Adaptive leadership in clinical encounters with women living with HIV
Abstract Background Women 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 Adaptive Leadership Framework for Chronic Ill...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01810-1 |
| _version_ | 1811258101158903808 |
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| author | Schenita D. Randolph Ragan Johnson Kara McGee Adaora A. Adimora Catalina Ramirez Donald E. Bailey Lauren Holt Amie Koch Jacquelyn M. McMillian-Bohler Tiarney Ritchwood Michael V. Relf |
| author_facet | Schenita D. Randolph Ragan Johnson Kara McGee Adaora A. Adimora Catalina Ramirez Donald E. Bailey Lauren Holt Amie Koch Jacquelyn M. McMillian-Bohler Tiarney Ritchwood Michael V. Relf |
| author_sort | Schenita D. Randolph |
| collection | DOAJ |
| description | Abstract Background Women 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 Adaptive Leadership Framework for Chronic Illness offers specific adaptive leadership strategies for providers to improve patient-provider interactions. The purpose of this study was to examine adaptive leadership behaviors that contribute to the development of effective patient-provider communication from the perspectives of WLWH. Methods The descriptive, cross-sectional and qualitative study conducted interviews with 22 WLWH to assess perceptions of the clinical encounter related to HIV-related stigma, engagement in care, medical distrust, and experiences with discrimination and quality of life. Members of the study team using a set of a priori codes analyzed data using NVivo 12.0. Results Participants described two primary themes and subthemes of each for adaptive leadership behaviors. The primary theme for adaptive leadership of providers was “my provider cares about me”; subthemes were communication, trust building takes time, and supportive providers are trusted. The primary theme for adaptive leadership of WLWH themselves was “I care about me; subthemes were self-advocacy and self-empowerment. Conclusions Providers can use adaptive leadership behaviors during clinical encounters to support WLWH, improve patient-provider communication, enhance trust, and improve patient outcomes. |
| first_indexed | 2024-04-12T18:07:57Z |
| format | Article |
| id | doaj.art-42e63db5354940e7ab5b8ee3923bff56 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-12T18:07:57Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-42e63db5354940e7ab5b8ee3923bff562022-12-22T03:21:55ZengBMCBMC Women's Health1472-68742022-06-012211810.1186/s12905-022-01810-1Adaptive leadership in clinical encounters with women living with HIVSchenita D. Randolph0Ragan Johnson1Kara McGee2Adaora A. Adimora3Catalina Ramirez4Donald E. Bailey5Lauren Holt6Amie Koch7Jacquelyn M. McMillian-Bohler8Tiarney Ritchwood9Michael V. Relf10Duke University School of NursingDuke University School of NursingDuke University School of NursingSarah Graham Kenan Distinguished Professor of Medicine, Department of Epidemiology, School of Medicine, Gillings School of Global Public Health at the University of North Carolina at Chapel HillSchool of Medicine and the Project Director for the Women’s Interagency HIV Study at the University of North Carolina at Chapel HillDuke University School of NursingDuke University School of NursingDuke University School of NursingDuke University School of NursingDepartment of Family Medicine and Community Health, Duke University School of MedicineDuke University School of NursingAbstract Background Women 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 Adaptive Leadership Framework for Chronic Illness offers specific adaptive leadership strategies for providers to improve patient-provider interactions. The purpose of this study was to examine adaptive leadership behaviors that contribute to the development of effective patient-provider communication from the perspectives of WLWH. Methods The descriptive, cross-sectional and qualitative study conducted interviews with 22 WLWH to assess perceptions of the clinical encounter related to HIV-related stigma, engagement in care, medical distrust, and experiences with discrimination and quality of life. Members of the study team using a set of a priori codes analyzed data using NVivo 12.0. Results Participants described two primary themes and subthemes of each for adaptive leadership behaviors. The primary theme for adaptive leadership of providers was “my provider cares about me”; subthemes were communication, trust building takes time, and supportive providers are trusted. The primary theme for adaptive leadership of WLWH themselves was “I care about me; subthemes were self-advocacy and self-empowerment. Conclusions Providers can use adaptive leadership behaviors during clinical encounters to support WLWH, improve patient-provider communication, enhance trust, and improve patient outcomes.https://doi.org/10.1186/s12905-022-01810-1Women living with HIV (WLHV)Adaptive leadership frameworkClinical encounter |
| spellingShingle | Schenita D. Randolph Ragan Johnson Kara McGee Adaora A. Adimora Catalina Ramirez Donald E. Bailey Lauren Holt Amie Koch Jacquelyn M. McMillian-Bohler Tiarney Ritchwood Michael V. Relf Adaptive leadership in clinical encounters with women living with HIV BMC Women's Health Women living with HIV (WLHV) Adaptive leadership framework Clinical encounter |
| title | Adaptive leadership in clinical encounters with women living with HIV |
| title_full | Adaptive leadership in clinical encounters with women living with HIV |
| title_fullStr | Adaptive leadership in clinical encounters with women living with HIV |
| title_full_unstemmed | Adaptive leadership in clinical encounters with women living with HIV |
| title_short | Adaptive leadership in clinical encounters with women living with HIV |
| title_sort | adaptive leadership in clinical encounters with women living with hiv |
| topic | Women living with HIV (WLHV) Adaptive leadership framework Clinical encounter |
| url | https://doi.org/10.1186/s12905-022-01810-1 |
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