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Document 2126
DOCN M94A2126
TI Issues in delivery of nursing care to HIV positive women.
DT 9412
AU Mouton JA; Brown N; Barros C; Burnett D; Willis B; Pettit R; Kotarba J;
Park Plaza Hospital, Special Diseases Unit, Houston, Texas.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):375 (abstract no. PD0107). Unique
Identifier : AIDSLINE ICA10/94370449
AB OBJECTIVE: As the number of HIV positive women increases, so does the
need for nursing care that addresses their special needs. HIV nursing
care, however, has been largely shaped by extensive experience with gay,
male patients (mp). This study examines issues in the delivery of
nursing care to female patients (fp) in a dedicated, HIV unit in a
for-profit community hospital, and proposes general recommendations for
issue management. METHODS: The analysis is based on semi-structured
interviews with twelve nurses, one social worker, and two nursing
assistants. Each tape-recorded interview lasted approximately one hour.
The logic of grounded theory was used to locate relevant issues.
FINDINGS: Nurses report they deliver essentially the same care to mp and
fp, with the exception of treatment for KS in men. Due to the high
incidence of cervical dysplasia and STD among fp, nurses suggest routine
gynecological examinations upon admission. Nurses report they often feel
interactionally distant from fp because: fp are usually sicker; fp are
not used to being recipients of concern and attention; fp are usually
less sociable because of higher shame; and fp stay is generally shorter.
Fp are discharged earlier because of family responsibilities, poorer
insurance coverage, or more pragmatic view of hospitalization. There are
distinct differences between female and male nurses' approach to fp.
Female nurses empathize with fp, whom they often view as victims to
unscrupulous men. Male nurses also empathize with, but are more likely
to be accepting of fp with discreditable lifestyles (e.g., drug abuse
and prostitution). Recommendations for nurses include: help fp maintain
personal appearance; initiate social work referrals to supplement low
level of social and community support for fp; and except fp to be less
likely to ask questions about procedures and to understand compliance
requirements as well as mp, largely due to lower social class status.
DE Adult Attitude of Health Personnel Comprehensive Health Care Empathy
Female Gender Identity Human HIV Seropositivity/*NURSING/PSYCHOLOGY
Life Style Male Nurse-Patient Relations Nursing, Team MEETING
ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).