Diagnostic aspects and in-service training in the decentralization of care to people living with HIV

Rev Esc Enferm USP. 2021 Oct 8:55:e20210065. doi: 10.1590/1980-220X-REEUSP-2021-0065. eCollection 2021.
[Article in English, Portuguese]

Abstract

Objective: To analyze the perception of nurses on the decentralization of care to people living with HIV.

Method: Exploratory, descriptive, qualitative study conducted with primary health care nurses based on Imogene King's Open Systems Theory (personal, interpersonal, and social). The data were obtained through interviews; a sociodemographic/professional questionnaire and a semi-structured script were employed, processed by the IRAMUTEQ software and analyzed through Descending Hierarchical Classification.

Results: Study participants amounted to 32 nurses. Five classes emerged from the analysis: "diagnostic revelation process"; "professional training"; "preventive measures"; "barriers and potentials in the process of decentralization"; and "stigma and prejudice".

Conclusion: In the process of reorganization of the healthcare model for people living with HIV in primary health care, an important contribution by nurses in strengthening the local healthcare decentralization was identified.

MeSH terms

  • HIV Infections* / diagnosis
  • Humans
  • Politics
  • Prejudice
  • Qualitative Research
  • Social Stigma*