Zanon BP, Paula CCD, Padoin SMDM. Revealing an HIV diagnosis for children and adolescents: subsidy for the practice of care.
ACTA ACUST UNITED AC 2017;
37:e20160040. [PMID:
28746497 DOI:
10.1590/1983-1447.2016.esp.2016-0040]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Accepted: 05/22/2017] [Indexed: 11/21/2022]
Abstract
Objective
To collectively build a guide for following-up on HIV diagnosis disclosure to children and adolescents in a specialized service.
Method
Convergent-care research approach with observation triangulation, interview and groups, conducted from May to June 2015 with seven health professionals in a pediatric outpatient clinic for infectious diseases. Thematic content analysis was developed.
Results
The discussion of understanding the disclosure, its triggers, actors involved, used strategies, and limits and possibilities listed by the professionals subsidized the construction of a guide to be applied in the stages: analyzing children's questions and curiosities; evaluating their cognitive ability; discussing the reasons to reveal; listing the professionals involved on follow-up process; including family; developing strategies for disclosure.
Conclusion
This guide may mediate changes in care practice to ensure the child's rights and to make the professionals co-accountable.
Collapse