Experiential learning of HIV self-test among student nurses: A qualitative study

Chiou, Piao‐Yi; Chien, Chih Yin; Lee, Amanda J; Hayter, Mark; Ko, Nai Ying

doi:10.1016/j.nedt.2018.11.012

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Healthcare practitioners often play a role in dealing with the uncertainty of patients during testing in order to move forward with the care process. For example, in cases where patients are uncertain regarding test results, nurses may want to provide additional support or resources (Chiou et al 2019), and healthcare workers may provide additional or repeated tests (Whyte, Whyte, and Kyaddondo 2018;Engel et al 2017).…”

Section: Discussionmentioning

confidence: 99%

Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

Janssen

Krumeich²,

Esmail³

et al. 2021

MAT

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Feasibility and acceptability research for HIV self-testing (HIVST) often emphasises the importance of good test conduct and correct test interpretation for knowing one’s HIV result while overlooking the ways in which different uncertainties and meanings emerge around testing. Using empirical examples from a quantitative study assessing an app-based strategy in Cape Town, South Africa, this research article explores the practice of HIVST and how people deal with uncertainties while using the app in question, named ‘HIVSmart!’. We use the concept of ‘living under’ to explore the practices of HIV testing for those who fit the definition of being ‘at risk’ of HIV (note that an individual’s HIV status must be unknown in order for them to fit this definition) and to understand how an app-based HIVST strategy fits within these practices. We show how the app and oral self-test—as well as knowledge around HIV risk behaviours, comparisons between different testing methods, and the guidance and presence of healthcare staff—alleviate as well as generate uncertainty and constitute HIV status as an ongoing process. The effective implementation of new strategies for HIVST requires consideration of multiple aspects of the testing process, including local understandings of HIV risk, access to healthcare staff, and the meaning of certain test methods within a particular context.

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Section: Discussionmentioning

confidence: 99%

Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

Janssen

Krumeich²,

Esmail³

et al. 2021

MAT

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show abstract

“…self‐testing and self‐monitoring) (Muessig et al, 2015 ; Schnall et al, 2015 ; van Heerden et al, 2017 ; Zhao et al, 2018 ), but part of what makes a therapeutic relationship work (or not work) is the emotional aspect of that relationship. HIV self‐testing is an emotional experience (Chiou et al, 2019 ), and there are persisting concerns around the potential lack of emotional support available during HIV self‐testing (Ritchwood et al, 2019 ). Yet, despite the acknowledgement of the emotional nature of testing, and the continuously emerging role of mHealth in the realm of HIV self‐testing and care, there is little attention paid to the affective dimensions of mHealth in HIV testing, how this relates to people's feelings and emotions, and how this relates to the use of smartphone applications in HIV testing.…”

Section: Introductionmentioning

confidence: 99%

‘You're only there on the phone’? A qualitative exploration of community, affect and agential capacity in HIV self‐testing using a smartphone app

Janssen

Engel

Pai

et al. 2021

Sociology Health & Illness

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Mobile health (mHealth) technologies for HIV care are developed to provide diagnostic support, health education, risk assessment and self‐monitoring. They aim to either improve or replace part of the therapeutic relationship. Part of the therapeutic relationship is affective, with the emergence of feelings and emotion, yet little research on mHealth for HIV care focuses on affect and HIV testing practices. Furthermore, most of the literature exploring affect and care relations with the introduction of mHealth is limited to the European and Australian context. This article explores affective dimensions of HIV self‐testing using a smartphone app strategy in Cape Town, South Africa and Montréal, Canada. This study is based on observation notes, 41 interviews and 1 focus group discussion with study participants and trained HIV healthcare providers from two quantitative studies evaluating the app‐based self‐test strategy. Our paper reveals how fear, apathy, judgement, frustration and comfort arise in testing encounters using the app and in previous testing experiences, as well as how this relates to care providers and test materials. Attending to affective aspects of this app‐based self‐testing practice makes visible certain affordances and limitations of the app within the therapeutic encounter and illustrates how mHealth can contribute to HIV care.

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HIV, Hepatitis, and Syphilis Self-Testing Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis

Zhang,

Tapa,

Johnson

et al. 2024

Preprint

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Experiential learning of HIV self-test among student nurses: A qualitative study

Cited by 3 publications

References 24 publications

Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

Moments of Uncertainty: Exploring How an App-Based Oral HIV Self-Testing Strategy Fits in Communities ‘Living Under’ HIV Risk

‘You're only there on the phone’? A qualitative exploration of community, affect and agential capacity in HIV self‐testing using a smartphone app

HIV, Hepatitis, and Syphilis Self-Testing Among Adolescents and Young Adults: A Systematic Review and Meta-Analysis

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