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Janac-Journal of the Association of Nurses in Aids Care最新文献

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A Systematic Review of Oral Pre-exposure Prophylaxis HIV Adherence Interventions. 关于口服暴露前预防艾滋病干预措施的系统性综述。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1097/JNC.0000000000000460
Marlene Haines, Amanda Vandyk, Becky Skidmore, Lauren Orser, Patrick O'Byrne
{"title":"A Systematic Review of Oral Pre-exposure Prophylaxis HIV Adherence Interventions.","authors":"Marlene Haines, Amanda Vandyk, Becky Skidmore, Lauren Orser, Patrick O'Byrne","doi":"10.1097/JNC.0000000000000460","DOIUrl":"10.1097/JNC.0000000000000460","url":null,"abstract":"<p><strong>Abstract: </strong>Clinical trials of pre-exposure prophylaxis (PrEP) to prevent HIV infection have established its efficacy as upwards of 99%. Despite this, the effectiveness of this medication has been shown to be diminished by individual factors, such as medication adherence. We completed a systematic review to identify and describe interventions to improve oral PrEP adherence. Overall, 16 articles were located. Two of the articles reported on results from the same trial and were collapsed for analysis, bringing the total to 15 studies. Twelve unique PrEP adherence interventions were tested, with the most common intervention being the use of mobile phone technology, which was used in 7 (46%) of the studies. Ten (67%) studies found that medication adherence improved when participants received an intervention to support adherence. Adherence intervention strategies effectively improved PrEP adherence. Further research into PrEP adherence interventions is warranted, particularly among diverse groups.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11195928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Symptoms, Lifetime Duration of Estrogen Exposure, and Ovarian Reserve Among Women Living With HIV: A Cross-Sectional Observational Study. 感染 HIV 的女性的症状、终生雌激素暴露时间和卵巢储备功能：一项横断面观察研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-04-03 DOI: 10.1097/JNC.0000000000000463
Scott Emory Moore, Christine Horvat Davey, Michael Morgan, Allison Webel
{"title":"Symptoms, Lifetime Duration of Estrogen Exposure, and Ovarian Reserve Among Women Living With HIV: A Cross-Sectional Observational Study.","authors":"Scott Emory Moore, Christine Horvat Davey, Michael Morgan, Allison Webel","doi":"10.1097/JNC.0000000000000463","DOIUrl":"10.1097/JNC.0000000000000463","url":null,"abstract":"<p><strong>Abstract: </strong>This cross-sectional observational study examined associations among symptom burden, lifetime duration of estrogen exposure, and serum antimüllerian hormone (AMH) levels among women living with HIV (n = 98) using bivariate bias-corrected Pearson correlations and multiple correspondence analyses. The mostly Black (85.6%) sample of women, with a mean age of 50 years (SD 12.6 years), exhibited no significant reproductive history factors and symptom burden interrelationships or significant associations between lifetime duration of estrogen exposure and symptoms. Predictably, serum AMH levels were lower among older women; however, less predictable were its significant relationships with months living with HIV (r = -0.362), months on ART (r = -0.270), and CD4+ T-cell nadir (r = 0.347). Symptom-symptom relationships support a fatigue, pain, sleep, anxiety, and depression symptom cluster. The hypotheses were not supported by cross-sectional observation. Further studies should explore variation in relationships between HIV, estrogen exposure, ovarian reserve, and AMH levels over time.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11221577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study. 卢旺达感染艾滋病毒妇女中的亲密伴侣暴力：一项横断面研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-04-03 DOI: 10.1097/JNC.0000000000000467
Sandy Hatoum, Donatilla Mukamana, Darius Gishoma, Dieudonne Kayiranga, Wei Pan, Michael V Relf
{"title":"Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study.","authors":"Sandy Hatoum, Donatilla Mukamana, Darius Gishoma, Dieudonne Kayiranga, Wei Pan, Michael V Relf","doi":"10.1097/JNC.0000000000000467","DOIUrl":"10.1097/JNC.0000000000000467","url":null,"abstract":"<p><strong>Abstract: </strong>In Rwanda, women have higher incidence of HIV and intimate partner violence (IPV). This study aimed to estimate the prevalence of IPV among women living with HIV (WWH) in Rwanda and measure the difference in psychological outcomes, demographic data, and HIV-related outcomes using a cross-sectional, descriptive, observational design. A convenience sample of 162 Rwandan WWH were purposefully recruited to participate. The study collected demographic data and data about IPV, depression, HIV-related stigma, coping, self-esteem, and hope. The prevalence of any form of IPV in the sample was 27% with psychological IPV being the most prevalent. Demographic data had no statistical significance with the prevalence of IPV. WWH who experienced IPV had higher HIV stigma, lower coping self-efficacy, lower self-esteem, and less hope and worse HIV psychological outcomes. Further studies are needed to look into the correlation between the two and interventions addressing IPV prevention.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140854562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reproductive Decision Making of Spanish Women Living With HIV: A Constructivist Grounded Theory Study. 西班牙女性艾滋病毒感染者的生殖决策：一项建构主义基础理论研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI: 10.1097/JNC.0000000000000455
Ariadna Huertas-Zurriaga, Sergio Alonso-Fernández, Juan M Leyva-Moral
{"title":"Reproductive Decision Making of Spanish Women Living With HIV: A Constructivist Grounded Theory Study.","authors":"Ariadna Huertas-Zurriaga, Sergio Alonso-Fernández, Juan M Leyva-Moral","doi":"10.1097/JNC.0000000000000455","DOIUrl":"10.1097/JNC.0000000000000455","url":null,"abstract":"<p><strong>Abstract: </strong>The process of reproductive decision making among women living with HIV is intricate and multifaceted, influenced by health considerations, societal factors, and personal values. In this study, we employed Charmaz's Constructivist Grounded Theory to understand how Spanish women living with HIV make decisions regarding reproduction. We conducted 26 face-to-face interviews until data saturation was achieved. Findings suggested that social constructs such as femininity and motherhood play a significant role in the reproductive decision-making process for women living with HIV. The women's beliefs about HIV, doubts, marginalizing situations, and health barriers create challenges to making reproductive decisions. These findings provide valuable implications for designing care plans that meet the unique sexual and reproductive health needs of women with HIV. An integrated and comprehensive multidisciplinary counseling approach is necessary to improve the quality of care.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Intersectional Discrimination and Stigma on HIV Care for African, Caribbean, and Black Women Living With HIV During the COVID-19 Pandemic in British Columbia: A Descriptive Study. 在不列颠哥伦比亚省 COVID-19 大流行期间，交叉歧视和污名化对非洲、加勒比和黑人女性艾滋病毒感染者的艾滋病毒护理的影响：描述性研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-03-01 DOI: 10.1097/JNC.0000000000000457
Emmanuela Ojukwu, Saima Hirani, Tatiana Sotindjo, Emily McKay, Ijeoma Okedo-Alex, Patience Magagula, Ava Pashaei, Ginikachukwu Marylinda Agudosi
{"title":"The Impact of Intersectional Discrimination and Stigma on HIV Care for African, Caribbean, and Black Women Living With HIV During the COVID-19 Pandemic in British Columbia: A Descriptive Study.","authors":"Emmanuela Ojukwu, Saima Hirani, Tatiana Sotindjo, Emily McKay, Ijeoma Okedo-Alex, Patience Magagula, Ava Pashaei, Ginikachukwu Marylinda Agudosi","doi":"10.1097/JNC.0000000000000457","DOIUrl":"10.1097/JNC.0000000000000457","url":null,"abstract":"<p><strong>Abstract: </strong>African, Caribbean, and Black women living with HIV (ACB WWH) in British Columbia experience discrimination on the basis of their race, sex, gender identity, sexual orientation, and HIV status. The various forms of stigma that ACB WWH experience intersect to create a uniquely marginalized experience that has negative consequences for quality of life and overall well-being. Eighteen semistructured interviews were completed with ACB WWH in British Columbia. Interviews were conducted by phone, Zoom, or in-person at the participant's request. Participants consistently reported experiences of various forms of discrimination. There was additional stigmatization due to COVID-19 pandemic that negatively influenced the lives of ACB WWH. Interventions and resources are needed to support ACB WWH in navigating how to work through the multifaceted impacts of intersectional stigmatization. Efforts are needed to identify ways to continue the delivery of resources like social support groups throughout future pandemics.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11037459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of Intimate Partner Violence and Drug Use on Viral Suppression Among Women Living With HIV in South Florida: A Secondary Analysis. 南佛罗里达州女性 HIV 感染者中亲密伴侣暴力和吸毒对病毒抑制的影响：二次分析。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI: 10.1097/JNC.0000000000000439
Caroline Deaterly, Veronica Richards, Michael Weaver, Karina Villalba, Deepthi Varma, Isaac Payton, Robert Cook
{"title":"Associations of Intimate Partner Violence and Drug Use on Viral Suppression Among Women Living With HIV in South Florida: A Secondary Analysis.","authors":"Caroline Deaterly, Veronica Richards, Michael Weaver, Karina Villalba, Deepthi Varma, Isaac Payton, Robert Cook","doi":"10.1097/JNC.0000000000000439","DOIUrl":"10.1097/JNC.0000000000000439","url":null,"abstract":"<p><strong>Abstract: </strong>Suboptimal viral suppression is associated with worse outcomes and increased HIV transmission among women with HIV (WWH). Based on syndemic theory, we hypothesized that women exposed to recent intimate partner violence (IPV) and current drug use would be most likely to have suboptimal HIV viral suppression. We analyzed baseline data from a longitudinal clinical trial (WHAT-IF? Will Having Alcohol Treatment Improve My Functioning?) that enrolled WWH from Miami, FL, who reported heavy drinking. Bivariate logistic regression was done, mean age was 48 years ( n = 194; SD : 8.7), 40% had current drug use (other than alcohol), and 14% reported recent IPV. WWH who reported both IPV and drug use had the highest rate of suboptimal viral suppression (45%), but these differences were not statistically significant. The high rates of suboptimal viral suppression, drug use, and IPV suggest a need to include screening for IPV in clinical guidelines related to HIV care in women.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
"We Take Care of Our Young, No Matter What," Experiences of Engagement in HIV Care Among Black Mothers Parenting Dependent Children in Southwestern Pennsylvania: A Retrospective Descriptive Qualitative Study. 宾夕法尼亚州西南部养育受抚养子女的黑人母亲参与 HIV 护理的经历："无论如何，我们都要照顾我们的孩子"：回顾性描述定性研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-04-04 DOI: 10.1097/JNC.0000000000000473
Laurenia C Mangum, Gloria Aidoo-Frimpong, Ivana Alexander, Ashley Waddell, Darren L Whitfield
{"title":"\"We Take Care of Our Young, No Matter What,\" Experiences of Engagement in HIV Care Among Black Mothers Parenting Dependent Children in Southwestern Pennsylvania: A Retrospective Descriptive Qualitative Study.","authors":"Laurenia C Mangum, Gloria Aidoo-Frimpong, Ivana Alexander, Ashley Waddell, Darren L Whitfield","doi":"10.1097/JNC.0000000000000473","DOIUrl":"10.1097/JNC.0000000000000473","url":null,"abstract":"<p><strong>Abstract: </strong>This retrospective descriptive study sought to explore the lived experiences of Black mothers with HIV navigating HIV medical care while parenting dependent children. Six themes were generated from the semi-structured interviews conducted with mothers ( N = 9) related to motherhood, interactions with health care systems and providers, coping, social support, HIV self-management, and HIV prevention. Findings suggested that supportive interpersonal relationships with HIV health care providers, HIV nondisclosure to family and friends, and social network support, inclusive of health care providers, were protective factors in achieving optimal treatment adherence and viral suppression. Findings may inform interventions for improving social support and reducing stigma in HIV care for Black mothers with HIV who are parenting dependent children.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Attitudes Toward the Uptake of Combination HIV Prevention Methods Among Young Black and Latino Heterosexual Couples Living in New York City: A Qualitative Study. 生活在纽约市的黑人和拉丁裔年轻异性伴侣对采用艾滋病综合预防方法的态度：定性研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-03-28 DOI: 10.1097/JNC.0000000000000464
Yzette Lanier, Nicole Lui, Jie Zhong, Dennis Rivera-Cash, Talea Cornelius, Jennifer M Stewart
{"title":"Attitudes Toward the Uptake of Combination HIV Prevention Methods Among Young Black and Latino Heterosexual Couples Living in New York City: A Qualitative Study.","authors":"Yzette Lanier, Nicole Lui, Jie Zhong, Dennis Rivera-Cash, Talea Cornelius, Jennifer M Stewart","doi":"10.1097/JNC.0000000000000464","DOIUrl":"10.1097/JNC.0000000000000464","url":null,"abstract":"<p><strong>Abstract: </strong>Couple-based HIV interventions that increase uptake of two or more effective biomedical HIV prevention methods may be a promising HIV prevention strategy for young Black and Latino heterosexual couples. We conducted in-depth, semi-structured individual interviews with 23 Black and Latino adolescent and young adult heterosexual couples that explored their attitudes toward using combination HIV prevention methods (CHPMs). A qualitative hybrid thematic analysis approach was used to identify key themes. Themes included: (a) attitudes that encouraged uptake-CHPMs increased assurance of safety against HIV/sexually transmitted infections and (b) attitudes that impeded uptake-CHPMs are too much to do and are not appropriate for serious relationships. Although Black and Latino adolescents and young adults may recognize the combined protective benefits of using multiple HIV prevention methods, personal and relational considerations play an instrumental role in uptake of CHPMs.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11216850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Feasibility and Acceptability of Using Mobile Applications for HIV Testing, Prevention, and Treatment Among Adolescent Girls and Young Women in Cameroon: A Cross-Sectional Study. 在喀麦隆少女和年轻妇女中使用移动应用程序进行艾滋病毒检测、预防和治疗的可行性和可接受性：一项横断面研究。
IF 1.6 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-05-01 Epub Date: 2024-04-03 DOI: 10.1097/JNC.0000000000000469
Jackson Jr Nforbewing Ndenkeh, LaRon E Nelson, Ange Bogning, Habakkuk Yumo, Georges Bediang, Earnest Njih, Durand Fotso, Gamji Rabiu Abu-Ba'are, Charles Kouanfack, Zhao Ni
{"title":"The Feasibility and Acceptability of Using Mobile Applications for HIV Testing, Prevention, and Treatment Among Adolescent Girls and Young Women in Cameroon: A Cross-Sectional Study.","authors":"Jackson Jr Nforbewing Ndenkeh, LaRon E Nelson, Ange Bogning, Habakkuk Yumo, Georges Bediang, Earnest Njih, Durand Fotso, Gamji Rabiu Abu-Ba'are, Charles Kouanfack, Zhao Ni","doi":"10.1097/JNC.0000000000000469","DOIUrl":"10.1097/JNC.0000000000000469","url":null,"abstract":"<p><strong>Abstract: </strong>Adolescent girls and young women (AGYW) are vulnerable populations to HIV/AIDS. We conducted a cross-sectional survey among 637 AGYW in Cameroon to study the feasibility and willingness to use mobile applications (apps) for HIV testing, prevention, and treatment. We found that phone ownership is high among AGYW, where 93.9% ( n = 598) of them (median age: 22 years, interquartile range: 21-24 years) had access to a smartphone, 49.5% ( n = 315) frequently searched for health information, and 48.9% ( n = 312) frequently used health-related apps. AGYW's willingness to use mobile apps for HIV testing, prevention, and treatment were 87.9% ( n = 560), 84.4% ( n = 538), and 84.9% ( n = 541), respectively. The high willingness to use apps was associated with older age, HIV testing, and searching for health information on a phone. Barriers to willingness included having no internet access, concerns about internet cost and privacy, and lack of consistent access to a smartphone.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11037457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HIV Inequities, the Therapeutic Alliance, Moral Injury, and Burnout: A Call for Nurse Workforce Participation and Action. 艾滋病不平等、治疗联盟、道德伤害和职业倦怠：呼吁护士队伍的参与和行动。
IF 2 4区 医学
Janac-Journal of the Association of Nurses in Aids Care Pub Date : 2024-04-02 DOI: 10.1097/JNC.0000000000000459
Courtenay Sprague
{"title":"HIV Inequities, the Therapeutic Alliance, Moral Injury, and Burnout: A Call for Nurse Workforce Participation and Action.","authors":"Courtenay Sprague","doi":"10.1097/JNC.0000000000000459","DOIUrl":"https://doi.org/10.1097/JNC.0000000000000459","url":null,"abstract":"<p><strong>Abstract: </strong>Health inequities for those living with HIV have persisted for key populations in the United States and globally. To address these inequities, in accordance with Goals 2 and 3 of the National HIV/AIDS Strategy for the United States, the evidence indicates that the therapeutic alliance could be effective in addressing impediments that undermine HIV outcomes. Nonetheless, the therapeutic alliance relies on health care providers, particularly nurses, reporting burnout and moral injury, further exacerbated by COVID-19. Burnout and moral injury have forced the systemic undervaluing of nurses as a social-cultural norm to the fore-in part a legacy of the economic model that underpins the health care system. Given a looming health workforce shortage and negative effects for key populations with HIV already experiencing health inequities, historic opportunities now exist to advance national institutional reforms to support nurses and other health professionals. This opportunity calls for concerted attention, multisectoral dialogue, and action, with nurses participating in and leading policy and interventions.</p>","PeriodicalId":50263,"journal":{"name":"Janac-Journal of the Association of Nurses in Aids Care","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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