Depressive symptoms and HIV disease.
Explore the source record for details and available documents.
Depression↗
Biomedical subjects
L Moneyham
Publications and source records attributed to L Moneyham.
Experiences of disclosure in women infected with HIV.
In this qualitative focus group study, we explored issues of disclosure for women infected with HIV. The sample included 19 women who participated in one of four focus group sessions. Participants talked about and described their experiences sharing information about their HIV infection with others. Content analysis was used to code the data and identify major issues. Participants uniformly expressed concern about disclosing their HIV status because they expected and feared negative responses from others. Descriptions of disclosure revealed an evaluative process involving an analysis of potential risks and benefits. Three themes that represent concerns about disclosure were identified: discrimination, confidentiality, and the context of disclosure. Based on the findings, we concluded that these concerns are important factors influencing disclosure decisions and the use of supportive services and resources. The findings have implications for designing interventions to assist women in coping with the diagnosis of HIV and to promote their quality of life.
Adaptation, Psychological↗
Spiritual activities as a resistance resource for women with human immunodeficiency virus.
BACKGROUND: Few studies have investigated the role that spiritual activities play in the adaptational outcomes of women with human immunodeficiency virus (HIV) disease. OBJECTIVE: To examine the role of spiritual activities as a resource that may reduce the negative effects of disease-related stressors on the adaptational outcomes in HIV-infected women. METHODS: A theoretically based causal model was tested to examine the role of spiritual activities as a moderator of the impact of HIV-related stressors (functional impairment, work impairment, and HIV-related symptoms) on two stress-related adaptational outcomes (emotional distress and quality of life), using a clinic-based sample of 184 HIV-positive women. RESULTS: Findings indicated that as spiritual activities increased, emotional distress decreased even when adjustments were made for HIV-related stressors. A positive relationship between spiritual activities and quality of life was found, which approached significance. Findings showed that HIV-related stressors have a significant negative effect on both emotional distress and quality of life. CONCLUSIONS: The findings support the hypothesis that spiritual activities are an important psychological resource accounting for individual variability in adjustment to the stressors associated with HIV disease.
Adaptation, Psychological↗
The poster presentation as an educational tool.
The authors describe their experiences in using the poster presentation to develop undergraduate nursing students in the scholarly role of professional nursing practice. The posters were used as a means for students to communicate their accomplishments in implementation and evaluation of an innovative clinical project. Methods for development, exhibition, and evaluation of the poster project are described.
Audiovisual Aids↗
Student projects enhance competency in community-based nursing practice.
Trends in healthcare delivery toward community-based care challenge nurse educators to design nursing curricula and learning experiences that prepare students for practice in community settings. The authors describe how faculty used student projects to enhance community learning experiences. The projects were designed to help students gain skill in the process of program design and evaluation and an appreciation and enthusiasm for community-based nursing practice.
Clinical Competence↗
Long-term disease management needs of southern African Americans with diabetes.
PURPOSE: This qualitative study explored the issues, concerns, and needs of low-income, southern African Americans in managing type 2 diabetes over time. METHODS: Two focus groups (N = 22) were conducted with the target population to collect data. Group sessions were audiotaped and transcribed verbatim. Content analysis was used to analyze the data. RESULTS: The data revealed an overall theme of learning to live with diabetes, which consisted of 3 processes: (1) symptom management, (2) making healthy choice, and (3) emotional adjustment. This article focuses on the processes of symptom management and making healthy choices. Findings suggest that the sequential processes of symptom management and making healthy choices occurred over time primarily through experiential learning in this population and were influenced by social support, caring and collaborative provider-client relationships, and access to resources and culturally sensitive supportive services. CONCLUSIONS: Experiential educational methods that incorporate social support and access to resources may be more appropriate than the traditional didactic method of teaching diabetes self-care.
Adult↗
Nursing faculty development during a time of declining resources.
During a time of declining resources, a school of nursing faculty development committee and their Dean devised a way to provide need-specific scholarly development programs using principles of human potential development. The process yielded information useful for faculty development, regardless of economic resources. Faculty were invited to participate in a non-confidential survey that assessed their needs for scholarly productivity, resources they would offer to others, and goals for their own development. The list of resources and needs generated was shared with faculty. Based upon the needs and resources identified, specific development activities were initiated. Six workshops were planned and implemented with high (89%) participation. The dean hired a part-time statistician, a faculty member developed and distributed a handout on "Tips for Time Management," and a writers' support group was formed. This approach to faculty development merits consideration by other groups since it focuses upon the synergistic development of human potential.
Cost Control↗
A model emerges for the community-based nurse care management of older adults.
Changes in the demographics of older adults and the structure and financing of the health care delivery system have created a need to develop alternative models of care delivery for the elderly. The nurse care management model is a potentially cost-effective solution for provision of comprehensive care to this population. By providing timely health promotion and illness prevention education, as well as coordinating community resources, nurses can reduce the health care costs of this growing segment of the population. Funding this model, however, remains a challenge as such services are not directly reimbursed by third-party payers.
Aged↗