TY - JOUR
T1 - A qualitative description of service providers’ experiences of ethical issues in HIV care
AU - Sabone, Motshedisi B.
AU - Mogobe, Keitshokile Dintle
AU - Matshediso, Ellah
AU - Shaibu, Sheila
AU - Ntsayagae, Esther I.
AU - Corless, Inge B.
AU - Cuca, Yvette P.
AU - Holzemer, William L.
AU - Dawson-Rose, Carol
AU - Soliz Baez, Solymar S.
AU - Rivero-Mendz, Marta
AU - Webel, Allison R.
AU - Eller, Lucille Sanzero
AU - Reid, Paula
AU - Johnson, Mallory O.
AU - Kemppainen, Jeanne
AU - Reyes, Darcel
AU - Nokes, Kathleen
AU - Wantland, Dean
AU - Nicholas, Patrice K.
AU - Lingren, Teri
AU - Portillo, Carmen J.
AU - Sefcik, Elizabeth
AU - Long-Middleton, Ellen
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2019/8/1
Y1 - 2019/8/1
N2 - Background: Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. Purpose: This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care. Research design: A descriptive qualitative design was used to collect data from health service providers and patients using focused group discussions. This article is based on responses from health service providers only. Participants and context: This article is based on 11 focused group discussions with a total sample of 71 service providers in seven US sites and one Botswana site. Ethical considerations: Ethical review boards at all the study sites reviewed the study protocol and approved it. Ethical review boards of the study’s coordinating centers, Rutgers University and the University of California at San Francisco, also approved it. The study participants provided a written informed consent to participate. Findings: HIV service providers encountered ethical challenges in all the four Beauchamp and Childress’ biomedical ethics of respect for patients’ autonomy, beneficence, justice, and nonmaleficence. Discussion: The finding that HIV service providers encounter ethical challenges in their interaction with patients is supported by prior studies. The ethical challenges are particularly prominent in multicultural care and resource-constrained care environments. Conclusion: Provision of HIV care is fraught with ethical challenges that tend to pose different issues depending on a given care environment. It is important that strong partnerships are developed among key stakeholders in HIV care. In addition, health service providers need to be provided with resources so they can provide quality and ethically sound care.
AB - Background: Managing HIV treatment is a complex multi-dimensional task because of a combination of factors such as stigma and discrimination of some populations who frequently get infected with HIV. In addition, patient-provider encounters have become increasingly multicultural, making effective communication and provision of ethically sound care a challenge. Purpose: This article explores ethical issues that health service providers in the United States and Botswana encountered in their interaction with patients in HIV care. Research design: A descriptive qualitative design was used to collect data from health service providers and patients using focused group discussions. This article is based on responses from health service providers only. Participants and context: This article is based on 11 focused group discussions with a total sample of 71 service providers in seven US sites and one Botswana site. Ethical considerations: Ethical review boards at all the study sites reviewed the study protocol and approved it. Ethical review boards of the study’s coordinating centers, Rutgers University and the University of California at San Francisco, also approved it. The study participants provided a written informed consent to participate. Findings: HIV service providers encountered ethical challenges in all the four Beauchamp and Childress’ biomedical ethics of respect for patients’ autonomy, beneficence, justice, and nonmaleficence. Discussion: The finding that HIV service providers encounter ethical challenges in their interaction with patients is supported by prior studies. The ethical challenges are particularly prominent in multicultural care and resource-constrained care environments. Conclusion: Provision of HIV care is fraught with ethical challenges that tend to pose different issues depending on a given care environment. It is important that strong partnerships are developed among key stakeholders in HIV care. In addition, health service providers need to be provided with resources so they can provide quality and ethically sound care.
KW - Clinical ethics
KW - confidentiality
KW - ethics of care/care ethics
KW - professional ethics
KW - qualitative research
UR - https://www.scopus.com/pages/publications/85043340423
U2 - 10.1177/0969733017753743
DO - 10.1177/0969733017753743
M3 - Article
C2 - 29514575
AN - SCOPUS:85043340423
SN - 0969-7330
VL - 26
SP - 1540
EP - 1553
JO - Nursing Ethics
JF - Nursing Ethics
IS - 5
ER -
