Delivering HIV/AIDS Services: The Professional Care Provider Speaks Out

Haviland, M. Lyndon; Healton, Cheryl; Weinberg, Gregg; Messeri, Peter; Aidala, Angela A.; Jetter, D; Jessop, Dorothy Jones; Nelson, Kathy

doi:10.1016/s0749-3797(18)30088-6

Cited by 10 publications

(3 citation statements)

References 4 publications

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“…Cushman, Evans, and Namerow (1995) considered the severity of the illness and organizational characteristics as factors associated with burnout and suggested on-site stress reduction interventions and social support groups for providers. In a study conducted in 1997 with HIV/AIDS social service providers working in New York City, Haviland and colleagues found that a personal commitment to serving HIV-positive clients was a preventive factor in warding off burnout (Haviland et al, 1997).…”

Section: Discussionmentioning

confidence: 99%

Sifting Through Trauma: Compassion Fatigue and HIV/AIDS

Smith¹

2007

Clin Soc Work J

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Section: Discussionmentioning

confidence: 99%

Sifting Through Trauma: Compassion Fatigue and HIV/AIDS

Smith¹

2007

Clin Soc Work J

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“…For example, the impacts and stressors of providing acute and palliative HIV care were well recognised across the health and medical professions [8,9]. The workforce implications of the introduction of effective treatments in the 1990s also received attention, including speculation about what the transformation of HIV medicine might mean for the relationship between clinicians and people living with HIV (PLHIV) [10,11].…”

Section: Introductionmentioning

confidence: 99%

At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

et al. 2013

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BackgroundHIV has become a chronic manageable infection in the developed world, and early and lifelong treatment has the potential to significantly reduce transmission rates in the community. A skilled and motivated HIV medical workforce will be required to achieve these health management and prevention outcomes, but concerns have been noted in a number of settings about the challenges of recruiting a new generation of clinicians to HIV medicine.MethodsAs part of a larger qualitative study of the HIV general practice workforce in Australia, in-depth interviews were conducted with 31 general practitioners accredited to prescribe HIV medications in community settings. A thematic analysis was conducted of the de-identified transcripts, and this paper describes and interprets accounts of the rewards of pursuing and sustaining an engagement with HIV medicine in general practice settings.ResultsThe rewards of initially becoming involved in providing care to people living with HIV were described as interest and inspiration, community calling and right place, right time. The rewards which then supported and sustained that engagement over time were described as challenge and change, making a difference and enhanced professional identity. Participants viewed the role of primary care doctor with special expertise in HIV as occupying an ideal interface between the ‘coalface’ and the ‘cutting edge’, and offering a unique opportunity for general practitioners to feel intimately connected to both community needs and scientific change.ConclusionsApproaches to recruiting and retaining the HIV medical workforce should build upon the intellectual and social rewards of this work, as well as the sense of professional belonging and connection which is imbued between both doctors and patients and across the global and national networks of HIV clinicians. Insights regarding the rewards of engaging with HIV medicine may also be useful in enhancing the prospect of general practice as a career, and strengthening retention and job satisfaction among the existing general practice workforce.

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“…For example, support from supervisors and colleagues has been associated with lower burnout rates among HIV service providers (Haviland et al, 1997). A provider's coping style is also predictive of levels of occupational stress and burnout.…”

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confidence: 99%

Forms, Functions, and Foibles of Humor Used in AIDS Service Organizations

Kosenko¹,

Rintamaki²

2010

Journal of the Association of Nurses in AIDS Care

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Research has indicated that HIV service providers commonly use humor to cope with work-related stress; however, little is known about the forms and functions of humor used by these professionals. In this study, 25 HIV service providers from five AIDS service organizations were interviewed about their use of humor. Participants described five primary types of humor as prevalent within AIDS service organizations and noted that humor served a variety of functions, which were either adaptive or maladaptive. Adaptive functions included boosting morale and reducing tension, whereas maladaptive functions ranged from masking emotions to alienating certain groups. Results emphasized the importance of context in the study of humor use and the need for continued investigations of the stress and coping of HIV service providers.

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Delivering HIV/AIDS Services: The Professional Care Provider Speaks Out

Cited by 10 publications

References 4 publications

Sifting Through Trauma: Compassion Fatigue and HIV/AIDS

Sifting Through Trauma: Compassion Fatigue and HIV/AIDS

At the coalface and the cutting edge: general practitioners’ accounts of the rewards of engaging with HIV medicine

Forms, Functions, and Foibles of Humor Used in AIDS Service Organizations

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