"If They Give Their Mind to HIV, They Don't Last as Long": An Explanatory Model of HIV Infection in a Limited-Resource Setting Informs Person-Centered Care.
"If They Give Their Mind to HIV, They Don't Last as Long": An Explanatory Model of HIV Infection in a Limited-Resource Setting Informs Person-Centered Care.
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DOI：
10.1177/23333936221097112
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发表时间：
2022-01
影响因子：
1.7
通讯作者：
George M
中科院分区：
文献类型：
--
作者：
Stonbraker S;Sanabria G;Cunto-Amesty S;Alcántara C;Abraído-Lanza AF;Rowell-Cunsolo T;Halpern M;Bakken S;Schnall R;George M
解释模型描述了个体对其疾病经历的感知，这可以指导与文化相关的护理。我们构建了一个解释模型的经验与人类免疫缺陷病毒（HIV）生活在多米尼加共和国。根据定性描述方法，我们使用使用Kleinman解释模型框架开发的半结构化访谈指南以西班牙语进行访谈。两名双语研究人员在常规内容分析之后对采访记录进行编码。我们使用Kleinman框架中的演绎码和该框架外的归纳码来构建码本。我们将代码按共享意义排列到类别中，并构建主题，反映归纳类别和演绎代码的共同发现。26名艾滋病毒感染者参加了活动。他们通过四个交叉主题对自己的经历进行了丰富的描述，这为解释模型提供了信息。通过将对患者疾病经历的深入了解纳入护理服务，护士可以培养文化上有意义和信任的以患者为中心的伙伴关系，从而改善健康。
Explanatory models describe individuals’ perceptions of their illness experiences, which can guide culturally relevant care. We constructed an explanatory model of the experience of living with human immunodeficiency virus (HIV) in the Dominican Republic. Following qualitative descriptive methodology, we conducted interviews in Spanish using a semi-structured interview guide developed using Kleinman’s explanatory model framework. Two bilingual researchers coded interview transcripts following conventional content analysis. We used deductive codes from Kleinman’s framework and inductive codes external to the framework to construct the codebook. We arranged codes by shared meaning into categories and constructed themes that reflected shared findings from inductive categories and deductive codes. Twenty-six persons living with HIV participated. They provided rich descriptions of their experiences represented by four cross-cutting themes, which informed the explanatory model. By incorporating this in-depth understanding of patients’ illness experiences into care delivery, nurses can cultivate culturally meaningful and trusting patient-centered partnerships that improve health.
DOI：
10.1016/j.jana.2017.06.009
发表时间：
2017-11
期刊：
The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子：
--
作者：
Stonbraker S;Arcia A;Halpern M;Larson E
通讯作者：
Larson E