Evidence map›Paper›PMID 29514575›Full record

ArticleNursing ethics2019

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

Motshedisi B Sabone, Keitshokile Dintle Mogobe, Ellah Matshediso, Sheila Shaibu, Esther I Ntsayagae, Inge B Corless, Yvette P Cuca, William L Holzemer, Carol Dawson-Rose, Solymar S Soliz Baez and 14 more

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Article in Nursing ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Motshedisi B SaboneUniversity of Botswana, Botswana.
Keitshokile Dintle MogobeUniversity of Botswana, Botswana.
Ellah MatshedisoHuman Resource Development Council, Botswana.
Sheila ShaibuUniversity of Botswana, Botswana.
Esther I NtsayagaeUniversity of Botswana, Botswana.
Inge B CorlessMGH Institute of Health Professions, USA.
Yvette P CucaUniversity of California, San Francisco, USA.
William L HolzemerRutgers, The State University of New Jersey, USA.
Carol Dawson-RoseUniversity of California, San Francisco, USA.
Solymar S Soliz BaezUniversity of Puerto Rico, Medical Sciences Campus, Puerto Rico.
Marta Rivero-MendzUniversity of Puerto Rico, Medical Sciences Campus, Puerto Rico.
Allison R WebelCase Western Reserve University, USA.
Lucille Sanzero EllerRutgers, The State University of New Jersey, USA.
Paula ReidUniversity of North Carolina at Wilmington, USA.
Mallory O JohnsonUniversity of California, San Francisco, USA.
Jeanne KemppainenUniversity of North Carolina at Wilmington, USA.
Darcel ReyesHELP/PSI, USA.
Kathleen NokesThe City University of New York, USA.
Dean WantlandRutgers, The State University of New Jersey, USA.
Patrice K NicholasMGH Institute of Health Professions, USA.
Teri LingrenRutgers, The State University of New Jersey, USA.
Carmen J PortilloYale University, USA.
Elizabeth SefcikTexas A&M University-Corpus Christi, USA.
Ellen Long-MiddletonThe University of Vermont, USA.

Funding

HIV/AIDS NURSING CARE AND PREVENTIONT32NR007081 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DAWSON-ROSE, CAROL, VLAHOV, DAVID · 1995 to 2016
$3.8M
Mentoring and Empowerment in the Context of HIV Care for At-Risk PopulationsK24DA037034 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSON, MALLORY O · 2014 to 2018
$918k
NIDA NIH HHS K24 DA037034NINR NIH HHS T32 NR007081
6 · The paper itself

Abstract

backgroundManaging 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

designA 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.

findingsHIV 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.

conclusionProvision 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.

Indexed as

AdultAgedBeneficenceBotswanaFemaleFocus GroupsHealth PersonnelHIVHIV InfectionsHumansMaleMiddle AgedQualitative ResearchSocial JusticeUnited StatesClinical ethicsconfidentialityethics of care/care ethicsprofessional ethicsqualitative research

Identifiers

PMID29514575
PMCPMC7341961

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.