2.50
Hdl Handle:
http://hdl.handle.net/10755/166177
Category:
Abstract
Type:
Presentation
Title:
Home visits to HIV positive mothers and their infants: A pilot program
Author(s):
Johnson, Merrilyn
Author Details:
Merrilyn Johnson, Postdoctoral Fellow, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA, email: moj@nursing.upenn.edu
Abstract:
Maternal transmission of HIV has resulted in an increasing number of infants infected with the HIV/AIDS virus. As the responsibility of caring for these vulnerable infants falls heavily upon the caregiver at home, effective nursing interventions must be family centered and address ways of meeting various physical and psychological needs. A model for empirically based home interventions is needed. The purpose of this pilot study was to assess the usefulness of a single home visit by an Advanced Practice Nurse (APN) in meeting the information needs of family caregivers for HIV exposed infants. Six families with prenatally exposed African American infants were studied. None of the infants were acutely ill at the time of the visit. However, 5 infants were classified as indeterminant-infectious status at time one, and two of those infants converted to asymptomatic infectious status by time two. One infant, cared for by white foster parents, was HIV positive with infections at time one and time two (and died a short time after time 2 data collection). Effectiveness of the visit was measured by a post-visit survey. Caregivers reported the home visit was useful to them. However, the most notable finding was the caregiver's lack of understanding of the very basic questions in the Family Needs Survey. When asked verbally, by the investigator, it became clear that caregiver's interpreted the meaning quite differently than what was intended. For example, when asked if there was a need for more resources, they interpreted that to mean there were resources available to them, but they were not receiving them. It is imperative that a tool specific to the potential needs of this vulnerable population be developed. Families indicated the greatest need for Information about Services and Child Growth and Development. The request for more information about services may be related to changes in the child's HIV status. The request for information about growth and development appears to be a related to the normal and rapid developmental changes in infants at this age. The study revealed that families have many needs that may be met by a home visitor, however informational needs were variable and perceived in diverse ways by families caring for HIV exposed infants. While the finding of this pilot project can not be generalized, the families did identify that home visits met some of their needs. Expansion of this pilot program to include a larger sample, and identification or development of a more reliable instrument are critical. There is a great deficit in information to assist clinicians to implement appropriate home based interventions for vulnerable families with HIV exposed infants.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
Feb 29 - Mar 2, 1996
Conference Host:
Southern Nursing Research Society
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleHome visits to HIV positive mothers and their infants: A pilot programen_GB
dc.contributor.authorJohnson, Merrilynen_US
dc.author.detailsMerrilyn Johnson, Postdoctoral Fellow, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA, email: moj@nursing.upenn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166177-
dc.description.abstractMaternal transmission of HIV has resulted in an increasing number of infants infected with the HIV/AIDS virus. As the responsibility of caring for these vulnerable infants falls heavily upon the caregiver at home, effective nursing interventions must be family centered and address ways of meeting various physical and psychological needs. A model for empirically based home interventions is needed. The purpose of this pilot study was to assess the usefulness of a single home visit by an Advanced Practice Nurse (APN) in meeting the information needs of family caregivers for HIV exposed infants. Six families with prenatally exposed African American infants were studied. None of the infants were acutely ill at the time of the visit. However, 5 infants were classified as indeterminant-infectious status at time one, and two of those infants converted to asymptomatic infectious status by time two. One infant, cared for by white foster parents, was HIV positive with infections at time one and time two (and died a short time after time 2 data collection). Effectiveness of the visit was measured by a post-visit survey. Caregivers reported the home visit was useful to them. However, the most notable finding was the caregiver's lack of understanding of the very basic questions in the Family Needs Survey. When asked verbally, by the investigator, it became clear that caregiver's interpreted the meaning quite differently than what was intended. For example, when asked if there was a need for more resources, they interpreted that to mean there were resources available to them, but they were not receiving them. It is imperative that a tool specific to the potential needs of this vulnerable population be developed. Families indicated the greatest need for Information about Services and Child Growth and Development. The request for more information about services may be related to changes in the child's HIV status. The request for information about growth and development appears to be a related to the normal and rapid developmental changes in infants at this age. The study revealed that families have many needs that may be met by a home visitor, however informational needs were variable and perceived in diverse ways by families caring for HIV exposed infants. While the finding of this pilot project can not be generalized, the families did identify that home visits met some of their needs. Expansion of this pilot program to include a larger sample, and identification or development of a more reliable instrument are critical. There is a great deficit in information to assist clinicians to implement appropriate home based interventions for vulnerable families with HIV exposed infants.en_GB
dc.date.available2011-10-27T14:41:49Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:41:49Z-
dc.conference.dateFeb 29 - Mar 2, 1996en_US
dc.conference.hostSouthern Nursing Research Societyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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