TY - JOUR
T1 - The uses of self and space
T2 - Health providers' approaches to engaging patients into the HIV care continuum
AU - Leblanc, Natalie M.
AU - Albuja, Laura
AU - Desantis, Joseph
N1 - Funding Information:
This article’s development is supported by a postdoctoral fellowship to the first author from the University of Rochester, School of Nursing, and by the University of Rochester Center for AIDS Research (NIH P30AI078498). The authors would also like to acknowledge the insight of the University of Rochester School of Nursing Qualitative Health Research Group.
PY - 2018/8
Y1 - 2018/8
N2 - In the context of HIV prevention, the provider-patient relationship has been found to profoundly impact HIV screening, patient initiation into HIV care, and adherence to medication following an HIV diagnosis. Given the importance of the provider-patient relationship, insight into provider approaches to cultivate such relationships is essential. Such insight could highlight considerations for provider engagement with patients that can address the current challenges in HIV prevention and treatment. This qualitative descriptive study sought to describe current health providers' approaches to engage patients into the HIV care continuum (HCC). Findings from the content and thematic analysis indicated that health providers (N = 22) used various approaches to engage patients/clients into HIV screening, and subsequent HIV care. Approaches were represented by an interpersonal process and a thematic analysis revealed the nuances in the approaches that manifested in the following themes: Uses of self, normalizing disease, and engaging couples. This study demonstrated the importance for health providers to be aware of the specific context of patient's vulnerability to HIV infection and barriers to care. Self-awareness and the capability to self-reflect on one's personal practice also helped to ensure engagement of those vulnerable to infection or infected with HIV into the HCC.
AB - In the context of HIV prevention, the provider-patient relationship has been found to profoundly impact HIV screening, patient initiation into HIV care, and adherence to medication following an HIV diagnosis. Given the importance of the provider-patient relationship, insight into provider approaches to cultivate such relationships is essential. Such insight could highlight considerations for provider engagement with patients that can address the current challenges in HIV prevention and treatment. This qualitative descriptive study sought to describe current health providers' approaches to engage patients into the HIV care continuum (HCC). Findings from the content and thematic analysis indicated that health providers (N = 22) used various approaches to engage patients/clients into HIV screening, and subsequent HIV care. Approaches were represented by an interpersonal process and a thematic analysis revealed the nuances in the approaches that manifested in the following themes: Uses of self, normalizing disease, and engaging couples. This study demonstrated the importance for health providers to be aware of the specific context of patient's vulnerability to HIV infection and barriers to care. Self-awareness and the capability to self-reflect on one's personal practice also helped to ensure engagement of those vulnerable to infection or infected with HIV into the HCC.
KW - HIV prevention
KW - HIV provider practice
KW - content and thematic analysis
KW - qualitative descriptive design
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U2 - 10.1089/apc.2017.0284
DO - 10.1089/apc.2017.0284
M3 - Article
C2 - 30067407
AN - SCOPUS:85050986306
VL - 32
SP - 321
EP - 329
JO - AIDS Patient Care and STDs
JF - AIDS Patient Care and STDs
SN - 1087-2914
IS - 8
ER -