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Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study

Antiretroviral therapy (ART) management is a core competency for nursing practice in HIV as documented in best practice guidelines. Nurse-led interventions are effective in fostering ART adherence in people living with HIV (PLWH). However, these evidence-based interventions and professional expectat...

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Autores principales: Rouleau, Geneviève, Richard, Lauralie, Côté, José, Gagnon, Marie-Pierre, Pelletier, Jérôme
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594722/
https://www.ncbi.nlm.nih.gov/pubmed/31241513
http://dx.doi.org/10.1097/JNC.0000000000000103
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author Rouleau, Geneviève
Richard, Lauralie
Côté, José
Gagnon, Marie-Pierre
Pelletier, Jérôme
author_facet Rouleau, Geneviève
Richard, Lauralie
Côté, José
Gagnon, Marie-Pierre
Pelletier, Jérôme
author_sort Rouleau, Geneviève
collection PubMed
description Antiretroviral therapy (ART) management is a core competency for nursing practice in HIV as documented in best practice guidelines. Nurse-led interventions are effective in fostering ART adherence in people living with HIV (PLWH). However, these evidence-based interventions and professional expectations pertaining to these guidelines do not reflect current practice, nor do they expose the challenges faced by nurses. We conducted a qualitative exploratory study with nurses to explore their professional practices in the context of ART adherence. Sixteen nurses participated in data collection: nine in a focus group and seven in individual interviews. We identified four themes: building a therapeutic relationship with PLWH as a foundation of HIV nursing care; nursing activities to support PLWH with ART adherence; challenges faced by nurses providing ART-related care; and resource mobilization supporting nursing practice development in ART management and HIV care. Aspects of HIV nursing practice need to be strengthened to enhance best practice care, such as managing powerlessness in the context of ART nonadherence.
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spelling pubmed-65947222019-07-22 Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study Rouleau, Geneviève Richard, Lauralie Côté, José Gagnon, Marie-Pierre Pelletier, Jérôme J Assoc Nurses AIDS Care Research Article Antiretroviral therapy (ART) management is a core competency for nursing practice in HIV as documented in best practice guidelines. Nurse-led interventions are effective in fostering ART adherence in people living with HIV (PLWH). However, these evidence-based interventions and professional expectations pertaining to these guidelines do not reflect current practice, nor do they expose the challenges faced by nurses. We conducted a qualitative exploratory study with nurses to explore their professional practices in the context of ART adherence. Sixteen nurses participated in data collection: nine in a focus group and seven in individual interviews. We identified four themes: building a therapeutic relationship with PLWH as a foundation of HIV nursing care; nursing activities to support PLWH with ART adherence; challenges faced by nurses providing ART-related care; and resource mobilization supporting nursing practice development in ART management and HIV care. Aspects of HIV nursing practice need to be strengthened to enhance best practice care, such as managing powerlessness in the context of ART nonadherence. Wolters Kluwer 2019 2019-06-04 /pmc/articles/PMC6594722/ /pubmed/31241513 http://dx.doi.org/10.1097/JNC.0000000000000103 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Association of Nurses in AIDS Care This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Research Article
Rouleau, Geneviève
Richard, Lauralie
Côté, José
Gagnon, Marie-Pierre
Pelletier, Jérôme
Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title_full Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title_fullStr Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title_full_unstemmed Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title_short Nursing Practice to Support People Living With HIV With Antiretroviral Therapy Adherence: A Qualitative Study
title_sort nursing practice to support people living with hiv with antiretroviral therapy adherence: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594722/
https://www.ncbi.nlm.nih.gov/pubmed/31241513
http://dx.doi.org/10.1097/JNC.0000000000000103
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