2.50
Hdl Handle:
http://hdl.handle.net/10755/161277
Type:
Presentation
Title:
Impact of Community Outreach PNP on HIV Pediatric Patients
Abstract:
Impact of Community Outreach PNP on HIV Pediatric Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Alteneder, Ruth, PhD, RN, CNM
Title:Professor Emerita
Contact Address:SON, 920 Bexley Drive, Perrysburg, OH, 43551, USA
Co-Authors:Sandra Oehrtman, PhD, CPNP, ACRN, Assistant Professor; Ann Wayson Locher, MSN, RN, ACRN, HIV Clinical Specialist
The purpose of this research was to analyze the impact of a community outreach pediatric nurse practitioner on adherence to prescribed antiretroviral regimens for the treatment of HIV in pediatric patients. Bi-weekly contact and/or home visits have been made to 14 children and their caregivers. During these contacts, reinforcement of positive medication administration has been given along with demonstration of approaches to make medication administration more acceptable and dosage regimens have been explained. Information has been collected on adherence to medication regimens as well as viral load and CD4 counts in regular clinic appointments and to date, it has been observed through clinic visits that overall viral loads are decreasing with 4 children reaching undetectable viral load levels. In addition, semi-structured interviews have been conducted with a purposive sample of 3 adult caregivers to further assist in the determination of caregivers' perceptions of the effectiveness of the nurse practitioner. Specific themes that are evident to date include the PNP being seen as a resource to information, a reinforcement and provider of validation, and advocate for both the caregiver and child. Anticipation of the encounters with the PNP are positively expressed. The Multilevel-Lifespan-Harm Reduction Model (Bradley-Springer, 1996) will be used as the conceptual framework to further analyze the caregivers' perceptions of the program. As non-conforming issues have been seen, data saturation has not been accomplished and further interviews are planned. Colaizzi's method of analysis will be used to further determine the clusters of themes. A combination of the qualitative data collected by interview coupled with the quantitative data of the lab values and reported adherence to medications will be used to ascertain the impact of the PNP in maintaining or increasing antiretroviral adherence.
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 Community Outreach PNP on HIV Pediatric Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161277-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Impact of Community Outreach PNP on HIV Pediatric Patients</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">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Alteneder, Ruth, PhD, RN, CNM</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor Emerita</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 920 Bexley Drive, Perrysburg, OH, 43551, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sandra Oehrtman, PhD, CPNP, ACRN, Assistant Professor; Ann Wayson Locher, MSN, RN, ACRN, HIV Clinical Specialist</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this research was to analyze the impact of a community outreach pediatric nurse practitioner on adherence to prescribed antiretroviral regimens for the treatment of HIV in pediatric patients. Bi-weekly contact and/or home visits have been made to 14 children and their caregivers. During these contacts, reinforcement of positive medication administration has been given along with demonstration of approaches to make medication administration more acceptable and dosage regimens have been explained. Information has been collected on adherence to medication regimens as well as viral load and CD4 counts in regular clinic appointments and to date, it has been observed through clinic visits that overall viral loads are decreasing with 4 children reaching undetectable viral load levels. In addition, semi-structured interviews have been conducted with a purposive sample of 3 adult caregivers to further assist in the determination of caregivers' perceptions of the effectiveness of the nurse practitioner. Specific themes that are evident to date include the PNP being seen as a resource to information, a reinforcement and provider of validation, and advocate for both the caregiver and child. Anticipation of the encounters with the PNP are positively expressed. The Multilevel-Lifespan-Harm Reduction Model (Bradley-Springer, 1996) will be used as the conceptual framework to further analyze the caregivers' perceptions of the program. As non-conforming issues have been seen, data saturation has not been accomplished and further interviews are planned. Colaizzi's method of analysis will be used to further determine the clusters of themes. A combination of the qualitative data collected by interview coupled with the quantitative data of the lab values and reported adherence to medications will be used to ascertain the impact of the PNP in maintaining or increasing antiretroviral adherence.</td></tr></table>en_GB
dc.date.available2011-10-26T23:18:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:18:46Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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