Nurses In AIDS Care Research Articles

Thalidomide: The Past, Present, and Future

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Nurses are the key to effective HIV/AIDS prevention and care.

"Connecting Experience and Knowledge"--the theme of a recent conference organized by the European Association of Nurses in AIDS Care (EANAC)--is at the heart of effective HIV/AIDS care, noted ICN President Kirsten Stallknecht in her opening statement. Below, excerpts from her speech.

Nursing practice for HIV/AIDS fever care: A descriptive study

Nurses often perceive fever in relation to the impact it has on specific patient populations. Fever in HIV/AIDS patients is a common symptom. This descriptive study explored how nurses in AIDS care defined and described fever in HIV/AIDS patients and used nursing interventions for fever management. Seventy-five registered nurses, nurse practitioners, and LPNs employed in AIDS care throughout Florida were surveyed concerning interventions for AIDS-related fever. The study revealed that nurses in AIDS care treat fever by providing patient comfort, initiating nursing interventions for low-grade to moderate fever, and notifying the primary care provider if nursing interventions do not keep the temperature below 100.9 degrees F. The sample provided a variety of nursing interventions to make the patient more comfortable. In addition, the study also revealed a unique perspective for fever care, which influences the practice of nurses in AIDS care and might differentiate nursing practice in AIDS care from other nursing specialties. However, some interventions differed from fever nursing management strategies published by the Association of Nurses in AIDS Care. Further research needs to explore the efficacy of these interventions.

The Association of Nurses in AIDS Care position paper on harm reduction and HIV care for drug users: Integrating harm-reduction methods and HIV care

As the epidemic of HIV disease continues to grow among drug users and their sexual partners, new ways must be adopted to do prevention work, outreach, and service delivery to this population. The Harm Reduction Model offers methods of working with drug users, which are in contrast to traditional methods based on confrontation and that require abstinence before change can occur. This position paper examines the Harm Reduction Model and outlines areas in which the Association of Nurses in AIDS Care can play a role in the expansion of harm-reduction-based intervention and policies.

End-of-life issues: A survey of English-Speaking canadian nurses in AIDS care

This anonymous postal survey explored attitudes and experiences concerning end-of-life decisions. Respondents were English-speaking members of the Canadian Association for Nurses in AIDS Care (CANAC) and other nurses identified as working primarily in HIV/AIDS settings. Seventy-three percent believed that the law should be changed to allow physicians to practice voluntary euthanasia (VE) and assisted suicide (AS). Fifty-three percent indicated that nurses should be allowed to practice VE and AS. Although VE and AS are illegal, fewer than one in five nurses would report a colleague whom they knew to be involved in such acts. More than one in five nurses have received requests from patients to hasten their deaths by VE. Nearly 98% believe that the nursing profession should be involved in policy development concerning VE and AS, and nearly 78% believe that nurses should be involved in the decision-making process with patients if such acts were legal. Given that ethical codes for Canadian nurses promote client self-determination and that nurses are the largest group of care providers for the terminally ill, the profession must promote discussion and research if it is to take a leadership role with respect to end-of-life issues.

Oral mucosal transudate testing for HIV-1 antibodies: A clinical update

The HIV epidemic and the social and clinical responses to it have changed dramatically in recent years in ways that significantly affect the nursing profession. In scope, the HIV epidemic has broadened demographically and geographically, shifting the burden of the epidemic and continuing to place stress on our health care and social service delivery systems. During the past 2 years, there have been clinical advances in the ability to treat HIV disease as a more chronic, manageable condition, making it more important than ever for infected individuals to know their serostatus. A recently available HIV-1 antibody test that uses oral mucosal transudate (OMT) fluid that compares favorably to serum in reliability, because it is based on the same enzyme-linked immunosorbent assay Western blot algorithm, has become available. The OMT test for HIV involves simple, safe, and non-invasive specimen collection that offers clinical and outreach advantages to nurses in AIDS care who provide counseling and testing.

Psychosocial correlates of quality of life in patients with HIV infection.

AIDS Patient Care and STDsVol. 10, No. 5 Psychosocial Correlates of Quality of Life in Patients with HIV InfectionLuigi Grassi and Laura SighinolfiLuigi GrassiSearch for more papers by this author and Laura SighinolfiSearch for more papers by this authorPublished Online:24 Jun 2009https://doi.org/10.1089/apc.1996.10.296AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byBuddy Programs for People Infected With HIVJournal of the Association of Nurses in AIDS care, Vol. 14, No. 1Perception of Quality of Life of Persons with HIV/AIDS and Maintenance of Nutritional Parameters While on Protease Inhibitors PAMELA S. ECHEVERRIA, SATYA S. JONNALAGADDA, BARBARA L. HOPKINS, and CHRISTINE A. ROSENBLOOM25 June 2009 | AIDS Patient Care and STDs, Vol. 13, No. 7 Volume 10Issue 5Oct 1996 To cite this article:Luigi Grassi and Laura Sighinolfi.Psychosocial Correlates of Quality of Life in Patients with HIV Infection.AIDS Patient Care and STDs.Oct 1996.296-298.http://doi.org/10.1089/apc.1996.10.296Published in Volume: 10 Issue 5: June 24, 2009PDF download

Coping behaviors of mothers with HIV/AIDS.

AIDS Patient Care and STDsVol. 10, No. 1 Coping Behaviors of Mothers with HIV/AIDSMolly A. Rose and Barbara Clark-AlexanderMolly A. RoseSearch for more papers by this author and Barbara Clark-AlexanderSearch for more papers by this authorPublished Online:24 Jun 2009https://doi.org/10.1089/apc.1996.10.44AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byFinding the HIV Positive MotherSouthern African Journal of Child and Adolescent Mental Health, Vol. 14, No. 2Support From Health Care Providers and Parental Uncertainty During the Diagnosis Phase of Perinatally Acquired HIV InfectionJournal of the Association of Nurses in AIDS Care, Vol. 11, No. 2 Volume 10Issue 1Feb 1996 To cite this article:Molly A. Rose and Barbara Clark-Alexander.Coping Behaviors of Mothers with HIV/AIDS.AIDS Patient Care and STDs.Feb 1996.44-47.http://doi.org/10.1089/apc.1996.10.44Published in Volume: 10 Issue 1: June 24, 2009PDF download

Diarrhea in HIV-infected individuals: a review.

AIDS Patient Care and STDsVol. 10, No. 1 Diarrhea in HIV-Infected Individuals: A ReviewJennifer Muir Bowers, Cynthia Lee Dois, and Christine J. BarreutherJennifer Muir BowersSearch for more papers by this author, Cynthia Lee DoisSearch for more papers by this author, and Christine J. BarreutherSearch for more papers by this authorPublished Online:24 Jun 2009https://doi.org/10.1089/apc.1996.10.25AboutSectionsPDF/EPUB ToolsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited ByAeromonas sobria sepsis complicated by rhabdomyolysis in an HIV-positive patient: case report and evaluation of traits associated with bacterial virulenceInternational Journal of Infectious Diseases, Vol. 13, No. 3Bacterial Diarrhea in Persons with HIV Infection, United States, 1992-2002Clinical Infectious Diseases, Vol. 41, No. 11Subjective global assessment in HIV-Infected patientsJournal of the Association of Nurses in AIDS Care, Vol. 7, No. 4 Volume 10Issue 1Feb 1996 To cite this article:Jennifer Muir Bowers, Cynthia Lee Dois, and Christine J. Barreuther.Diarrhea in HIV-Infected Individuals: A Review.AIDS Patient Care and STDs.Feb 1996.25-31.http://doi.org/10.1089/apc.1996.10.25Published in Volume: 10 Issue 1: June 24, 2009PDF download

Participation of Minority Populations in Phase I/II Clinical Trials of Candidate AIDS Vaccines: Conference Summary

AIDS Research and Human RetrovirusesVol. 11, No. 10 Participation of Minority Populations in Phase I/II Clinical Trials of Candidate AIDS Vaccines: Conference SummaryConference on Advances in AIDS Vaccine Development—1994SUSAN WESCOTT, BARBARA SAVARESE, and CAROL SMITHSUSAN WESCOTTSearch for more papers by this author, BARBARA SAVARESESearch for more papers by this author, and CAROL SMITHSearch for more papers by this authorPublished Online:16 Mar 2009https://doi.org/10.1089/aid.1995.11.1307AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail "Participation of Minority Populations in Phase I/II Clinical Trials of Candidate AIDS Vaccines: Conference Summary." , 11(10), p. 1307FiguresReferencesRelatedDetailsCited byCharacteristics of volunteer participants in phase I HIV vaccine trialsJournal of the Association of Nurses in AIDS Care, Vol. 8, No. 5 Volume 11Issue 10Oct 1995 To cite this article:SUSAN WESCOTT, BARBARA SAVARESE, and CAROL SMITH.Participation of Minority Populations in Phase I/II Clinical Trials of Candidate AIDS Vaccines: Conference Summary.AIDS Research and Human Retroviruses.Oct 1995.1307-1307.http://doi.org/10.1089/aid.1995.11.1307Published in Volume: 11 Issue 10: March 16, 2009PDF download

Psychological distress and natural killer cells in gay men with and without HIV infection

The variability of the decline in immune function among those infected by HIV raises the possibility that psychological factors might help to explain the differences. Since studies of other populations have shown natural killer (NK) cells to be affected by psychiatric conditions, the authors examined this relationship in the context of HIV infection, expecting to find fewer NK cells to be associated with greater psychological distress. Forty-six HIV-negative and 74 HIV-positive gay men who were participating in a longitudinal study had NK cells enumerations performed (by staining for CD56) 36 months after entry into the study. Comparisons were made between HIV-negative, HIV-positive asymptomatic, and HIV-positive symptomatic men by using a variety of clinician-rated and self-report measures of psychological function and absolute NK cell number. HIV-negative men had more NK cells than the groups of HIV-positive men. The groups' measures of psychological distress did not differ in any clinically meaningful ways. In general, the presence of DSM-III-R diagnoses and the measures of distress did not relate to NK cell number. NK cell number is not related to measures of psychological distress in these gay men with and without HIV infection.

Providing long-term care for persons with AIDS. Results from a survey of nursing homes in the United States.

In this pilot study, a random sample of 50 nursing homes located in each of the five U.S. cities with the highest AIDS incidence were surveyed (total N = 250) to determine: (1) the frequency of admission inquiries by, and actual admissions of PWAs, (2) the frequency of adoption of formal AIDS admission policies, (3) the industry's concerns regarding provision of care in traditional nursing homes, and (4) the industry's preferred way of delivering long-term care (LTC) to PWAs. The majority of the facilities cited ability to meet special care needs, the costs of this care, and inadequate reimbursement as important admission policy issues. The majority indicated a preference for either special care units for AIDS or AIDS-specific skilled nursing facilities as the most appropriate setting for the provision of LTC to persons living with AIDS. While almost half (48.2 percent) of the facilities had been approached, at least informally, about admitting a PWA, only 15.4 percent of the nursing homes had admitted a resident with AIDS.

Predictors of posttraumatic stress symptoms among survivors of the Oakland/Berkeley, Calif., firestorm

The purpose of this study was to examine factors predicting the development of posttraumatic stress symptoms after a traumatic event, the 1991 Oakland/Berkeley firestorm. The major predictive factors of interest were dissociative, anxiety, and loss of personal autonomy symptoms reported in the immediate aftermath of the fire; contact with the fire; and life stressors before and after the fire. Subjects were recruited from several sources so that they would vary in their extent of contact with the fire. Of 187 participants who completed self-report measures about their experiences in the aftermath of the firestorm, 154 completed a follow-up assessment. Of these 154 subjects, 97% completed the follow-up questionnaires 7-9 months after the fire. The questionnaires included measures of posttraumatic stress and life events since the fire. Dissociative and loss of personal autonomy symptoms experienced in the fire's immediate aftermath, as well as stressful life experiences occurring later, significantly predicted posttraumatic stress symptoms measured 7-9 months after the firestorm by a civilian version of the Mississippi Scale for Combat-Related Posttraumatic Stress Disorder and the Impact of Event Scale. Dissociative symptoms more strongly predicted posttraumatic symptoms than did anxiety and loss of personal autonomy symptoms. Intrusive thinking differs from other kinds of posttraumatic symptoms in being related directly to the trauma and previous stressful life events. These findings suggest that dissociative symptoms experienced in the immediate aftermath of a traumatic experience and subsequent stressful experiences are indicative of risk for the later development of posttraumatic stress symptoms. Such measures may be useful as screening procedures for identifying those most likely to need clinical care to help them work through their reactions to the traumatic event and to subsequent stressful experiences.

Social Support Among Gay Men with AIDS or at High Risk for AIDS

Aids Patient CareVol. 7, No. 4 Social Support Among Gay Men with AIDS or at High Risk for AIDSGregory A. Bechtel and Barbara B. SwartzbergGregory A. BechtelSearch for more papers by this author and Barbara B. SwartzbergSearch for more papers by this authorPublished Online:24 Apr 2009https://doi.org/10.1089/apc.1993.7.213AboutSectionsPDF/EPUB ToolsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byPhysical activity, social support and socio-economic status amongst persons living with HIV and AIDS: a review13 July 2018 | African Journal of AIDS Research, Vol. 17, No. 2Social Support Network among People Living with HIV/AIDS in IranAIDS Research and Treatment, Vol. 2013The Relationship Between Social Support and Health in Gay Men With HIV/AIDS: An Integrative ReviewJournal of the Association of Nurses in AIDS Care, Vol. 10, No. 3Coming Out: An Overlooked ConceptClinical Nurse Specialist, Vol. 10, No. 1 Volume 7Issue 4Aug 1993 To cite this article:Gregory A. Bechtel and Barbara B. Swartzberg.Social Support Among Gay Men with AIDS or at High Risk for AIDS.AIDS Patient Care.Aug 1993.213-215.http://doi.org/10.1089/apc.1993.7.213Published in Volume: 7 Issue 4: April 24, 2009PDF download

Taking the Risk to Care

James Halloran, RN, MSN, OCN, ANP, is HIV clinical nurse specialist at the AIDS Regional Education and Training Center at the University of Texas School of Public Health in Houston. He is also former president of the Association of Nurses in AIDS Care.

Universal Precautions in a Teaching Hospital

Aids Patient CareVol. 7, No. 3 Universal Precautions in a Teaching HospitalCompliance and PerceptionH. Naccache, C. Fortin, A. Croteau, and G. GodinH. NaccacheSearch for more papers by this author, C. FortinSearch for more papers by this author, A. CroteauSearch for more papers by this author, and G. GodinSearch for more papers by this authorPublished Online:24 Apr 2009https://doi.org/10.1089/apc.1993.7.134AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byThe Lowbury lecture: behaviour in infection controlJournal of Hospital Infection, Vol. 58, No. 1Profiles of Rural Nurses' Use of Personal Protective Equipment: A Cluster AnalysisJournal of the Association of Nurses in AIDS care, Vol. 13, No. 6Determinants of nurses’ adherence to Universal Precautions for venipuncturesAmerican Journal of Infection Control, Vol. 28, No. 5Understanding physicians’ intention to use a simple infection control measure: Wearing glovesAmerican Journal of Infection Control, Vol. 26, No. 4HIV Infection: Challenges for Dialysis PersonnelAdvances in Renal Replacement Therapy, Vol. 3, No. 4Rural nurses' use of universal precautions in relation to perceived knowledge of patient's HIV statusInternational Journal of Nursing Studies, Vol. 33, No. 3Gnashings of HIVThe Lancet, Vol. 344, No. 8927 Volume 7Issue 3Jun 1993 To cite this article:H. Naccache, C. Fortin, A. Croteau, and G. Godin.Universal Precautions in a Teaching Hospital.AIDS Patient Care.Jun 1993.134-137.http://doi.org/10.1089/apc.1993.7.134Published in Volume: 7 Issue 3: April 24, 2009PDF download

The Effect of HIV on the Family

Aids Patient CareVol. 7, No. 1 The Effect of HIV on the FamilyImplications for CareBarbara Aranda-NaranjoBarbara Aranda-NaranjoSearch for more papers by this authorPublished Online:24 Apr 2009https://doi.org/10.1089/apc.1993.7.27AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byCaregivers of children with HIV/AIDS: Quality of life and coping stylesJournal of the Association of Nurses in AIDS Care, Vol. 9, No. 1Seeing People Differently: The Sociospatial Construction of Disability30 November 2016 | Environment and Planning D: Society and Space, Vol. 15, No. 4Case Management of the Perinatal Patient with HIV Infection Margaret I. Silebi24 April 2009 | Aids Patient Care, Vol. 9, No. 2The Lived Experience of Self-Transcendence in Women With AIDSJournal of Obstetric, Gynecologic & Neonatal Nursing, Vol. 24, No. 4 Volume 7Issue 1Feb 1993 To cite this article:Barbara Aranda-Naranjo.The Effect of HIV on the Family.AIDS Patient Care.Feb 1993.27-29.http://doi.org/10.1089/apc.1993.7.27Published in Volume: 7 Issue 1: April 24, 2009PDF download

Ozone Therapies for AIDS

Aids Patient CareVol. 6, No. 6 Ozone Therapies for AIDSEd McCabeEd McCabeSearch for more papers by this authorPublished Online:24 Apr 2009https://doi.org/10.1089/apc.1992.6.254AboutSectionsPDF/EPUB ToolsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail "Ozone Therapies for AIDS." , 6(6), pp. 254–255FiguresReferencesRelatedDetailsCited byAlternative/complementary therapies used by persons with HIV diseaseJournal of the Association of Nurses in AIDS Care, Vol. 6, No. 4 Volume 6Issue 6Dec 1992 To cite this article:Ed McCabe.Ozone Therapies for AIDS.AIDS Patient Care.Dec 1992.254-255.http://doi.org/10.1089/apc.1992.6.254Published in Volume: 6 Issue 6: April 24, 2009PDF download

Bereavement reactions among homosexual men experiencing multiple losses in the AIDS epidemic.

The authors examined whether deaths of lovers and close friends from AIDS increased the frequency of depressive symptoms and depressive disorder in a group of homosexual men. Two hundred seven volunteer male homosexual subjects were interviewed in New York City in 1988 and 1989. Depressive symptoms were measured with the Hamilton Rating Scale for Depression, administered by a clinician, and two self-report symptom checklists. Subjects were evaluated for major depression with the Structured Clinical Interview for DSM-III-R. Each subject also reported the number of lovers and close friends who had died of AIDS 1) since the beginning of the epidemic in 1981 and 2) in the 6 months preceding the interview. Neither the overall level of depressive symptoms, the presence of specific symptom clusters, nor the presence of a diagnosed depressive disorder was related to the number of AIDS deaths a subject reported in either time frame. In contrast, bereavement reactions specific to loss, namely, preoccupation with and searching for the deceased, were more common in subjects with greater numbers of losses. The findings for depressive symptoms and major depression are not readily explained by measurement artifact, overrepresentation of asymptomatic subjects among study volunteers, habituation effects, numbness, or shallowness of attachments in the subjects. Changes in normative expectations regarding AIDS deaths and mobilization against AIDS within the gay community may account for the lack of association between the number of losses resulting from AIDS and the presence of depressive symptoms and depressive disorder.

Nurses and AIDS care.

The VIIIth International Conference on AIDS held in Amsterdam, July 1992, covered many issues pertinent to nurses; however, the lack of nursing participation was evident. This article examines the issues of concern to nurses in AIDS care that were highlighted at the meeting.