGA in HIV primary care, including social vulnerability, economic inequality, and aging-related stigma. Developing guidelines for implementing CGA in HIV primary clinics remains a priority. Studies of HIV in the aging population in Indonesia need to be conducted to understand the burden of geriatric syndrome.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Evaluación Geriátrica , Infecciones por VIH/enfermería , Evaluación en Enfermería , Anciano , Terapia Antirretroviral Altamente Activa , Infecciones por VIH/tratamiento farmacológico , Infecciones por VIH/epidemiología , Humanos , Indonesia/epidemiología
11.
J Nurs Educ ; 58(12): 712-717, 2019 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-31794038

RESUMEN

BACKGROUND: People living with HIV/AIDS (PLHIV) experience stigma and discrimination. Negative attitudes of nursing faculty about caring for PLHIV can adversely affect student perceptions and their nursing care. The study purpose was to describe nursing faculty attitudes and beliefs about caring for PLHIV. METHOD: The HPASS (Healthcare Provider HIV/AIDS Stigma Scale), Spanish version, was delivered to nursing faculty in Colombia and Peru. RESULTS: The HPASS was completed by 98 nursing faculty. The overall mean score was 2.41 (SD = 0.69), with subscale scores: stereotypes, 2.55 (SD = 0.84); discrimination, 2.28 (SD = 0.74); and prejudices, 2.41 (SD = 0.63). Peruvian faculty had the highest scores, statistically correlated with the importance of religion, whereas Colombia had the lowest. CONCLUSION: Nursing faculty attitudes toward PLHIV were slightly positive in Colombia to slightly negative in Peru; however, both countries had negative stereotypes. Knowledge deficiencies about HIV persist and attitudes appear to be influenced by culture and religion. [J Nurs Educ. 2019;58(12):712-717.].


Asunto(s)
Actitud del Personal de Salud , Docentes de Enfermería , Infecciones por VIH/enfermería , Adulto , Colombia , Escolaridad , Femenino , Humanos , Masculino , Perú , Proyectos Piloto , Prejuicio , Estereotipo , Encuestas y Cuestionarios
12.
Pan Afr Med J ; 33: 209, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692730

RESUMEN

Introduction: management of tuberculosis (TB) and Human Immunodeficiency Virus (HIV) within primary health care (PHC) facilities involve nursing students as part of them integrating theory to practice. Clinical learning for nursing students requires adequate support from the Nursing Education Institution (NEI) and nursing professionals. Given the dearth of literature regarding clinical support for nursing students in the management of TB/HIV in PHC setting, this study is aimed at exploring and describing nursing students' experiences regarding clinical support. Methods: a phenomenological design was used to explore and describe the experiences of nursing students using an individual, unstructured, in-depth interview. Audio-taped interviews were transcribed verbatim and analysed using Atlas TI software. Results: themes derived from the study were factors inhibiting clinical support which incorporated shortage of professional nurses (PNs), lack of accompaniment, fear of managing TB/HIV patients and negative attitudes of PNs; outcomes of poor clinical support included inability to integrate TB/HIV theory to practice and lack of confidence among nursing students; nursing students' desired outcomes through clinical support included becoming a competent TB/HIV nurse and the ability to integrate TB/HIV theory to practice; and strategies to strengthen and promote clinical support in TB/HIV management through strengthened occupational health and safety learning, provision of knowledge regarding post-exposure prophylaxis and infection control, and appointed clinical PN for students in each facility. Conclusion: the development of policies for clinical support, increasing supervision, appointment of clinical preceptors and accompanists in facilities where nursing students are placed would promote clinical learning within the NEI and the production of competent and confident nurses.


Asunto(s)
Infecciones por VIH/enfermería , Atención Primaria de Salud/organización & administración , Estudiantes de Enfermería/estadística & datos numéricos , Tuberculosis/enfermería , Adulto , Competencia Clínica , Femenino , Humanos , Entrevistas como Asunto , Masculino , Adulto Joven
13.
J Int Assoc Provid AIDS Care ; 18: 2325958219880592, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31597537

RESUMEN

BACKGROUND: Continued assessment of nurses' knowledge and attitude is necessary for improving their performance at workplace. We attempted to evaluate nurses' knowledge and attitude toward HIV-infected patients and their underlying factors. METHODS: We conducted a descriptive, cross-sectional study participated by 218 nurses and collected relevant data. RESULTS: Majority (57.3%) of the nurses had 1 to 5 years of experience in the nursing job, and 78.4% of them were involved in the provision of direct care to HIV-infected individuals for ≤5 years, and only 6.4% for ≥11 years. The overall knowledge and attitude of the participants were good (3.25/5 and 3.42/5 scores, respectively). The knowledge regarding appropriate care of HIV-infected patients was significantly better among the registered nurses compared to nursing assistants (NA) with limited years of formal education (odds ratio [OR] = 0.37; 95% confidence interval [CI] = 0.20-0.69; P <.001). In the provision of care to the HIV-infected patients, the attitude of female participants was significantly better than the males (unadjusted OR = 0.18; 95% CI = 0.05-0.60; P = .01). CONCLUSION: Inclusion of relevant HIV- and AIDS-related topics in the curriculum for NAs and closely guided hands-on training of the nurses are likely to improve nurses' knowledge and attitude toward the provision of care to HIV-infected individuals.


Asunto(s)
Actitud del Personal de Salud , Infecciones por VIH/psicología , Conocimientos, Actitudes y Práctica en Salud , Enfermeras y Enfermeros/psicología , Adulto , Barbados , Estudios Transversales , Femenino , Infecciones por VIH/enfermería , Hospitales , Humanos , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/estadística & datos numéricos , Investigación Cualitativa , Factores Sexuales , Encuestas y Cuestionarios , Adulto Joven
14.
Rev. bras. enferm ; 72(5): 1243-1250, Sep.-Oct. 2019. tab
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1042145

RESUMEN

ABSTRACT Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.


RESUMEN Objetivos: Comprender el significado atribuido por el enfermero al manejo del cuidado de enfermería a la persona hospitalizada por complicaciones clínicas del sida; analizar las acciones que remiten a los cuidados paliativos; y construir una matriz teórica referente al manejo del cuidado de enfermería. Método: Investigación cualitativa, exploratoria, guiada por Grounded Theory. Siete enfermeros y diez técnicos de enfermería fueron entrevistados entre mayo y septiembre de 2015, en un hospital universitario, Río de Janeiro, Brasil. Resultados: Se han generado cinco categorías que abarcar el perfil de la persona hospitalizada, los cuidados paliativos, las condiciones intervinientes para la gestión del cuidado, la necesidad de cualificación profesional, y aspectos para organizar y administrar el cuidado. Consideraciones finales: La matriz teórica valoriza la calidad de vida, la necesidad de entender el flujo de atención para evitar reinternaciones y no adherencia a las medicinas, requiriendo nuevas investigaciones en el área, como las de implementación.


RESUMO Objetivos: Compreender o significado atribuído pelo enfermeiro à gerência do cuidado de enfermagem à pessoa hospitalizada por complicações clínicas da aids; analisar as ações que remetem aos cuidados paliativos; e construir uma matriz teórica referente à gerência do cuidado de enfermagem. Método: Pesquisa qualitativa, exploratória, guiada pela Grounded Theory. Sete enfermeiros e dez técnicos de enfermagem foram entrevistados entre maio e setembro de 2015, num hospital universitário, localizado no Rio de Janeiro, Brasil. Resultados: Foram geradas cinco categorias que abarcaram o perfil da pessoa hospitalizada, os cuidados paliativos, as condições intervenientes à gerência do cuidado, a necessidade de qualificação profissional, e outros aspectos para melhor organizar e administrar o cuidado, incluindo a administração de conflitos. Considerações finais: A matriz teórica valoriza a qualidade de vida, a necessidade de entendimento do fluxo de atendimento para evitar reinternações e não aderência às medicações, requerendo novas pesquisas na área, como as de implementação.


Asunto(s)
Humanos , Cuidados Paliativos/métodos , Brasil , Infecciones por VIH/enfermería , Atención de Enfermería/métodos , Cuidados Paliativos/normas , Calidad de Vida/psicología , Investigación Cualitativa , Teoría Fundamentada
15.
Rev. bras. enferm ; 72(5): 1341-1348, Sep.-Oct. 2019.
Artículo en Inglés | LILACS, BDENF - Enfermería | ID: biblio-1042132

RESUMEN

ABSTRACT Objective: To understand the care sharing for people living with HIV/AIDS, especially young adults, as well as the structuring of the line of care in the capital of Santa Catarina. Method: Qualitative research, anchored by theory based on data collected in the Health Care Network of Florianópolis, totaling 19 participants distributed between two sample groups. The data collection and analysis were concomitant, with comparative analysis method. Results: The municipality has been transitioning in the health care model for people with HIV/AIDS, especially young adults, whose care is shared within the Health Care Network. Final considerations: In the municipality, there is the inclusion of management of HIV in primary health care services along with the establishment of a more resolutive care model. Thus, the care of this population is shared in different points of the health care network.


RESUMEN Objetivo: Comprender la distribución del cuidado a la persona con convive con VIH/Sida, enfocándose en el adulto joven y en la estructuración de una línea de cuidado en la capital catarinense (Brasil). Método: Investigación cualitativa, con base en la teoría fundamentada en los datos, que fueron recolectados en la Red de Atención a la Salud de Florianópolis, con un total de 19 participantes distribuidos en dos grupos de muestreo. La recolección de los datos y su análisis fueron simultáneos al análisis comparativo. Resultados: El municipio en cuestión pasa por la transición en el modelo de atención ofertado a las personas con VIH/Sida, principalmente a los adultos jóvenes, quienes reciben un cuidado que se distribuye dentro de la Red de Atención a la Salud. Consideraciones finales: En el municipio en cuestión, hay la inclusión del manejo del VIH en los servicios de atención primaria, al mismo tiempo que el establecimiento del modelo asistencial matricial y más resolutivo. De esta forma, el cuidado de esta población está distribuido en los diferentes aspectos de la red de atención a la salud.


RESUMO Objetivo: Compreender o compartilhamento do cuidado à pessoa vivendo com HIV/Aids, com destaque ao adulto jovem e à estruturação de linha de cuidado na capital catarinense. Método: Pesquisa qualitativa, ancorada pela teoria fundamentada nos dados, os quais foram coletados na Rede de Atenção à Saúde de Florianópolis, totalizando 19 participantes distribuídos em dois grupos amostrais. A coleta e a análise dos dados se deram concomitantemente, com método de análise comparativa. Resultados: O município de estudo passa por transição no modelo de atenção às pessoas com HIV/Aids, em especial aos adultos jovens, cujo cuidado se compartilha dentro da Rede de Atenção à Saúde. Considerações finais: No município de estudo, tem-se a inclusão do manejo do HIV nos serviços da atenção primária, concomitantemente ao estabelecimento de modelo assistencial matriciado e mais resolutivo. Desta forma, o cuidado desta população compartilha-se nos diferentes pontos da rede de atenção à saúde.


Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Infecciones por VIH/enfermería , Prestación de Atención de Salud/métodos , Brasil , Infecciones por VIH/psicología , Infecciones por VIH/epidemiología , Entrevistas como Asunto/métodos , Investigación Cualitativa
17.
Rev Bras Enferm ; 72(5): 1243-1250, 2019 Sep 16.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31531647

RESUMEN

OBJECTIVES: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. METHOD: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. RESULTS: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. FINAL CONSIDERATIONS: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.


Asunto(s)
Infecciones por VIH/enfermería , Atención de Enfermería/métodos , Cuidados Paliativos/métodos , Brasil , Teoría Fundamentada , Humanos , Cuidados Paliativos/normas , Investigación Cualitativa , Calidad de Vida/psicología
18.
Rev Bras Enferm ; 72(5): 1341-1348, 2019 Sep 16.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31531660

RESUMEN

OBJECTIVE: To understand the care sharing for people living with HIV/AIDS, especially young adults, as well as the structuring of the line of care in the capital of Santa Catarina. METHOD: Qualitative research, anchored by theory based on data collected in the Health Care Network of Florianópolis, totaling 19 participants distributed between two sample groups. The data collection and analysis were concomitant, with comparative analysis method. RESULTS: The municipality has been transitioning in the health care model for people with HIV/AIDS, especially young adults, whose care is shared within the Health Care Network. FINAL CONSIDERATIONS: In the municipality, there is the inclusion of management of HIV in primary health care services along with the establishment of a more resolutive care model. Thus, the care of this population is shared in different points of the health care network.


Asunto(s)
Prestación de Atención de Salud/métodos , Infecciones por VIH/enfermería , Brasil , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Humanos , Entrevistas como Asunto/métodos , Masculino , Investigación Cualitativa , Adulto Joven
19.
Curationis ; 42(1): e1-e7, 2019 Jul 18.
Artículo en Inglés | MEDLINE | ID: mdl-31368314

RESUMEN

BACKGROUND:  Nurses play a critical role in their practice of integrating human immunodeficiency virus (HIV) prevention and sexual and reproductive services to combat the spread of HIV and promote family planning in resource-constrained countries like Malawi. OBJECTIVES:  The purpose of this study was to determine and describe the nurses' practice of integration of HIV prevention and sexual and reproductive health (SRH) services as a strategy to effectively combat the spread of HIV and promote family planning in Malawi. METHODS:  A descriptive qualitative case study was used. The research question was: How do nurses practise the integration of family planning and HIV prevention services in Ntcheu District, Malawi? Qualitative data were collected using semi-structured interviews from a sample of 10 participants. Manual data analysis, using the five steps for interpretive content analysis, was used to analyse data. RESULTS:  Five themes were identified as (1) facilitation of access and acceptability of comprehensive HIV and family planning services, (2) educating and counselling patients, (3) early detection of HIV among women of child-bearing age, (4) professional benefits of integrating family planning and HIV prevention services and (5) resentment of integration of family planning and HIV prevention services. CONCLUSION:  The nurses' practice of integration of HIV prevention and SRH services has more benefits for both nurses and patients as a strategy to combat the spread of HIV and promote family planning in a resource-constrained country like Malawi.


Asunto(s)
Infecciones por VIH/enfermería , Enfermeras y Enfermeros/normas , Servicios de Salud Reproductiva/normas , Educación Sexual/métodos , Adulto , Femenino , Humanos , Entrevistas como Asunto/métodos , Malaui , Masculino , Enfermeras y Enfermeros/estadística & datos numéricos , Investigación Cualitativa
20.
Enferm Clin ; 29 Suppl 2: 351-356, 2019 09.
Artículo en Inglés, Español | MEDLINE | ID: mdl-31285108

RESUMEN

OBJECTIVE: This study aims to explore the barriers Indonesian nurses face when providing care for gay clients with HIV/AIDS. METHOD: This study uses a descriptive qualitative approach by utilizing a purposive sampling technique. The research was carried out in two leading hospitals in Jakarta, with one government and one private hospital included. The research data were analyzed using a thematic analysis. RESULTS: The contents of this research resulted in three main themes: client-based barriers to nursing care, family-based barriers to nursing care, and care constraints that are derived from the nurses themselves. CONCLUSION: Nurses need to be open, to involve clients and families to discuss problems encountered. Also, nurses need to be equipped with specific knowledge and skills of how to handle gay clients through trainings especially related to sexuality knowledge and communication skills.


Asunto(s)
Actitud del Personal de Salud , Infecciones por VIH/enfermería , Accesibilidad a los Servicios de Salud , Personal de Enfermería en Hospital/psicología , Minorías Sexuales y de Género , Síndrome de Inmunodeficiencia Adquirida/epidemiología , Síndrome de Inmunodeficiencia Adquirida/enfermería , Síndrome de Inmunodeficiencia Adquirida/psicología , Adulto , Comunicación , Familia/psicología , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/psicología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Indonesia/epidemiología , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Minorías Sexuales y de Género/psicología , Sexualidad , Revelación de la Verdad
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