2.50
Hdl Handle:
http://hdl.handle.net/10755/161065
Type:
Presentation
Title:
Impact of an Outreach Advanced Practice Nurse on Families Affected by HIV
Abstract:
Impact of an Outreach Advanced Practice Nurse on Families Affected by HIV
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Alteneder, Ruth Rowland, PhD, CNM
P.I. Institution Name:Medical University of Ohio
Title:Professor
Contact Address:College of Nursing, 920 Bexley Drive, Perrysburg, OH, 43551, USA
Contact Telephone:419-874-8242
Extensive literature on HIV pediatric medication adherence has been written, but there is a paucity of studies on the use of a pediatric expert to make home visits to such a vulnerable population. The purpose of this research was to analyze the impact of an outreach pediatric nurse practitioner (PNP) on adherence to prescribed antiretroviral regimens for children perinatally infected with HIV. Fourteen children were enrolled in this 2-year study. Children were seen in a family centered care clinic by a team of professionals on a 1-3 month basis. Weekly contact and/or home visits are also made by the PNP. During each contact, dosage regimens were explained, positive medication administration was reinforced, and ways to make medication administration more acceptable were demonstrated.

A combination of semi-structured caregiver interviews, utilizing a phenomenological approach, coupled with analysis of laboratory data were used to ascertain the impact of the PNP. Semi-structured interviews were conducted with a purposive sample of six adult caregivers to determine caregivers' perceptions of the effectiveness of the nurse practitioner. Anticipation of the encounters with the PNP was positively expressed. Four specific themes were identified: reinforcement for medication adherence, advocacy, validation for both caregiver and child, and encounter. Analysis of laboratory data revealed nine children attained undetectable viral loads; 11 children had CD4 counts greater than 25%.

Caregivers' descriptions suggest the value in extending health care "outside" the traditional center-based system to assist in management of persons with chronic illness. Worldwide, as the number of families caring for relatives with HIV increases, nursing must consider alternative education to prepare nurse providers for "non-traditional" roles, funding resources must be identified to support this education and care, and further research must validate the importance of the outreach advanced practice nurse role.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImpact of an Outreach Advanced Practice Nurse on Families Affected by HIVen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161065-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of an Outreach Advanced Practice Nurse on Families Affected by HIV</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Alteneder, Ruth Rowland, PhD, CNM</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Medical University of Ohio</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 920 Bexley Drive, Perrysburg, OH, 43551, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">419-874-8242</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">realteneder@bex.net</td></tr><tr><td colspan="2" class="item-abstract">Extensive literature on HIV pediatric medication adherence has been written, but there is a paucity of studies on the use of a pediatric expert to make home visits to such a vulnerable population. The purpose of this research was to analyze the impact of an outreach pediatric nurse practitioner (PNP) on adherence to prescribed antiretroviral regimens for children perinatally infected with HIV. Fourteen children were enrolled in this 2-year study. Children were seen in a family centered care clinic by a team of professionals on a 1-3 month basis. Weekly contact and/or home visits are also made by the PNP. During each contact, dosage regimens were explained, positive medication administration was reinforced, and ways to make medication administration more acceptable were demonstrated. <br/><br/>A combination of semi-structured caregiver interviews, utilizing a phenomenological approach, coupled with analysis of laboratory data were used to ascertain the impact of the PNP. Semi-structured interviews were conducted with a purposive sample of six adult caregivers to determine caregivers' perceptions of the effectiveness of the nurse practitioner. Anticipation of the encounters with the PNP was positively expressed. Four specific themes were identified: reinforcement for medication adherence, advocacy, validation for both caregiver and child, and encounter. Analysis of laboratory data revealed nine children attained undetectable viral loads; 11 children had CD4 counts greater than 25%.<br/><br/>Caregivers' descriptions suggest the value in extending health care &quot;outside&quot; the traditional center-based system to assist in management of persons with chronic illness. Worldwide, as the number of families caring for relatives with HIV increases, nursing must consider alternative education to prepare nurse providers for &quot;non-traditional&quot; roles, funding resources must be identified to support this education and care, and further research must validate the importance of the outreach advanced practice nurse role.</td></tr></table>en_GB
dc.date.available2011-10-26T23:15:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:15:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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