Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease
Abstract Aim To explore healthcare team members' perceptions of their ethical obligations toward HIV‐positive adolescents and their enrolment in and adherence to antiretroviral therapy among adolescents attending a Care and Treatment Center (CTC) in Temeke Regional Referral Hospital in Tanzania...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-07-01
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| Series: | Nursing Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/nop2.1728 |
| _version_ | 1797736150836707328 |
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| author | Renatha S. Joseph Gasto Frumence Nathanael Sirili Connie M. Ulrich |
| author_facet | Renatha S. Joseph Gasto Frumence Nathanael Sirili Connie M. Ulrich |
| author_sort | Renatha S. Joseph |
| collection | DOAJ |
| description | Abstract Aim To explore healthcare team members' perceptions of their ethical obligations toward HIV‐positive adolescents and their enrolment in and adherence to antiretroviral therapy among adolescents attending a Care and Treatment Center (CTC) in Temeke Regional Referral Hospital in Tanzania. Design This is a descriptive exploratory qualitative study. Methods A total of 16 healthcare team members were purposively selected from the hospital CTC to participate in in‐depth qualitative interviews. With the aid of NVivo software, qualitative thematic analysis was used to analyze the information. Results Five themes on ethical obligations emerged: (1) informing adolescents of their status before enrolment to the HIV CTC, (2) securing adolescents’ confidential information, (3) disclosing adolescents' HIV status, (4) informing others about the adolescent’s HIV status; and (5) offering reproductive health education for adolescents living with HIV. Conclusion The healthcare team faces many ethical challenges in the care and support of adolescents who enroll in an HIV CTC in Tanzania. Differing ethical obligations must be balanced with the needs of adolescents and their parents in discerning what is in the best interest of the adolescent and advocating for life‐saving treatment. |
| first_indexed | 2024-03-12T13:09:27Z |
| format | Article |
| id | doaj.art-91193c3740f04413b50b9899f581568f |
| institution | Directory Open Access Journal |
| issn | 2054-1058 |
| language | English |
| last_indexed | 2024-03-12T13:09:27Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Open |
| spelling | doaj.art-91193c3740f04413b50b9899f581568f2023-08-28T06:26:26ZengWileyNursing Open2054-10582023-07-011074766477210.1002/nop2.1728Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus diseaseRenatha S. Joseph0Gasto Frumence1Nathanael Sirili2Connie M. Ulrich3Department of Bioethics and Health Professionalism, School of Public Health and Social Sciences Muhimbili University of Health and Allied Sciences Dar es Salaam TanzaniaDepartment of Development Studies, School of Public Health and Social Sciences Muhimbili University of Health and Allied Sciences Dar es Salaam TanzaniaDepartment of Development Studies, School of Public Health and Social Sciences Muhimbili University of Health and Allied Sciences Dar es Salaam TanzaniaBiobehavioral Department, School of Nursing, Department of Medical Ethics and Health Policy, and New Courtland Center for Transitions and Health University of Pennsylvania Philadelphia Pennsylvania USAAbstract Aim To explore healthcare team members' perceptions of their ethical obligations toward HIV‐positive adolescents and their enrolment in and adherence to antiretroviral therapy among adolescents attending a Care and Treatment Center (CTC) in Temeke Regional Referral Hospital in Tanzania. Design This is a descriptive exploratory qualitative study. Methods A total of 16 healthcare team members were purposively selected from the hospital CTC to participate in in‐depth qualitative interviews. With the aid of NVivo software, qualitative thematic analysis was used to analyze the information. Results Five themes on ethical obligations emerged: (1) informing adolescents of their status before enrolment to the HIV CTC, (2) securing adolescents’ confidential information, (3) disclosing adolescents' HIV status, (4) informing others about the adolescent’s HIV status; and (5) offering reproductive health education for adolescents living with HIV. Conclusion The healthcare team faces many ethical challenges in the care and support of adolescents who enroll in an HIV CTC in Tanzania. Differing ethical obligations must be balanced with the needs of adolescents and their parents in discerning what is in the best interest of the adolescent and advocating for life‐saving treatment.https://doi.org/10.1002/nop2.1728adherenceadolescentsethical obligationhealthcare providersHIV care and treatment |
| spellingShingle | Renatha S. Joseph Gasto Frumence Nathanael Sirili Connie M. Ulrich Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease Nursing Open adherence adolescents ethical obligation healthcare providers HIV care and treatment |
| title | Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease |
| title_full | Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease |
| title_fullStr | Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease |
| title_full_unstemmed | Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease |
| title_short | Healthcare teams' ethical obligations towards care of adolescents' living with human immunodeficiency virus disease |
| title_sort | healthcare teams ethical obligations towards care of adolescents living with human immunodeficiency virus disease |
| topic | adherence adolescents ethical obligation healthcare providers HIV care and treatment |
| url | https://doi.org/10.1002/nop2.1728 |
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