Scholars@Duke
Michael Vernon Relf

Michael Vernon Relf

Mary T. Champagne Distinguished Professor
School of Nursing
michael.relf@duke.edu
DUMC 3322, 307 Trent Dr, Interprofessional Educ Bldg, Room 3238, Durham, NC 27710
DUMC 3322, 307 Trent Drive, Interprofessional Educ Bldg, Room 3238, Durham, NC 27710
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Selected Publications

Disclosure of HIV Status to Sexual Partners Among People With HIV in Singida Regional Referral Hospital of Tanzania: A Cross-Sectional Study.

Journal Article J Assoc Nurses AIDS Care · September 2024 HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexua ... Full text Open Access Link to item Cite

"Where No One Has Gone Before": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2024 AbstractChatGPT, an artificial intelligence (AI) system released by OpenAI on November 30th, 2022, has upended scientific and educational paradigms, reshaping the way that we think about teaching, writing, and now research. Since that time, qualit ... Full text Cite

"Successful Living" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2024 AbstractThe concept of successful living in the context of adolescents with HIV lacks clarity and is unexplored. Without a common understanding of successful living among adolescents with HIV (AWH) in Sub-Saharan Africa (SSA), health care interven ... Full text Cite

Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.

Journal Article AIDS and behavior · August 2024 Men living with HIV (MLWH) in sub-Saharan Africa experience poor health outcomes and increased AIDS-related deaths due to stigma influencing testing and treatment uptake and adherence. PRISMA 2020 was used to report a meta-synthesis of the stigma experienc ... Full text Cite

Adherence to PRISMA 2020 reporting guidelines and scope of systematic reviews published in nursing: A cross-sectional analysis.

Journal Article Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · July 2024 IntroductionSystematic reviews are considered the highest level of evidence that can help guide evidence-informed decisions in nursing practice, education, and even health policy. Systematic review publications have increased from a sporadic few i ... Full text Cite

The Social Determinants of Health Are the Key Drivers of HIV Prevention, Care, and Treatment Inequities.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2024 Full text Cite

Defining HIV-Related Social Support: What Types of Social Support Do People With HIV Need?

Journal Article Journal of the Association of Nurses in AIDS Care · July 1, 2024 Full text Cite

Understanding the Social Dimensions and Context in HIV Research: Instrument Adaptation Is More Than Just Translation

Journal Article Journal of the Association of Nurses in AIDS Care · July 1, 2024 There is a shortage of health-related questionnaires developed specifically for African countries’ cultural contexts and local languages. Researchers have translated some tools to the target local languages. However, poor-quality or even high-quality trans ... Full text Cite

Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2024 AbstractIn Rwanda, women have higher incidence of HIV and intimate partner violence (IPV). This study aimed to estimate the prevalence of IPV among women living with HIV (WWH) in Rwanda and measure the difference in psychological outcomes, demogra ... Full text Cite

Now Is the Time.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2024 Full text Cite

Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV: Perspectives of mental health professionals in Tanzania.

Journal Article PLOS Glob Public Health · 2024 People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden ... Full text Link to item Cite

Lived Experiences of Adolescents with HIV in Rwanda: A Phenomenology Study

Journal Article Rwanda Journal of Medicine and Health Sciences · January 1, 2024 Background HIV is a chronic disease with a potentially negative impact on quality of life. Globally, adolescents with HIV (AWH) face incredible challenges related to their growth, social interactions, and well-being. The experiences and choices of AWH in R ... Full text Cite

PEPFAR and the Ending the HIV Epidemic in the U.S. Initiative Should Not be Politically Weaponized.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2023 Full text Cite

Enough is Enough! What About Human Rights?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2023 Full text Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal Article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

Patient perspectives on the helpfulness of a community health worker program for HIV care engagement in Tanzania.

Journal Article AIDS Care · July 2023 Task-shifting is a valuable approach for redistributing clinical tasks to nonprofessional health workers and relieving human resource shortages. The Community-Based HIV Services (CBHS) program is a national cohort of volunteer community health workers (CHW ... Full text Link to item Cite

Artificial Intelligence and Scientific Publishing.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2023 Full text Cite

A scoping review of counseling interventions for suicide prevention in Africa: Few studies address this life-saving aspect of mental health treatment.

Journal Article J Affect Disord · May 1, 2023 BACKGROUND: Nearly 800,000 people die by suicide each year, with 77 % occurring in low- and middle-income countries. Suicide is underestimated in many African settings due to challenges in data collection, stigma, and policies that promote silence; nonethe ... Full text Link to item Cite

Rigor and Quality in Systematic Reviews Related to HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2023 Full text Cite

Open Access Publishing and Global HIV Nursing-An Issue of Access and Equity!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2023 Full text Cite

Disclosure of HIV Status to Sexual Partners Among People With HIV in Singida Regional Referral Hospital of Tanzania: A Cross-Sectional Study.

Journal Article J Assoc Nurses AIDS Care · September 2024 HIV status nondisclosure to sexual partners remains a major challenge in Tanzania's health system. This hospital-based, descriptive, cross-sectional study design recruited 380 people living with HIV (PLWH) to assess voluntary HIV status disclosure to sexua ... Full text Open Access Link to item Cite

"Where No One Has Gone Before": Questions to Ensure the Ethical, Rigorous, and Thoughtful Application of Artificial Intelligence in the Analysis of HIV Research.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2024 AbstractChatGPT, an artificial intelligence (AI) system released by OpenAI on November 30th, 2022, has upended scientific and educational paradigms, reshaping the way that we think about teaching, writing, and now research. Since that time, qualit ... Full text Cite

"Successful Living" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2024 AbstractThe concept of successful living in the context of adolescents with HIV lacks clarity and is unexplored. Without a common understanding of successful living among adolescents with HIV (AWH) in Sub-Saharan Africa (SSA), health care interven ... Full text Cite

Understanding the Stigma Experience of Men Living with HIV in Sub-Saharan Africa: A Qualitative Meta-synthesis.

Journal Article AIDS and behavior · August 2024 Men living with HIV (MLWH) in sub-Saharan Africa experience poor health outcomes and increased AIDS-related deaths due to stigma influencing testing and treatment uptake and adherence. PRISMA 2020 was used to report a meta-synthesis of the stigma experienc ... Full text Cite

Adherence to PRISMA 2020 reporting guidelines and scope of systematic reviews published in nursing: A cross-sectional analysis.

Journal Article Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · July 2024 IntroductionSystematic reviews are considered the highest level of evidence that can help guide evidence-informed decisions in nursing practice, education, and even health policy. Systematic review publications have increased from a sporadic few i ... Full text Cite

The Social Determinants of Health Are the Key Drivers of HIV Prevention, Care, and Treatment Inequities.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2024 Full text Cite

Defining HIV-Related Social Support: What Types of Social Support Do People With HIV Need?

Journal Article Journal of the Association of Nurses in AIDS Care · July 1, 2024 Full text Cite

Understanding the Social Dimensions and Context in HIV Research: Instrument Adaptation Is More Than Just Translation

Journal Article Journal of the Association of Nurses in AIDS Care · July 1, 2024 There is a shortage of health-related questionnaires developed specifically for African countries’ cultural contexts and local languages. Researchers have translated some tools to the target local languages. However, poor-quality or even high-quality trans ... Full text Cite

Intimate Partner Violence Among Rwandan Women With HIV: A Cross-Sectional Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2024 AbstractIn Rwanda, women have higher incidence of HIV and intimate partner violence (IPV). This study aimed to estimate the prevalence of IPV among women living with HIV (WWH) in Rwanda and measure the difference in psychological outcomes, demogra ... Full text Cite

Now Is the Time.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2024 Full text Cite

Challenges and opportunities for improving mental health care and preventing suicide among people living with HIV: Perspectives of mental health professionals in Tanzania.

Journal Article PLOS Glob Public Health · 2024 People living with HIV (PLWH) experience unique stressors that contribute to emotional distress, and PLWH are more than twice as likely to die by suicide when compared to the general population. In countries like Tanzania, there is a relatively high burden ... Full text Link to item Cite

Lived Experiences of Adolescents with HIV in Rwanda: A Phenomenology Study

Journal Article Rwanda Journal of Medicine and Health Sciences · January 1, 2024 Background HIV is a chronic disease with a potentially negative impact on quality of life. Globally, adolescents with HIV (AWH) face incredible challenges related to their growth, social interactions, and well-being. The experiences and choices of AWH in R ... Full text Cite

PEPFAR and the Ending the HIV Epidemic in the U.S. Initiative Should Not be Politically Weaponized.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2023 Full text Cite

Enough is Enough! What About Human Rights?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2023 Full text Cite

Brief Report: Task-Shifting "Gold Standard" Clinical Assessment and Safety Planning for Suicide Risk Among People Living With HIV: A Feasibility and Fidelity Evaluation in Tanzania.

Journal Article J Acquir Immune Defic Syndr · August 15, 2023 BACKGROUND: Suicide is a leading cause of death among people living with HIV (PLWH) worldwide, with suicide deaths occurring twice as frequently among PLWH than among the general public. In Tanzania, resources for mental health care are sorely lacking, wit ... Full text Link to item Cite

Patient perspectives on the helpfulness of a community health worker program for HIV care engagement in Tanzania.

Journal Article AIDS Care · July 2023 Task-shifting is a valuable approach for redistributing clinical tasks to nonprofessional health workers and relieving human resource shortages. The Community-Based HIV Services (CBHS) program is a national cohort of volunteer community health workers (CHW ... Full text Link to item Cite

Artificial Intelligence and Scientific Publishing.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2023 Full text Cite

A scoping review of counseling interventions for suicide prevention in Africa: Few studies address this life-saving aspect of mental health treatment.

Journal Article J Affect Disord · May 1, 2023 BACKGROUND: Nearly 800,000 people die by suicide each year, with 77 % occurring in low- and middle-income countries. Suicide is underestimated in many African settings due to challenges in data collection, stigma, and policies that promote silence; nonethe ... Full text Link to item Cite

Rigor and Quality in Systematic Reviews Related to HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2023 Full text Cite

Open Access Publishing and Global HIV Nursing-An Issue of Access and Equity!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2023 Full text Cite

Examining Stigma and Disclosure Among Women With HIV in the Southern United States: Qualitative Study Guided by the Adaptive Leadership Framework for Chronic Illness.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2023 AbstractStigma is a fundamental cause of health inequities. Guided by the Adaptive Leadership Framework for Chronic Illness (ALFCI), this descriptive qualitative study explored the challenges of stigma and disclosure experienced by women with HIV ... Full text Cite

New Appointments to the JANAC Editorial Leadership Team!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2023 Full text Cite

Protocol for a pilot randomized controlled trial of a telehealth-delivered counseling intervention to reduce suicidality and improve HIV care engagement in Tanzania.

Journal Article PLoS One · 2023 OBJECTIVE: Suicidal ideation is strikingly common among people living with HIV (PLWH) worldwide, leading to higher burden of disease, poor HIV care engagement, and loss of life. In low- and middle-income countries such as Tanzania, mental health resources ... Full text Link to item Cite

Improving Identification of Pediatric Emergence Delirium in the Post Anesthesia Care Unit: A Quality Improvement Opportunity.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · December 2022 ObjectiveThis article offers a recommendation on how the Pediatric Assessment Emergence Delirium Scale (PAEDS) could be implemented in the post anesthesia care unit (PACU) to improve the assessment and treatment of pediatric emergence delirium (PE ... Full text Cite

Dehumanizing language, motherhood in the context of HIV, and overcoming HIV stigma - the voices of Rwandan women with HIV: A focus group study.

Journal Article International journal of nursing studies · November 2022 BackgroundStigma is an underlying cause of health inequities, and a major barrier to HIV prevention, care, and treatment. Experiences of HIV stigma have been shown to reduce engagement in care across the HIV care continuum, from testing and diagno ... Full text Cite

In Pursuit of Social Justice: If Not Now, When?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2022 Full text Cite

"Just a Nurse", I Don't Think So!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2022 Full text Cite

Does Type of Social Support Influence Medication Adherence Among South African Adolescents Living With HIV? A Quantitative Analysis of Pilot Data.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2022 AbstractAdolescents living with HIV often experience worse medication adherence than older and younger individuals living with HIV. One factor that may mitigate poor adherence is social support. However, few studies have examined the influence of ... Full text Cite

Nurses, Nurse-Led Interventions, and Nursing Models of Care: Essential in HIV Prevention, Care, and Treatment.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2022 Full text Cite

Adaptive leadership in clinical encounters with women living with HIV.

Journal Article BMC women's health · June 2022 BackgroundWomen living with HIV (WLWH) report low engagement in health care, missed office visits, and less engagement in the clinical encounter. Strengthening the clinical encounter for WLWH may improve health outcomes and quality of life. The Ad ... Full text Cite

The Conflict in Ukraine: What Does It Mean for HIV and TB?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2022 Full text Cite

Adaptive Challenges, Adaptive Work, and Adaptive Leadership Among Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2022 AbstractWomen living with HIV have a higher burden of non-AIDS comorbidities and prevalence of chronic conditions. The Adaptive Leadership Framework for Chronic Illness clarifies living with complex health challenges by delineating the technical w ... Full text Cite

Exploring Resilience Among Black Women Living With HIV in the Southern United States: Findings From a Qualitative Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2022 AbstractBlack women living with HIV (WLWH) face individual and sociostructural challenges. Despite these challenges, many exemplify remarkable levels of resilience and coping. Yet, research on resilience and coping in this population is limited. T ... Full text Cite

HIV Clinician Workforce Shortage: Nurse Practitioners Filling the Gap

Journal Article Journal for Nurse Practitioners · January 1, 2022 The development of highly effective antiretroviral treatment has significantly decreased the disease burden and increased the life expectancy of people living with HIV. As people with HIV live longer, they will require ongoing HIV specialty and primary car ... Full text Cite

Making a Difference, Making Change.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2022 Full text Cite

Reframing Intersectional Stigma for a South African Context Integrating Tuberculosis, HIV and Poverty Stigmas.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2022 AbstractIntersectionality is closely intertwined with Black feminism within the context of the United States. As a result, intersectionality is often overlooked in non-Western contexts where racial homogeneity may reduce some of the impact of race ... Full text Cite

The Role of Community Health Workers in HIV Care Engagement: A Qualitative Study of Stakeholder Perspectives in Tanzania.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2021 AbstractSuboptimal retention in HIV care is a major driver of the global epidemic, including in sub-Saharan Africa. In Tanzania, the national Community-Based HIV Services program integrates volunteer community health workers (CHWs) to support pati ... Full text Cite

With Appreciation!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2021 Full text Cite

HIV Stigmatizing Attitudes Among Men Accompanying Their Partners to Antenatal Care in Tanzania: A Mixed-Method Study.

Journal Article AIDS and behavior · October 2021 This mixed-method study aimed to describe HIV stigmatizing attitudes, identify factors associated with stigmatizing attitudes, and explore the broader context of HIV stigma among men accompanying their pregnant female partners to antenatal care in Tanzania ... Full text Cite

Race as a Research Variable: Should It be Retained or Discarded?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2021 Full text Cite

Assessing the Influence of Community Health Worker Support on Early Antiretroviral Therapy Adherence, Anticipated Stigma, and Mental Health Among People Living with HIV in Tanzania.

Journal Article AIDS Patient Care STDS · August 2021 In many low- and middle-income countries, community health workers (CHWs) support multiple aspects of HIV care, including patient education and counseling, adherence support, and re-engaging patients lost to care. In Tanzania, the Community-Based HIV Servi ... Full text Link to item Cite

Topics for Inclusive Parent-Child Sex Communication by Gay, Bisexual, Queer Youth.

Journal Article Behavioral medicine (Washington, D.C.) · July 2021 The purposes of this study were to identify the sexuality-related topics parents and gay, bisexual, or queer (GBQ) adolescent males discussed at home and to describe the topics GBQ adolescent males recommend for parents to discuss with future cohorts of GB ... Full text Cite

Systematic Review of Preoperative Patient Readiness.

Journal Article AORN journal · July 2021 Preoperative readiness indicates the patient's capacity to process information, consider possible outcomes, and decide to undergo a surgical procedure. This systematic review examines how the term "patient readiness" is used in the literature and synthesiz ... Full text Cite

A Review of the State of the Science of HIV and Stigma: Context, Conceptualization, Measurement, Interventions, Gaps, and Future Priorities.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2021 AbstractStigma is a fundamental cause of health inequities. As such, stigma is a major barrier to HIV prevention, care, and treatment. This review will examine the concept of stigma, explicating the mechanisms of action of HIV-related stigma while ... Full text Cite

Nursing Science Throughout the Epidemic: Lessons Learned and the Way Forward.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2021 Full text Cite

Choose to Challenge the Sexual and Reproductive Health Inequities of Women.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2021 Full text Cite

"She Just Told Me Not To Cry": A Qualitative Study of Experiences of HIV Testing and Counseling (HTC) Among Pregnant Women Living with HIV in Tanzania.

Journal Article AIDS and behavior · January 2021 HIV testing and counseling (HTC) in antenatal care is extremely effective at identifying women living with HIV and linking them to HIV care. However, retention is suboptimal in this population. We completed qualitative interviews with 24 pregnant women liv ... Full text Cite

Effects of Nurse-Delivered Cognitive Behavioral Intervention on Depression and Anxiety for Persons Living With HIV in China: A Clinical Controlled Trial.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2021 AbstractDepression and anxiety, which may influence antiretroviral therapy (ART) medication adherence, are prevalent among persons living with HIV (PLWH) in China. This parallel two-arm clinical controlled trial aimed to examine the effects of a n ... Full text Cite

Data Sharing and Reproducibility of Results-Does It Matter for HIV Nursing?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2021 Full text Cite

Cognitive behavioral therapy for persons living with HIV in China: A randomized pilot trial.

Journal Article Journal of affective disorders · December 2020 BackgroundChinese persons living with HIV (PLWH) suffer from prevalent mental health issues. We aimed to develop a tailored cognitive behavioral therapy (CBT), test its feasibility, acceptability, and preliminary effects (depression, anxiety, and ... Full text Cite

What a Year 2020 Has Been!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2020 Full text Cite

What are You Waiting for?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2020 Full text Cite

Operationalizing JANAC's Core Value of Integrity.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2020 Full text Cite

Alarm at the Gate-Health and Social Inequalities are Comorbid Conditions of HIV and COVID-19.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2020 Full text Cite

The mediating role of pre-operative patient readiness on surgical outcomes: A structural equation model analysis.

Journal Article Journal of advanced nursing · June 2020 AimsTo determine the mediating role of surgical readiness on patient characteristics (surgical risk, type of surgery, pre-operative anxiety, and health literacy) and its influence on surgical outcomes (pain, postoperative complications, and surgic ... Full text Cite

What's Old is New! Similarities Between SARS-CoV-2 and HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2020 Full text Cite

The Operational Values of JANAC: Inquiry, Innovation, Involvement, Integrity, and Inclusion.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2020 Full text Cite

"That Guy is Gay and Black. That's a Red Flag." How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men.

Journal Article AIDS and behavior · January 2020 Young Black men who have sex with men's (YBMSM) attitudes and personal beliefs about themselves and their risk for HIV can be modified as a result of experiences with racism and HIV stigma. In-depth qualitative interviews were conducted with 25 HIV-negativ ... Full text Cite

Looking to the Future!

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2019 Full text Cite

"It's Almost Like Gay Sex Doesn't Exist:" Parent-Child Sex Communication According to Gay, Bisexual, and Queer Adolescent Sons.

Journal Article J Adolesc Res · September 1, 2019 Sex communication interventions facilitate positive sexual health outcomes with heterosexual adolescents. The same has yet to be established for male youth with same-sex attractions, behaviors, and identities. Our study describes the experiences of gay, bi ... Full text Link to item Cite

Discrimination, Medical Distrust, Stigma, Depressive Symptoms, Antiretroviral Medication Adherence, Engagement in Care, and Quality of Life Among Women Living With HIV in North Carolina: A Mediated Structural Equation Model.

Journal Article Journal of acquired immune deficiency syndromes (1999) · July 2019 BackgroundWomen represent 23% of all Americans living with HIV. By 2020, more than 70% of Americans living with HIV are expected to be 50 years and older.SettingThis study was conducted in the Southern United States-a geographic region wi ... Full text Cite

Revisiting Successful Aging With HIV Through a Revised Biopsychosocial Model: An Update of the Literature.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2019 The concept of successful aging was recognized only recently by HIV researchers because people living with HIV (PLWH) in the early epidemic were not expected to survive. With the introduction of antiretrovirals that block viral replication, PLWH are now ag ... Full text Cite

Are We Ready for the Graying of the HIV Epidemic?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2019 Full text Cite

Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda.

Journal Article Int J Health Policy Manag · November 1, 2018 BACKGROUND: The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strength ... Full text Link to item Cite

A new funding model for nursing education through business development initiatives.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · March 2018 Public and private higher education funding models are shifting from traditional funding of schools and departments to a model in which schools increasingly rely on revenue other than tuition to fulfill and supplement activities related to their core missi ... Full text Cite

Building Nursing and Midwifery Capacity Through Rwanda's Human Resources for Health Program.

Journal Article Journal of transcultural nursing : official journal of the Transcultural Nursing Society · March 2018 Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries ... Full text Cite

International Clinical Education.

Chapter · August 28, 2017 Provides one-of-a-kind, in-depth guidance for improving effectiveness in the classroom This is the only book for new and midcareer faculty that delivers practical, evidence-based strategies for physician assistants, nurse practitioners, and ... ... Cite

Silence = Defunding, New Infections, Social Injustice, and Death.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · July 2017 Full text Cite

Predatory Publishing: A Growing Threat to HIV Nursing?

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2017 Full text Cite

Cardiovascular Disease and HIV: Pathophysiology, Treatment Considerations, and Nursing Implications.

Journal Article Crit Care Nurse · October 2016 HIV infection has progressed from an acute, terminal disease to a chronic illness with cardiovascular disease as the leading cause of death among persons living with HIV. As persons living with HIV infection continue to become older, traditional risk facto ... Full text Link to item Cite

Advancing Diversity in Academic Nursing.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · September 2016 As the world around us evolves and as society becomes increasingly diverse, the demographics of the health professions workforce, including nursing, have been slow to change. Even with influential public relations campaigns sponsored by Johnson & Johnson ( ... Full text Cite

The Development of an HIV Training Program for Nurse Practitioners.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2016 Responding to a national need for a new workforce of HIV care providers as the first generation of providers decrease their practices or retire, the Duke University School of Nursing, with funding from the Health Resources and Services Administration, deve ... Full text Cite

Entry-Level Competencies Required of Primary Care Nurse Practitioners Providing HIV Specialty Care: A National Practice Validation Study.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2016 In the United States, only 30% of HIV-infected persons are diagnosed, engaged in care, provided antiretroviral therapy, and virologically suppressed. Competent HIV care providers are needed to achieve optimal clinical outcomes for all people living with HI ... Full text Cite

A Quality Improvement Project to Increase Early Detection of Syphilis Infection or Re-infection in HIV-infected Men Who Have Sex With Men.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2016 Our quality improvement project evaluated whether testing for syphilis every 3 to 6 months with routine HIV laboratory monitoring had an effect on early detection of asymptomatic syphilis infection/re-infection in HIV-infected men who have sex with men. Re ... Full text Cite

Voices of Women Facing HIV-Related Stigma in the Deep South.

Journal Article Journal of psychosocial nursing and mental health services · December 2015 One in 139 women will be diagnosed with HIV in their lifetime. Thirty-four years into the epidemic, stigma remains part of the trajectory of the disease process for all individuals with HIV. Stigma associated with HIV makes it difficult for women to access ... Full text Cite

Feasibility of using an iPod touch device and acceptability of a stigma reduction intervention with HIV-infected women in the Deep South.

Journal Article AIDS and behavior · October 2015 As with many infectious diseases throughout history, stigma is a part of the trajectory of the HIV disease process. HIV-related stigma impedes women from being tested for HIV. Once infected, HIV-related stigma hinders women from disclosing their HIV status ... Full text Cite

Reframing and understanding the HIV epidemic in MSM: masculinity, racism, and homophobia.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2015 Full text Cite

HIV-related stigma among an urban sample of persons living with HIV at risk for dropping out of HIV-oriented primary medical care.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2015 HIV-related stigma is one of the greatest barriers to preventing and ending the HIV epidemic. The purpose of our study was to examine HIV-related stigma among urban adults voluntarily seeking HIV-oriented primary medical care and at risk for dropping out a ... Full text Cite

Ending HIV-related stigma: nursing's opportunity to lead.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2015 Full text Cite

Using an intersectional approach to study the impact of social determinants of health for African American mothers living with HIV.

Journal Article ANS. Advances in nursing science · October 2014 Heightened awareness of the social determinants of health by health scientists and clinicians has failed to translate into significant progress in the amelioration of those social determinants contributing to health inequities. The purpose of this article ... Full text Cite

A randomized controlled trial of the efficacy of a stigma reduction intervention for HIV-infected women in the Deep South.

Journal Article AIDS patient care and STDs · September 2014 The aim of this study was to compare outcomes (self-esteem, coping self-efficacy, and internalized stigma) across time in HIV-infected women living in the Deep South who received a stigma reduction intervention (n=51) with those of a control group (n=49) w ... Full text Cite

Common immunological disorders

Chapter · July 19, 2013 Cite

Pharmacological considerations in human immunodeficiency virus-infected adults in the intensive care unit.

Journal Article Crit Care Nurse · April 2013 According to estimates, 1.2 million Americans are infected with human immuno deficiency virus (HIV). Because of antiretroviral therapy, persons who have HIV infection or have progressed to AIDS are living longer. As a result, the likelihood that they will ... Full text Link to item Cite

Neurological complications associated with HIV and AIDS: clinical implications for nursing.

Journal Article The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses · February 2013 This article provides a clinical nursing update on major neurological complications associated with HIV and AIDS. Life expectancy for those with AIDS has increased as a consequence of antiretroviral therapy, and thus, neurological complications remain a cl ... Full text Cite

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Journal Article J Nurs Care Qual · 2013 The Care Journal is a tool developed by the Josie King Foundation to promote interactive exchange among providers and patients/families. The Care Journal was implemented in a pediatric intensive care unit, and surveys were administered to assess perception ... Full text Link to item Cite

Evidence-based clinical practice guidelines for managing depression in persons living with HIV.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2013 Depressive symptoms and depression are prevalent among persons living with HIV (PLWH). Depression among PLWH is associated with a lower quality of life, reduced adherence to antiretroviral treatment, poorer self-care, worsened treatment outcomes, greater i ... Full text Cite

Common immunological disorders

Chapter · October 1, 2012 Cite

Exploring the changing landscape of jobs for new graduates: practice, education, and new graduate imperatives.

Journal Article Creative nursing · January 2012 Numerous expert sources have reported a reduction in positions available for new graduate nurses, largely because of general economic conditions, although there are conflicting data and significant geographic variances. Nursing education, nursing practice, ... Full text Cite

Essential core competencies related to HIV and AIDS are critically needed in nursing.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2011 Full text Cite

Essential nursing competencies related to HIV and AIDS: Executive summary.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2011 With nearly 33 million global citizens living with HIV or AIDS, the need for a highly qualified, competent nursing workforce is critical. With the recent increase in global funding to expand access to antiretroviral therapy, there have been considerable ef ... Full text Cite

Essential nursing competencies related to HIV and AIDS.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2011 With nearly 33 million global citizens living with HIV or AIDS, the need for a highly qualified, competent nursing workforce is critical. With the recent increase in global funding to expand access to antiretroviral therapy, there have been considerable ef ... Full text Cite

The retention of recalled United States Navy nurse reservists.

Journal Article Nursing outlook · July 2010 The purpose of this study was to identify factors that contribute to the retention of United States Navy Nurse Corps reservists called to duty in 2003. Data were collected by questionnaires based on Price and Mueller's causal model of voluntary turnover an ... Full text Cite

Ethical beliefs related to HIV and AIDS among nursing students in South Africa and the United States: a cross-sectional analysis.

Journal Article International journal of nursing studies · November 2009 BackgroundThe ethical issues associated with HIV and AIDS are challenging and complex because of beliefs about HIV and AIDS, stigma surrounding the epidemic, lack of knowledge, and fear. Both South Africa and the United States have a nursing code ... Full text Cite

A qualitative analysis of partner selection, HIV serostatus disclosure, and sexual behaviors among HIV-positive urban men.

Journal Article AIDS education and prevention : official publication of the International Society for AIDS Education · June 2009 Using grounded theory, 18 interviews with HIV-positive urban men were conducted to understand their sexual relationships. Analysis of the verbatim transcripts revealed that regardless of age, sexual orientation or race/ethnicity, the participants were "mak ... Full text Cite

HIV medical care provider practices for reducing high-risk sexual behavior: results of a qualitative study.

Journal Article AIDS patient care and STDs · May 2009 A first step in ensuring that HIV-infected persons practice the safer sexual behaviors that reduce disease transmission is to make certain that they receive accurate information about the relationship between sexual risk behaviors and HIV transmission. Hea ... Full text Cite

Antiretroviral drug resistance among treatment-naïve HIV-1-infected persons in Washington, D.C.

Journal Article AIDS patient care and STDs · June 2008 Featured Publication Full text Cite

Health literacy of HIV-positive individuals enrolled in an outreach intervention: results of a cross-site analysis.

Journal Article Journal of health communication · April 2008 Featured Publication This article examines health literacy among a group a HIV-positive persons at risk for receiving suboptimal health care due to histories of substance abuse, mental illness, incarceration, and unstable housing or homelessness. Participants receiving service ... Full text Cite

The impact of acculturation on Latinos' perceived barriers to HIV primary care.

Journal Article Ethnicity & disease · January 2008 US Latino adults are disproportionately affected by the HIV epidemic and experience disparities in access to HIV care. However, relatively little is known about how acculturation affects perceived barriers to engagement in care among Latinos. This article ... Cite

Utilization of health care services in hard-to-reach marginalized HIV-infected individuals.

Journal Article AIDS patient care and STDs · March 2007 Featured Publication To benefit from HIV treatment advances individuals must utilize ambulatory primary care services. Few studies focus on marginalized populations, which tend to have poor health care utilization patterns. This study examined factors associated with health ca ... Full text Cite

Program design and evaluation strategies for the Special Projects of National Significance Outreach Initiative.

Journal Article AIDS patient care and STDs · January 2007 Featured Publication Through its Targeted HIV Outreach and Intervention Model Development (Outreach Initiative), the Health Resources and Services Administration's Special Projects of National Significance (SPNS) program funded ten demonstration sites to implement and evaluate ... Full text Cite

Ensuring NCLEX-RN success for first-time test-takers.

Journal Article Journal of professional nursing : official journal of the American Association of Colleges of Nursing · September 2006 Featured Publication A major indicator of baccalaureate nursing program effectiveness is the pass rate on the National Council Licensure Examinations, Registered Nurse (NCLEX-RN) among first-time candidates. This article highlights the scope, instructional methods, and outcome ... Full text Cite

HIV and pregnancy: considerations for nursing practice.

Journal Article MCN. The American journal of maternal child nursing · July 2006 Featured Publication This article describes current nursing practice for pregnant women with HIV. In the United States, the number of new cases of HIV continues to rise in women of childbearing age. Women often learn of their HIV status when a pregnancy involves them in the he ... Full text Cite

Gay and lesbian relationships and intimate partner abuse.

Chapter · 2006 This book, based on recent research, reveals the complex issues of identification and intervention with survivors of intimate partner abuse within in the health system. ... Cite

HIV-related stigma among persons attending an urban HIV clinic.

Journal Article Journal of Multicultural Nursing and Health · December 2005 OBJECTIVES: HIV-related stigma (HRS) is rooted in the sociocultural constructions associated with infectious diseases, particularly in the HIV/AIDS epidemic. The purpose of this study was to determine the level and impact of HRS in a culturally diverse sam ... Cite

Maintaining normalcy: a grounded theory of engaging in HIV-oriented primary medical care.

Journal Article ANS. Advances in nursing science · July 2005 Featured Publication Despite advances in the medical treatment of HIV disease, marginalized populations continue to shoulder a disproportionate burden of HIV/AIDS-related morbidity and mortality. This study explored the process by which clients at HIV-oriented primary care cli ... Full text Cite

Gay identity, interpersonal violence, and HIV risk behaviors: an empirical test of theoretical relationships among a probability-based sample of urban men who have sex with men.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · March 2004 Featured Publication The highest absolute number of new HIV infections and AIDS cases still occur among men who have sex with men (MSM). Numerous theoretical approaches have been used to understand HIV risk behaviors among MSM; however, no theoretical model examines sexual ris ... Full text Cite

The value of certification in HIV/AIDS nursing.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · January 2004 Featured Publication Full text Cite

Battering victimization among a probability-based sample of men who have sex with men.

Journal Article American journal of public health · December 2002 Featured Publication ObjectivesThis study measured the prevalence of battering victimization (i.e., experience of psychological/symbolic, physical, and sexual battering) among men who have sex with men (MSM) and identified characteristics of these men.Methods ... Full text Cite

The social injustice of the HIV/AIDS epidemic.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · November 2002 Featured Publication Full text Cite

Childhood sexual abuse in men who have sex with men: the current state of the science.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 2001 Featured Publication The experience of childhood sexual abuse (CSA) among men, particularly men who have sex with men (MSM), is poorly understood. Consequently, the long-term psychological and behavioral consequences of this phenomenon are unclear. This article provides a crit ... Full text Cite

Battering and HIV in men who have sex with men: a critique and synthesis of the literature.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · May 2001 Featured Publication Recent empirical evidence demonstrates the relationship between HIV and battering victimization in men who have sex with men (MSM). Although there is an abundance of literature examining domestic violence among heterosexual couples, there is minimal empiri ... Full text Cite

Illuminating meaning and transforming issues of spirituality in HIV disease and AIDS: an application of Parse's theory of human becoming.

Journal Article Holistic nursing practice · October 1997 Featured Publication Although numerous supportive therapies are available to challenge human immunodeficiency virus (HIV) disease and acquired immunodeficiency syndrome (AIDS), no cure exists. Those with HIV disease and its sequelae must confront the reality of living with a c ... Full text Cite

Xenotransplantation of baboon bone marrow cells: a historical review of the protocols as a possible treatment modality for HIV/AIDS.

Journal Article The Journal of the Association of Nurses in AIDS Care : JANAC · September 1996 Featured Publication Despite great advances and a significant understanding of HIV pathogenesis, no curative treatment modality currently exists. Since baboon bone marrow cells (BBMC) are believed to be resistant to the human immunodeficiency virus, researchers have recently t ... Full text Cite

Increasing job satisfaction and motivation while reducing nursing turnover through the implementation of shared governance.

Journal Article Critical care nursing quarterly · November 1995 Featured Publication In today's cost-conscious, changing health care environment, health care agencies must identify and implement strategies to promote fiscal responsibility while maintaining employee satisfaction and retention. The cost to recruit professional nurses is high ... Full text Cite

Surgical intervention for tricuspid valve endocarditis: vegetectomy, valve excision, or valve replacement?

Journal Article The Journal of cardiovascular nursing · January 1993 Featured Publication Illegal drug use predisposes the intravenous drug abuser to bacterial endocarditis, primarily of the tricuspid valve. The prevalence and clinical symptomatology of tricuspid valve endocarditis is reviewed, as are surgical options available to these patient ... Full text Cite

Sexuality and the older bypass patient.

Journal Article Geriatric nursing (New York, N.Y.) · November 1991 Coronary artery bypass surgery often marks the end of sexual gratification in the elderly. Learn why this need not be the case. ... Full text Cite