Impact on HIV test providers of giving a positive test result
Identifieur interne : 002127 ( Main/Exploration ); précédent : 002126; suivant : 002128Impact on HIV test providers of giving a positive test result
Auteurs : Ted Myers [Canada] ; Catherine Worthington [Canada] ; Jeffrey P. Aguinaldo [Canada] ; Dennis J. Haubrich [Canada] ; Karen Ryder [Canada] ; Brian Rawson [Canada]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2007.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Canada.
- topic : Santé publique, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
The provision of a positive HIV antibody test result and the direction and support given to the test recipient are critical components of care and prevention. There has been little research that describes what happens in such interactions between recipient and provider. The impact on the test provider of delivering the HIV test result is an important issue to consider. The discomfort experienced by some health providers in giving a positive test result may have adverse effects on the client interaction or may carry over into subsequent client interactions. Utilizing a thematic analysis on interview data from 24 HIV test providers, we describe the impact of delivering a positive test result on HIV test providers, identify the factors that influence this impact, and describe strategies used to manage the impact. As with other health care professionals communicating "bad news," HIV test providers experience a variety of impacts. While a small number of providers indicated little or no impact of delivering the HIV positive test result because the diagnosis is "not the end of the world," most indicated it was difficult as it was anticipated that the test recipient would (or did) find the news distressing. Several coping strategies were identified.
Affiliations:
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Aguinaldo</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>HIV Social, Behavioural and Epidemiological Studies Unit, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Public Health Sciences, Faculty of Medicine, University of Toronto</s1><s2>Ontario, Toronto</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Haubrich, Dennis J" sort="Haubrich, Dennis J" uniqKey="Haubrich D" first="Dennis J." last="Haubrich">Dennis J. Haubrich</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>HIV Social, Behavioural and Epidemiological Studies Unit, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>School of Social Work, Ryerson University</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>4 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Toronto, Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Ryder, Karen" sort="Ryder, Karen" uniqKey="Ryder K" first="Karen" last="Ryder">Karen Ryder</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>HIV Social, Behavioural and Epidemiological Studies Unit, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Rawson, Brian" sort="Rawson, Brian" uniqKey="Rawson B" first="Brian" last="Rawson">Brian Rawson</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Tobacco Prevention Team, Peel Region Health Department</s1><s2>Brampton, Ontario</s2><s3>CAN</s3><sZ>6 aut.</sZ></inist:fA14><country>Canada</country><wicri:noRegion>Brampton, Ontario</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Canada</term><term>Clinical test</term><term>Coping</term><term>Health staff</term><term>Human</term><term>Human immunodeficiency virus</term><term>Information communication</term><term>Medical screening</term><term>Mental health</term><term>Psychological effect</term><term>Public health</term><term>Seropositivity</term><term>Social environment</term><term>Stress</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>SIDA</term><term>Virus immunodéficience humaine</term><term>Effet psychologique</term><term>Test clinique</term><term>Dépistage</term><term>Communication information</term><term>Séropositivité</term><term>Personnel sanitaire</term><term>Stress</term><term>Coping</term><term>Santé publique</term><term>Santé mentale</term><term>Environnement social</term><term>Canada</term><term>Homme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Santé publique</term><term>Santé mentale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The provision of a positive HIV antibody test result and the direction and support given to the test recipient are critical components of care and prevention. There has been little research that describes what happens in such interactions between recipient and provider. The impact on the test provider of delivering the HIV test result is an important issue to consider. The discomfort experienced by some health providers in giving a positive test result may have adverse effects on the client interaction or may carry over into subsequent client interactions. Utilizing a thematic analysis on interview data from 24 HIV test providers, we describe the impact of delivering a positive test result on HIV test providers, identify the factors that influence this impact, and describe strategies used to manage the impact. As with other health care professionals communicating "bad news," HIV test providers experience a variety of impacts. While a small number of providers indicated little or no impact of delivering the HIV positive test result because the diagnosis is "not the end of the world," most indicated it was difficult as it was anticipated that the test recipient would (or did) find the news distressing. Several coping strategies were identified.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Alberta</li><li>Ontario</li></region><settlement><li>Calgary</li><li>Toronto</li></settlement><orgName><li>Université de Calgary</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Myers, Ted" sort="Myers, Ted" uniqKey="Myers T" first="Ted" last="Myers">Ted Myers</name></region><name sortKey="Aguinaldo, Jeffrey P" sort="Aguinaldo, Jeffrey P" uniqKey="Aguinaldo J" first="Jeffrey P." last="Aguinaldo">Jeffrey P. Aguinaldo</name><name sortKey="Aguinaldo, Jeffrey P" sort="Aguinaldo, Jeffrey P" uniqKey="Aguinaldo J" first="Jeffrey P." last="Aguinaldo">Jeffrey P. Aguinaldo</name><name sortKey="Haubrich, Dennis J" sort="Haubrich, Dennis J" uniqKey="Haubrich D" first="Dennis J." last="Haubrich">Dennis J. Haubrich</name><name sortKey="Haubrich, Dennis J" sort="Haubrich, Dennis J" uniqKey="Haubrich D" first="Dennis J." last="Haubrich">Dennis J. Haubrich</name><name sortKey="Myers, Ted" sort="Myers, Ted" uniqKey="Myers T" first="Ted" last="Myers">Ted Myers</name><name sortKey="Rawson, Brian" sort="Rawson, Brian" uniqKey="Rawson B" first="Brian" last="Rawson">Brian Rawson</name><name sortKey="Ryder, Karen" sort="Ryder, Karen" uniqKey="Ryder K" first="Karen" last="Ryder">Karen Ryder</name><name sortKey="Worthington, Catherine" sort="Worthington, Catherine" uniqKey="Worthington C" first="Catherine" last="Worthington">Catherine Worthington</name><name sortKey="Worthington, Catherine" sort="Worthington, Catherine" uniqKey="Worthington C" first="Catherine" last="Worthington">Catherine Worthington</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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