Healthcare Provider Strategies and Approaches to Supporting People Living With HIV Who Are Experiencing HIV Treatment Disengagement in British Columbia, Canada.

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Tatiana E Pakhomova, Rebeccah Parry, Tim Wesseling, David M Moore, Claudette Cardinal, Nicole Dawydiuk, Valerie Nicholson, Clara Tam, Surita Parashar, Robert Hogg, Rolando Barrios, Julio S G Montaner, Kate Salters
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Abstract

We conducted a strengths-based, qualitative study to elucidate the approaches and strategies utilized by healthcare providers (HCPs) to support HIV treatment engagement in British Columbia (BC), Canada. Healthcare providers (e.g., nurses, peer navigators, and pharmacists) across the province of BC were recruited through regional HIV programs and by word of mouth through purposive sampling strategies. An academic and community researcher co-conducted semi-structured phone interviews with HCPs providing HIV-specific healthcare. Emergent coding and participatory analysis, guided by interpretive description and the socio-ecological model, were used to uncover themes. Across all provincial health regions, 19 HCPs were interviewed between November 2020 and May 2021. Narratives centered around HIV care as a relational practice and the importance of person-centered care approaches. HCPs underscored the need to foster long-term, trusting relationships with clients, founded on respect, compassion, and non-judgmental approaches, which acknowledged the unique care engagement needs and experiences of people living with HIV (PLWH) experiencing treatment breaks. Successful engagement approaches supported clients' overall stability, which directly support treatment adherence. This includes strategies tailored to address unique client contexts and priorities related to psychosocial and other intersecting health needs. Collaborative relationships with other providers, both formal multidisciplinary team-based care and partnerships with ancillary service staff, were found to improve care continuity. Our study highlights the importance of relationship-building, person-centered care, and collaborative care to support PLWH experiencing breaks in treatment. HIV HCPs emphasized holistic, community-centered approaches as crucial to successful and long-term engagement of PLWH in care.

在加拿大不列颠哥伦比亚省,医疗保健提供者支持正在接受艾滋病毒治疗的艾滋病毒感染者的战略和方法。
我们进行了一项基于优势的定性研究,以阐明医疗保健提供者(HCPs)用于支持加拿大不列颠哥伦比亚省(BC)艾滋病毒治疗参与的方法和策略。BC省的医疗保健提供者(例如,护士、同行导航员和药剂师)通过区域艾滋病毒项目和有目的的抽样策略通过口口相传的方式招募。一名学术和社区研究人员与提供艾滋病毒特定医疗保健的医护人员共同进行了半结构化电话访谈。在解释性描述和社会生态模型的指导下,使用紧急编码和参与性分析来揭示主题。在2020年11月至2021年5月期间,对所有省级卫生区域的19名医务人员进行了访谈。叙述围绕艾滋病毒护理作为一种关系实践和以人为本的护理方法的重要性。hcp强调了与客户建立长期信任关系的必要性,这种关系建立在尊重、同情和非评判的方法基础上,这种方法承认HIV感染者(PLWH)在治疗中断期间的独特护理参与需求和经历。成功的参与方法支持客户的整体稳定性,从而直接支持治疗依从性。这包括针对特殊客户情况和与心理社会需求和其他交叉卫生需求有关的优先事项而制定的战略。发现与其他提供者的合作关系,包括正式的多学科团队护理和与辅助服务人员的合作关系,可以提高护理的连续性。我们的研究强调了建立关系、以人为本的护理和协作护理对支持PLWH治疗中断的重要性。艾滋病毒医务人员强调,整体的、以社区为中心的方法对于艾滋病毒卫生组织成功和长期参与护理至关重要。
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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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