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Biomedical subjects

M Hayter

Publications and source records attributed to M Hayter.

5 recordsLinked to original sources

Burnout and AIDS care-related factors in HIV community clinical nurse specialists in the North of England.

Burnout in Acquired Immune Deficiency Syndrome (AIDS) care nursing is well described in the literature from a hospital based perspective. No studies into the effects of AIDS care and burnout have been carried out within the community setting. A two-stage, mixed method study was carried out. In Stage one 30 Clinical Nurse Specialists in human immunodeficiency virus (HIV)/AIDS from the North of England completed the Maslach Burnout Inventory (MBI) and the AIDS Impact Scale. For Stage two five practitioners were selected randomly for semi-structured interview. Burnout morbidity was significant. Sixty-six per cent of informants scored as moderate or high burnout cases on the emotional Exhaustion and Personal Accomplishment subscales of the MBI. Only three per cent scored as cases on the depersonalization subscale. Links between the close involvement of practitioners with clients, death of clients, isolation, stigma and discrimination and the availability of support and supervision were identified as significant factors in AIDS care within this population that contributed to stress and burnout. Paradoxically, informants found the close relationships with clients, the autonomy of isolation and the exclusive nature of AIDS care positive aspects of their practice. The role of support and supervision in facilitating the continuance of a close empathic and therapeutic relationship and the prevention of an over-involved, isolated and stressful relationship is proposed as a way forward.

Acquired Immunodeficiency Syndrome↗

Confidentiality and the acquired immune deficiency syndrome (AIDS): an analysis of the legal and professional issues.

Confidentiality is one of the most significant concepts in health care and nursing practice, particularly in the arena of HIV infection and AIDS. The implications for individuals of deliberate or accidental disclosure of their HIV status can and does have far reaching effects. This paper will explore the concept of confidentiality by discussing the legal and professional issue of confidentiality and AIDS. The nature of the law and guidance by professional bodies allow exceptions to the respect of confidentiality in certain situations. AIDS and the need for confidentiality often is in conflict when public health considerations are deemed to be involved. The law is poorly developed in this area and often professional guidance is less than clear.

Codes of Ethics↗

Is non-judgemental care possible in the context of nurses' attitudes to patients' sexuality?

Developments in nursing practice in the United Kingdom are increasingly focusing on holistic models and approaches to care. The recognition of the importance of sexuality and sexual orientation of patients is a significant aspect of holistic care. This paper explores and discusses the literature in the arena of nurses' attitudes to patients' sexuality. From this discussion the concept emerges that nursing needs to recognize the effect that attitudes towards patients' sexuality has on nursing care, and develop strategies that allow this to be reflected on. The use of reflection facilitated by clinical supervision will be presented as a potential way forward.

Attitude of Health Personnel↗

Nurses and AIDS care.

The VIIIth International Conference on AIDS held in Amsterdam, July 1992, covered many issues pertinent to nurses; however, the lack of nursing participation was evident. This article examines the issues of concern to nurses in AIDS care that were highlighted at the meeting.

Acquired Immunodeficiency Syndrome↗

Prophylaxis to combat HIV infection after sexual exposure.

This article explores the use of drugs to treat patients who have recently been exposed to HIV. Known as postsexual exposure prophylaxis, this emerging practice has been accused of creating a number of problems for HIV prevention. However, there is a case that PSEP can make a significant contribution to HIV prevention strategies.

Anti-HIV Agents↗