A Grounded Theory Study of HIV-Related Stigma in US-Based Health Care Settings
A Grounded Theory Study of HIV-Related Stigma in US-Based Health Care Settings
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DOI：
10.1016/j.jana.2017.07.007
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发表时间：
2017-11-01
影响因子：
2
通讯作者：
Lakon, Cynthia
中科院分区：
文献类型：
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作者：
Davtyan, Mariam;Olshansky, Ellen F.;Lakon, Cynthia
尽管在治疗和护理艾滋病毒携带者(PLWH)方面取得了进展，但与艾滋病毒有关的耻辱仍然存在。卫生保健机构和工作人员已被确定为耻辱的重要来源。研究已经解决了美国卫生保健环境中污名的构建，但主要是从公共卫生部门的角度。我们使用扎根理论来理解卫生保健工作者如何将艾滋病毒相关的污名概念化，并开发一个模型来投射卫生保健环境中的污名的有目的的观点。我们的模型表明，耻辱可能植根于历史上对艾滋病毒的贬损表现，并因权力不平等而加剧。耻辱可能是由恐惧、不充分的临床教育和培训、无意的行为和与PLWH的有限接触引发的。研究参与者认为耻辱对患者和提供者的健康结果是有害的。为了减少耻辱，可能需要对提供者对污名的看法进行额外的研究，并制定鼓励授权、沟通和培训的计划。版权所有(C)2017艾滋病护理护士协会
Despite progress made in the treatment and care of people living with HIV (PLWH), HIV-related stigma has remained persistent. Health care settings and workers have been identified as important sources of stigma. Studies have addressed the construct of stigma in U.S. health care settings, but mainly from the perspectives of PLWH. We used Grounded Theory to understand how health care workers conceptualized HIV-related stigma and to develop a model to project a purposive view of stigma in health care settings. Our model indicates that stigma may be rooted in historically derogatory representations of HIV and intensified by power inequalities. Stigma may be triggered by fear, inadequate clinical education and training, unintentional behaviors, and limited contact with PLWH. Study participants perceived stigma as injurious to patient and provider health outcomes. Additional research on provider perceptions of stigma and programs that encourage empowerment, communication, and training may be necessary for stigma reduction. Copyright (C) 2017 Association of Nurses in AIDS Care