TY - JOUR KW - Adult KW - Aged KW - Attitude of Health Personnel KW - Confidentiality KW - Female KW - HIV Infections KW - Health Personnel KW - Humans KW - Interviews as Topic KW - Male KW - Middle Aged KW - Netherlands KW - Perception KW - Qualitative Research KW - Self Disclosure KW - Truth Disclosure AU - Stutterheim S AU - Sicking L AU - Baas I AU - Brands R AU - Roberts H AU - van Brakel WH AU - Lechner L AU - Kok G AU - Bos AE R AB -

We qualitatively investigated perspectives on HIV disclosure to health care providers (HCP) by people living with HIV (PLWH). Perspectives varied across PLWH and between PLWH and HCP. Some PLWH felt they should always disclose so that HCP could take necessary precautions or because disclosure optimized care. Others felt that disclosure was not an obligation but a courtesy. Still others felt that disclosure was unnecessary as all HCP should apply universal precautions or because HIV status was not relevant to care. Most HCP claimed they should be informed about patients' HIV status as this would reduce occupational risk of infection and improve care. HCP also felt that disclosure concerns by PLWH were unnecessary given the HCP' duty of professional confidentiality. Some acknowledged that disclosure was not always necessary but still indicated wanting to be informed. Perspectives on HIV disclosure in health care settings differed substantially between PLWH and HCP.

BT - The Journal of the Association of Nurses in AIDS Care : JANAC C1 -

http://www.ncbi.nlm.nih.gov/pubmed/27005783?dopt=Abstract

DO - 10.1016/j.jana.2016.02.014 IS - 4 J2 - J Assoc Nurses AIDS Care LA - eng N2 -

We qualitatively investigated perspectives on HIV disclosure to health care providers (HCP) by people living with HIV (PLWH). Perspectives varied across PLWH and between PLWH and HCP. Some PLWH felt they should always disclose so that HCP could take necessary precautions or because disclosure optimized care. Others felt that disclosure was not an obligation but a courtesy. Still others felt that disclosure was unnecessary as all HCP should apply universal precautions or because HIV status was not relevant to care. Most HCP claimed they should be informed about patients' HIV status as this would reduce occupational risk of infection and improve care. HCP also felt that disclosure concerns by PLWH were unnecessary given the HCP' duty of professional confidentiality. Some acknowledged that disclosure was not always necessary but still indicated wanting to be informed. Perspectives on HIV disclosure in health care settings differed substantially between PLWH and HCP.

PY - 2016 SP - 485 EP - 94 T2 - The Journal of the Association of Nurses in AIDS Care : JANAC TI - Disclosure of HIV Status to Health Care Providers in the Netherlands: A Qualitative Study. VL - 27 SN - 1552-6917 ER -