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Biomedical subjects

L Bradley-Springer

Publications and source records attributed to L Bradley-Springer.

13 recordsLinked to original sources
PubMed2001

HIV prevention: what works?

Explore the source record for details and available documents.

Centers for Disease Control and Prevention, U.S.↗
PubMed1996

Patient education for behavior change: help from the Transtheoretical and Harm Reduction models.

Promoting healthy behaviors at all levels of prevention is an important component of nursing care in the HIV epidemic. This paper explores two models that can be used to support behavior change efforts: the Transtheoretical Model, which describes stages in the change process, and the Harm Reduction Model, which offers an incremental approach to helping clients move toward safer and healthier habits. A review of the literature shows that these holistic and caring models can be combined effectively to assist clients who are dealing with HIV-related issues. The resulting theory-based approach can help nurses maintain consistency and direction in educational interventions for behavior change.

Empathy↗
PubMed1996

HIV infection: challenges for dialysis personnel.

Patients with human immunodeficiency viral (HIV) infection who also require dialysis present a complex constellation of challenges for dialysis personnel. The major challenges that health care providers (HCPs) face when working with HIV-infected patients are related to overcoming personal fears and to adapting to HIV-specific patient care needs. Dialysis personnel who encounter these concerns do so with a background of experience that has prepared them to cope effectively with HIV disease in the dialysis setting. This article explores the problems of occupational exposure to HIV and chronic health care issues common to patients with HIV infection and renal disease.

Delivery of Health Care↗
PubMed1995

The human immunodeficiency virus and nephrology nursing: implications for infected clients.

HIV infection is a chronic disease that can occur in conjunction with a variety of renal problems. When it does, nephrology nursing care is complicated by the interactive nature of dealing with two complex disease processes. Nephrology nurses already possess the skills needed to deal with this complexity, but may need additional knowledge specific to HIV. This article focuses on HIV infection and nursing care of infected patients in renal care settings.

HIV Infections↗
PubMed1991

Nutritional support in HIV infection: a multilevel analysis.

Infection with the human immunodeficiency virus (HIV) and the development of the acquired immunodeficiency syndrome (AIDS) is a long-term process in many individuals. The progression of HIV disease is beginning to demonstrate many commonalities with other chronic diseases. Although research has not yet shown clear-out evidence that diet can make a difference in the course of disease in HIV-infected clients, nutrition should be viewed as an important component of holistic care for HIV-infected clients because: 1) wasting and symptoms of malnutrition are common problems associated with these clients; and 2) nutrition has proven to be a beneficial component of care in other chronic conditions. This paper uses the model developed by Winett, King and Altman (1989) to review nutritional support in HIV infection from a multilevel perspective ranging from personal psychology to institutional/societal controls. The author concludes that there is a potential benefit from integrating nutritional assessment, diagnosis and education into the holistic care of HIV-infected clients at the personal, interpersonal, organizational and societal levels.

Comprehensive Health Care↗
PubMedDate not supplied

The HIV-infected health care worker: legal, ethical, and scientific perspectives.

Emergency medical health care workers may face restrictions on their practices as state responses to federal mandates concerning human immunodeficiency virus (HIV) and hepatitis B virus (HBV) evolve. This article presents an analysis of legal, ethical, and scientific considerations for making decisions about the practices of HIV-infected health care workers (HCWs). A four-factor product analysis is proposed for risk assessment, and recommendations are developed related to decreasing the risk of HIV transmission in the health care setting while maintaining HCW rights.

Beneficence↗
PubMedDate not supplied

Discovery of meaning through imagined experience, writing, and evaluation.

Writing is frequently referred to as a skill. Its value, however, is most often judged by what it produces, when, ironically, studying the process of writing may be the best way to improve the product. This teaching plan asks students to develop a meaningful written product while focusing on context, content, and process evaluation. It also provides a learning experience that has the potential to enhance empathy and caring among nursing students.

Curriculum↗
PubMedDate not supplied

Anticipating care for HIV-infected clients: nurses' reactions.

This study assessed nurses' reactions to the possibility of working with HIV-infected clients by the use of a sentence-completion format. A random sample of 2,434 nurses was completed with 502 (20.6%) nurses who provided 3,180 responses on the survey tool. Card sorting was used to discover themes that included positive, neutral, and negative reactions. The thematic categories that evolved from the data were: caring (899 responses, 28%), care as usual (1198 responses, 37.6%), and avoidance (1083 responses, 34%). More than 88% of the respondents provided statements that were sorted into at least two of the thematic categories; more than 51% gave responses that sorted into all three of the major categories. This qualitative research project revealed that these nurses, when confronted with an anticipation of caring for HIV-infected clients, held a wide variety of opinions and concerns that were often expressed simultaneously.

Adult↗
PubMedDate not supplied

Human immunodeficiency virus infection in the healthcare worker.

The 1990 report of transmission of human immunodeficiency virus in a Florida dental office sparked a massive public fear reaction. In response, the Centers for Disease Control and Prevention produced six recommendations that provide few benefits, at what may prove to be an exorbitant cost. The author reviews those recommendations in light of the legal and ethical considerations of informed consent, significant risk, fear, confidentiality, privacy, and right to work. An alternative approach is recommended which would use human, economic, and leadership resources. This approach focuses attention on improved health care through research, product development, education, and enforcement of safety measures, and recognition and control of high-risk situations through education and government leadership.

Centers for Disease Control and Prevention, U.S.↗