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1996-03-04
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Document 0700
DOCN M9640700
TI Managing occupational HIV exposures: a Canadian study.
DT 9604
AU Reutter LI; Northcott HC; Faculty of Nursing, University of Alberta,
Edmonton, Canada.
SO Int J Nurs Stud. 1995 Oct;32(5):493-505. Unique Identifier : AIDSLINE
MED/96122116
AB The findings reported in this paper are part of a larger study that
explored how nurses cope with the risk of acquiring HIV infection while
caring for persons with AIDS (PWAs). The data were collected through
in-depth interviews with 13 nurses who cared for PWAs in a large Western
Canadian hospital. Seven of these nurses perceived that they had been
exposed to HIV-infected blood or body fluids. This paper describes how
these seven nurses coped with actual exposures to HIV-infected blood or
body fluids. Data were analyzed using the methodology of grounded
theory. Nurses' coping efforts after exposure were grouped into four
categories: minimizing the effect of exposures, reducing a sense of
vulnerability, selective disclosure to others, and assigning meaning.
Nurses minimized the physical effects of exposure through measures such
as 'bleeding' the needlestick injury and immersing the affected area in
bleach solution. Nurses reduced their sense of vulnerability by
assessing the possibility of harm, avoiding situations that aroused
fear, and confronting the decision for HIV testing. Nurses limited their
disclosures to co-workers to avoid rejection and to preserve
professional self-esteem. Disclousre to significant others was
influenced primarily by the support nurses perceived they would receive.
Finally, nurses attempted to assign meaning to the exposure by
determining why the event occurred and by evaluating the implications it
has had on their lives. The article concludes with implications for
nursing practice.
DE *Adaptation, Psychological Adult Canada Fear Guilt Human HIV
Infections/PREVENTION & CONTROL/*PSYCHOLOGY/TRANSMISSION
Internal-External Control Nurses/*PSYCHOLOGY Nursing Theory
*Occupational Exposure/PREVENTION & CONTROL Problem Solving Self
Disclosure Social Support Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).