HIV Management Guide for Clinical Care and ARV Guidelines

HIV Management Guide for Clinical Care and ARV Guidelines

Evolving roles of nurses in HIV care

Evolving roles of nurses in HIV care

Danielle Collins: HIV nurse practitioner, Victorian HIV Service, Infectious Diseases Department, Alfred Hospital Acknowledgement: Emily Wheeler: Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) co-authored the first edition of this section.    Nurses have been involved in varying capacities in supporting people with human immunodeficiency virus (HIV) since the beginning of the HIV epidemic in the 1980s. …

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National context

Nurses, alongside doctors, allied health professionals and peer workers, working at the forefront of HIV care in Australia in the early years of the epidemic, faced a highly politicised and stigmatising landscape given the nature of the illness and the already marginalised affected population. (1) With no precedents, the HIV nursing models that emerged were …

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Principles

The principles underpinning nursing in this specialty sector have been translated into practice standards by the Australasian Sexual Health and HIV Nurses Association (ASHHNA). (9) These standards were developed and updated, by referencing current national and international sexual health and HIV nursing competency and practice standards. The standards account for differences in practice for both …

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International context

There are vast differences between HIV nursing models nationally and internationally due to epidemiological variability, differences in health system infrastructure including the scope of nursing practice and access to resources worldwide. The models of care that exist reflect the need of the population they were developed for and change according to the needs of that population.     …

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Summary

Uniting these differing models of health care is the underlying commitment to reduce the burden of HIV-related disease on those affected and continue to scale up the response. Despite a vastly different landscape in HIV nursing in Australia today compared to when the sector developed forty years ago, the same guiding philosophy and commitment to …

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References

Crock E, Butwilowsky J. The HIV resource nurse at the Royal District Nursing Service (Melbourne): making a difference for people living with HIV/AIDS in the community. Australian Journal of Primary Health 2006; 12(2), pp. 83-89.    Hopwood M, Newman C, Persson A, Watts I, de Wit J., Reynolds R., . . . Kidd, M. Expert perspectives …

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