Skip to main content Accesibility Help
×
×
Home

Expert perspectives on the contribution of HIV general practice nursing to the ‘extraordinary story’ of HIV medicine in Australia

  • Max Hopwood (a1), Christy Newman (a2), Asha Persson (a1), Ian Watts (a3), John de Wit (a4), Robert Reynolds (a5), Peter Canavan (a6), Susan Kippax (a7) and Michael Kidd (a8)...
Abstract
Aim

This paper explores cultural and professional dynamics of HIV general practice nursing in Australia. It highlights specific contributions that HIV general practice nurses make to HIV medicine and considers how nurses’ clinical practice has been shaped by past experiences of the AIDS crisis and subsequent developments in HIV medicine.

Background

In international contexts, nurses in HIV medicine commonly work as part of shared-care teams. In recent years, HIV general practice nursing has become a prioritised area for primary health care in Australia.

Methods

Data for this analysis were drawn from 45 in-depth, semi-structured interviews conducted with nurses and general practitioners (GPs) who provide HIV care in general practice, and key informants who work in policy, advocacy or education and training of the HIV general practice workforce.

Findings

Viewed through a socio-ecological framework of social capital, descriptive content analysis highlights a unique and strong HIV health professional identity, which emerged out of the adverse conditions experienced by nurses, GPs and allied health professionals during the 1980s AIDS crisis. Participants reported that today, HIV general practice nursing includes information provision, HIV treatment side-effect management, teaching patients methods to increase adherence to HIV treatments and capacity building with allied health professionals. Participants reported that HIV general practice nurses can reduce the clinical burden on GPs, ameliorate patients’ exposure to HIV health care-related stigma and discrimination and facilitate the emergence of a comprehensive and personalised model of shared primary health care based on trust and rapport, which is desired by people with HIV. This study's findings support the future expansion of the role of HIV general practice nurses in Australia and internationally. General practice nursing will become increasingly important in the scaling up of HIV testing and in caring for increasing numbers of people living with HIV.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Expert perspectives on the contribution of HIV general practice nursing to the ‘extraordinary story’ of HIV medicine in Australia
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Expert perspectives on the contribution of HIV general practice nursing to the ‘extraordinary story’ of HIV medicine in Australia
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Expert perspectives on the contribution of HIV general practice nursing to the ‘extraordinary story’ of HIV medicine in Australia
      Available formats
      ×
Copyright
Corresponding author
Correspondence to: Max Hopwood, Level 3, John Goodsell Building, The University of New South Wales, Sydney 2052, Australia. Email: m.hopwood@unsw.edu.au
References
Hide All
Crock, E.Butwilowsky, J. 2006: The HIV resource nurse role at the Royal District Nursing Service (Melbourne): making a difference for people living with HIV/AIDS in the community. Australian Journal of Primary Health 12, 8389.
De Moor, K. 2003: The doctor's role of witness and companion: medical and literary ethics of care in AIDS physicians’ memoirs. Literature and Medicine 22, 208229.
Diedrich, L. 2005: AIDS and its treatments: two doctors’ narratives of healing, desire, and belonging. Journal of Medical Humanities 26, 237257.
Eccles, K. 2012. PNIP brings success to general practices. Medical Observer, St Leonards: UBM Medica. Retrieved 16 August 2012 from http://www.medicalobserver.com.au/news/pnip-brings-success-to-general-practices.
Fairall, L., Bachmann, M.O., Lombard, C., Timmerman, V., Uebel, K., Zwarenstein, M., Boulle, A., Georgeu, D., Colvin, C.J., Lewin, S., Faris, G., Cornick, R., Draper, B., Tshabalala, M., Kotze, E., van Vuuren, C., Steyn, D., Chapman, R.Batemena, E. 2012: Task shifting of antiretroviral treatment from doctors to primary-care nurses in South Africa (STRETCH): a pragmatic, parallel, cluster-randomised trial. The Lancet 380, doi:10.1016/S0140-6736(12)60730-2.
Garnett, G., Becker, S.Bertozzi, S. 2012: Treatment as prevention: translating efficacy trial results to population effectiveness. Current Opinions in HIV and AIDS 7, 157163.
Graham, J.L., Giordano, T.P., Grimes, R.M., Slomka, J., Ross, M.Hwanf, L. 2010: Influence of trust on HIV diagnosis and care practices: a literature review. Journal of the International Association of Physicians in AIDS Care 9, 346352.
Hekkink, C.F., Wigersma, L., Yzermans, C.J.Bindels, P.J.E. 2005: HIV nursing consultants: patients’ preferences and experiences about the quality of care. Journal of Clinical Nursing 14, 327333.
Hofmeyer, A.Marck, P.B. 2008: Building social capital in healthcare organizations: thinking ecologically for safer care. Nursing Outlook 56, 145151.
Kidd, M.R., Watts, I.T., Mitchell, C.D., Hudson, L.G., Wenck, B.C.Cole, N.J. 2006: Principles for supporting task substitution in Australian general practice. Medical Journal of Australia 185, 2022.
Kippax, S.Stephenson, N. 2012: Beyond the distinction between biomedical and social dimensions of HIV prevention through the lens of a social public health. American Journal of Public Health 102, 789799.
Minichiello, V., Aroni, R., Timewell, E.Alexander, L. 2000: In-depth interviewing: principles, techniques, analysis, second edition. Sydney, Australia: Longman.
Newman, C.E., de Wit, J.B.F., Kippax, S.C., Reynolds, R.H., Canavan, P.G.Kidd, M.R. 2012: The role of the general practitioner in the Australian approach to HIV care: interviews with ‘key informants’ from government, non-government and professional organisations. Sexually Transmitted Infections 88, 132135.
Newman, C.E., Kidd, M.R., de Wit, J.B., Reynolds, R.H., Canavan, P.G.Kippax, S.C. 2011: What moves a family doctor to specialise in HIV? Interviews with Australian policy key informants. Culture, Health and Sexuality 13, 11511164.
Phillips, C.B., Pearce, C., Hall, S., Kljakovic, M., Sibbald, B., Dwan, K., Porritt, J.Yates, R. 2009: Enhancing care, improving quality: the six roles of the general practice nurse. Medical Journal of Australia 191, 9297.
Saag, M.S. 2006: Burn-out among HIV care providers. AIDS Patient Care and STDs 20, 385390.
Savage, J., Crooks, L.McLean, S. 2009: Models of access and clinical service delivery for people with HIV in Australia: final report. Sydney, NSW: Australasian Society for HIV Medicine. Retrieved 15 August 2012 from http://www.ashm.org.au/default2.asp?active_page_id=168.
Valenti, W.M. 2006: Providing quality HIV care: role of nurse practitoners and physician assistants. The AIDS Reader 16, 236238.
Van Der Weyden, M.B. 2008: Doctor displacement: a political agenda or a health care imperative? Medical Journal of Australia 189, 608609.
Vervoort, S.C.J.M., Dijkstra, B.M., Hazelzet, E.E.B., Grypdonck, M.H.F., Hoepelman, A.I.M.Borleffs, J.C.C. 2010: The role of HIV nursing consultants in the care of HIV-infected patients in Dutch hospital outpatient clinics. Patient Education and Counseling 80, 180184.
Wilson, I.B., Landon, B.E., Hirschhorn, L.R., McInnes, K., Ding, L., Marsden, P.V.Cleary, P.D. 2005: Quality of HIV care provided by nurse practitioners, physician assistants, and physicians. Annal of Internal Medicine 143, 729736.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Primary Health Care Research & Development
  • ISSN: 1463-4236
  • EISSN: 1477-1128
  • URL: /core/journals/primary-health-care-research-and-development
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed