A qualitative description of service providers' experiences of ethical issues in HIV care.

Autor:	Sabone MB; University of Botswana, Botswana., Mogobe KD; University of Botswana, Botswana., Matshediso E; Human Resource Development Council, Botswana., Shaibu S; University of Botswana, Botswana., Ntsayagae EI; University of Botswana, Botswana., Corless IB; MGH Institute of Health Professions, USA., Cuca YP; University of California, San Francisco, USA., Holzemer WL; Rutgers, The State University of New Jersey, USA., Dawson-Rose C; University of California, San Francisco, USA., Soliz Baez SS; University of Puerto Rico, Medical Sciences Campus, Puerto Rico., Rivero-Mendz M; University of Puerto Rico, Medical Sciences Campus, Puerto Rico., Webel AR; Case Western Reserve University, USA., Eller LS; Rutgers, The State University of New Jersey, USA., Reid P; University of North Carolina at Wilmington, USA., Johnson MO; University of California, San Francisco, USA., Kemppainen J; University of North Carolina at Wilmington, USA., Reyes D; HELP/PSI, USA., Nokes K; The City University of New York, USA., Wantland D; Rutgers, The State University of New Jersey, USA., Nicholas PK; MGH Institute of Health Professions, USA., Lingren T; Rutgers, The State University of New Jersey, USA., Portillo CJ; Yale University, USA., Sefcik E; Texas A&M University-Corpus Christi, USA., Long-Middleton E; The University of Vermont, USA.
Jazyk:	angličtina
Zdroj:	Nursing ethics [Nurs Ethics] 2019 Aug; Vol. 26 (5), pp. 1540-1553. Date of Electronic Publication: 2018 Mar 07.
DOI:	10.1177/0969733017753743
Abstrakt:	Background: Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. Purpose: This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care. Research Design: A descriptive qualitative design was used to collect data from health service providers and patients using focused group discussions. This article is based on responses from health service providers only. Participants and Context: This article is based on 11 focused group discussions with a total sample of 71 service providers in seven US sites and one Botswana site. Ethical Considerations: Ethical review boards at all the study sites reviewed the study protocol and approved it. Ethical review boards of the study's coordinating centers, Rutgers University and the University of California at San Francisco, also approved it. The study participants provided a written informed consent to participate. Findings: HIV service providers encountered ethical challenges in all the four Beauchamp and Childress' biomedical ethics of respect for patients' autonomy, beneficence, justice, and nonmaleficence. Discussion: The finding that HIV service providers encounter ethical challenges in their interaction with patients is supported by prior studies. The ethical challenges are particularly prominent in multicultural care and resource-constrained care environments. Conclusion: Provision of HIV care is fraught with ethical challenges that tend to pose different issues depending on a given care environment. It is important that strong partnerships are developed among key stakeholders in HIV care. In addition, health service providers need to be provided with resources so they can provide quality and ethically sound care.
Databáze:	MEDLINE
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