Translating concern into action: HIV care providers' views on counseling patients about HIV prevention in the clinical setting.
Translating concern into action: HIV care providers' views on counseling patients about HIV prevention in the clinical setting.
复制标题
将关注转化为行动：艾滋病毒护理人员对临床环境中艾滋病毒预防咨询患者的看法。
DOI：
10.1007/s10461-007-9225-8
复制
发表时间：
2008
影响因子：
4.4
通讯作者：
Price,Matt
中科院分区：
文献类型：
--
作者：
Grodensky,CatherineA;Golin,CarolE;Boland,MaureenS;Patel,ShilpaN;Quinlivan,EByrd;Price,Matt
Recent Centers for Disease Control (CDC) guidelines recommend that HIV care practitioners provide HIV prevention counseling to patients at routine medical visits. However, research shows that HIV care practitioners provide such counseling infrequently, presenting a challenge for clinics implementing these guidelines. Our qualitative study of 19 HIV care providers at an infectious diseases clinic in the southeastern US explored providers’ beliefs about their patients’ HIV transmission behaviors, expected outcomes of conducting HIV prevention counseling, and perceived barriers and facilitators to counseling. Providers’ concern about HIV transmission among their patients was high but did not “translate into action” in the form of counseling. They anticipated poor outcomes from counseling, including harm to patient–provider relationships, and failure of patients to change their behavior. They also listed barriers and facilitators to counseling, most importantly time, state reporting policies, and conversational triggers. Implications for implementation of CDC guidelines and clinic-based “Prevention with Positives” programs are discussed.
