A qualitative description of service providers' experiences of ethical issues in HIV care

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dc.contributor.authorSabone, Motshedisi
dc.contributor.authorMogobe, Keitshokile Dintle
dc.contributor.authorMatshediso, Ellah
dc.contributor.authorShaibu, Sheila
dc.contributor.authorNtsayagae, Esther
dc.contributor.authorCorless, Inge
dc.contributor.authorCuca, Yvette
dc.contributor.authorHolzemer, William
dc.contributor.authorDawson Rose, Carol
dc.contributor.authorSolis-Baez, Solymar
dc.contributor.authorRivero-Mendez, Marta
dc.contributor.authorWebel, Allison
dc.contributor.authorSanzero Eller, Lucille
dc.contributor.authorReid, Paula
dc.contributor.authorJohnson, Mallory O.
dc.contributor.authorKemppainen, Jeanne
dc.contributor.authorReyes, Darcel
dc.contributor.authorNokes, Kathleen
dc.contributor.authorWantland, Dean
dc.contributor.authorNicholas, Patrice
dc.contributor.authorLingren, Teri
dc.contributor.authorPortillo, Carmen J
dc.contributor.authorSefcik, Elizabeth
dc.contributor.authorLong-Middleton, Ellen
dc.contributor.authorSabone, Motshedisi
dc.contributor.authorMogobe, Keitshokile Dintle
dc.contributor.authorMatshediso, Ellah
dc.contributor.authorShaibu, Sheila
dc.contributor.authorNtsayagae, Esther
dc.contributor.authorCorless, Inge
dc.contributor.authorCuca, Yvette
dc.contributor.authorHolzemer, William
dc.contributor.authorDawson Rose, Carol
dc.contributor.authorSolis-Baez, Solymar
dc.contributor.authorRivero-Mendez, Marta
dc.contributor.authorWebel, Allison
dc.contributor.authorSanzero Eller, Lucille
dc.contributor.authorReid, Paula
dc.contributor.authorJohnson, Mallory O.
dc.contributor.authorKemppainen, Jeanne
dc.contributor.authorReyes, Darcel
dc.contributor.authorNokes, Kathleen
dc.contributor.authorWantland, Dean
dc.contributor.authorNicholas, Patrice
dc.contributor.authorLingren, Teri
dc.contributor.authorPortillo, Carmen J
dc.contributor.authorSefcik, Elizabeth
dc.contributor.authorLong-Middleton, Ellen
dc.creator.orcidhttps://orcid.org/0000-0001-5181-6534en_US
dc.creator.orcidhttps://orcid.org/0000-0002-1399-2657en_US
dc.creator.orcidhttps://orcid.org/0000-0002-6300-4047en_US
dc.creator.orcidhttps://orcid.org/0000-0003-4988-9966en_US
dc.creator.orcidhttps://orcid.org/0000-0003-0438-2037en_US
dc.creator.orcidhttps://orcid.org/0000-0002-5674-4741en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4400-9432en_US
dc.creator.orcidhttps://orcid.org/0000-0001-6066-1853en_US
dc.creator.orcidhttps://orcid.org/0000-0003-2563-6307en_US
dc.creator.orcidhttps://orcid.org/0000-0001-8710-6139en_US
dc.creator.orcidhttps://orcid.org/0000-0002-7538-5780en_US
dc.creator.orcidhttps://orcid.org/0000-0003-1883-8509en_US
dc.creator.orcidhttps://orcid.org/0000-0002-3687-9817en_US
dc.creator.orcidhttps://orcid.org/0000-0003-4106-6498en_US
dc.creator.orcidhttps://orcid.org/0000-0001-5823-3286en_US
dc.creator.orcidhttps://orcid.org/0000-0001-9026-4189en_US
dc.creator.orcidhttps://orcid.org/0000-0002-4277-187Xen_US
dc.creator.orcidhttps://orcid.org/0000-0001-9519-7587en_US
dc.creator.orcidhttps://orcid.org/0000-0002-3551-8016en_US
dc.creator.orcidhttps://orcid.org/0000-0001-9747-4795en_US
dc.creator.orcidhttps://orcid.org/0000-0001-5181-6534
dc.creator.orcidhttps://orcid.org/0000-0002-1399-2657
dc.creator.orcidhttps://orcid.org/0000-0002-6300-4047
dc.creator.orcidhttps://orcid.org/0000-0003-4988-9966
dc.creator.orcidhttps://orcid.org/0000-0003-0438-2037
dc.creator.orcidhttps://orcid.org/0000-0002-5674-4741
dc.creator.orcidhttps://orcid.org/0000-0002-4400-9432
dc.creator.orcidhttps://orcid.org/0000-0001-6066-1853
dc.creator.orcidhttps://orcid.org/0000-0003-2563-6307
dc.creator.orcidhttps://orcid.org/0000-0001-8710-6139
dc.creator.orcidhttps://orcid.org/0000-0002-7538-5780
dc.creator.orcidhttps://orcid.org/0000-0003-1883-8509
dc.creator.orcidhttps://orcid.org/0000-0002-3687-9817
dc.creator.orcidhttps://orcid.org/0000-0003-4106-6498
dc.creator.orcidhttps://orcid.org/0000-0001-5823-3286
dc.creator.orcidhttps://orcid.org/0000-0001-9026-4189
dc.creator.orcidhttps://orcid.org/0000-0002-4277-187X
dc.creator.orcidhttps://orcid.org/0000-0001-9519-7587
dc.creator.orcidhttps://orcid.org/0000-0002-3551-8016
dc.creator.orcidhttps://orcid.org/0000-0001-9747-4795
dc.date.accessioned2022-04-01T19:27:01Z
dc.date.available2022-04-01T19:27:01Z
dc.date.issued2019-08-26
dc.date.issued2019-08-26
dc.description.abstractBackground: Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. Purpose: This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care. Research design: A descriptive qualitative design was used to collect data from health service providers and patients using focused group discussions. This article is based on responses from health service providers only. Participants and context: This article is based on 11 focused group discussions with a total sample of 71 service providers in seven US sites and one Botswana site. Ethical considerations: Ethical review boards at all the study sites reviewed the study protocol and approved it. Ethical review boards of the study's coordinating centers, Rutgers University and the University of California at San Francisco, also approved it. The study participants provided a written informed consent to participate. Findings: HIV service providers encountered ethical challenges in all the four Beauchamp and Childress' biomedical ethics of respect for patients' autonomy, beneficence, justice, and nonmaleficence. Discussion: The finding that HIV service providers encounter ethical challenges in their interaction with patients is supported by prior studies. The ethical challenges are particularly prominent in multicultural care and resource-constrained care environments. Conclusion: Provision of HIV care is fraught with ethical challenges that tend to pose different issues depending on a given care environment. It is important that strong partnerships are developed among key stakeholders in HIV care. In addition, health service providers need to be provided with resources so they can provide quality and ethically sound care.en_US
dc.description.sponsorshipThis work was supported by the HIV/AIDS nursing Care and Prevention, National Institutes of Health [J32 NR007081] (Portillo); Irwin Belk Distinguished Professorship, University of North Carolina Wilmington; K24DA037034 (Johnson); and the Government of Botswana Human Resources Development Council.en_US
dc.identifier.citationSabone, M.B., Mogobe, K.D., Matshediso, E., Shaibu, S., Ntsayagae, E.I., Corless, I.B., Cuca, Y.P., Holzemer, W.L., Dawson-Rose, C., Soliz Baez, S.S. and Rivero-Mendz, M., 2019. A qualitative description of service providers’ experiences of ethical issues in HIV care. Nursing ethics, 26(5), pp.1540-1553.en_US
dc.identifier.doihttps://doi.org/10.1177/0969733017753743
dc.identifier.doihttps://doi.org/10.1177/0969733017753743
dc.identifier.urihttps://hdl.handle.net/1969.6/90396
dc.identifier.urihttps://hdl.handle.net/1969.6/90396
dc.language.isoen_USen_US
dc.publisherSage Journalsen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectClinical ethicsen_US
dc.subjectconfidentialityen_US
dc.subjectethics of care/care ethicsen_US
dc.subjectprofessional ethicsen_US
dc.subjectqualitative researchen_US
dc.titleA qualitative description of service providers' experiences of ethical issues in HIV careen_US
dc.typeArticleen_US

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