What Experienced HIV-Infected Lay Peer Educators Working in Midwestern US HIV Medical Care Settings Think About Their Role and Contributions to Patient Care
What Experienced HIV-Infected Lay Peer Educators Working in Midwestern US HIV Medical Care Settings Think About Their Role and Contributions to Patient Care
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DOI：
10.1089/apc.2013.0021
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发表时间：
2013-08-01
影响因子：
4.9
通讯作者：
Neville, Sally
中科院分区：
文献类型：
--
作者：
Enriquez, Maithe;Farnan, Rose;Neville, Sally
这项定性研究探讨了经验丰富的艾滋病毒感染者奠定个人谁在艾滋病毒的医疗保健设置工作的教育工作者的作用。这项研究的参与者平均已经担任了4年的角色，并将他们的工作称为“窥视”，这是一个新创造的动词，与护理有关。一个首要的主题是，“同伴教育者”的头衔既没有抓住他们的工作范围，也没有抓住他们对病人护理所做贡献的技能。同行们为艾滋病毒护理团队做出了独特的贡献，这对鼓励患者继续参与护理至关重要。同行们感到被低估，并表示希望“专业化”。“这项研究的结果表明，同龄人表现出作为行为改变者的希望，他们可以塑造健康的行为，特别是对于新诊断的患者或那些努力参与艾滋病毒护理和坚持治疗的患者。然而，同龄人需要并希望在行为改变科学方面得到更正式的培训，同龄人主导的服务必须更加统一，并随时提供给艾滋病毒护理机构的患者。需要进行研究，以记录同龄人对艾滋病毒相关健康结果的积极影响，并增加对成功同龄人的属性的了解。
This qualitative study examined the role of experienced HIV-infected lay individuals who work in HIV medical care settings as educators. Participants in this study had been in the role an average of 4 years, and referred to their work as "peering," a newly coined verb in the vein of nursing. An overarching theme was that the title "peer educator" captured neither the scope of their work, nor the skill set they contribute to patient care. Peers brought unique contributions to the HIV care team that were vital to encouraging patients to stay engaged in care. Peers felt undervalued and expressed the wish to be "professionalized." Results from this study suggest that peers show promise as behavior change agents who can model healthful behaviors, particularly for newly diagnosed patients or those struggling with engagement in HIV care and adherence to treatment. However, peers need and want more formal training in behavior change science, and peer-led services must become more uniform and readily available to patients across HIV care settings. Research is needed to document the positive impact that peers can have on HIV-related health outcomes and to increased knowledge about the attributes of successful peers.