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Published on: December 16, 2019
Maintaining normalcy: a grounded theory of engaging in HIV-oriented primary medical care
R Kevin Mallinson1, Michael V Relf, Debra Dekker
1School of Nursing & Health Studies, Georgetown University, Washington, DC 20057, USA. km293@georgetown.edu
Abstract:
Despite advances in the medical treatment of HIV disease, marginalized populations continue to shoulder a disproportionate burden of HIV/AIDS-related morbidity and mortality. This study explored the process by which clients at HIV-oriented primary care clinics transition from being sporadic users of care to engaging as regular users of care. A model illustrating how participants were striving to maintain normalcy, manage perceptions, and develop life mastery skills contributes to an understanding of living with HIV disease in a social context. Elements of the model are sensitive to nursing interventions aimed at improving health outcomes and reducing health disparities among persons at highest risk.
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