Construction of a conceptual model of comprehensive care for Indonesian children with human immunodeficiency virus

To construct a conceptual model of comprehensive care for Indonesian children with Human Immunodeficiency Virus. A qualitative constructivist grounded theory design. Purposive sampling was used to interview 12 children with Human Immunodeficiency Virus and 8 family members with the age of the childr...

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Veröffentlicht in:Journal of pediatric nursing 2022-05, Vol.64, p.e52-e60
Hauptverfasser: Qur'aniati, Nuzul, Sweet, Linda, De Bellis, Anita, Hutton, Alison
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Sprache:eng
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Zusammenfassung:To construct a conceptual model of comprehensive care for Indonesian children with Human Immunodeficiency Virus. A qualitative constructivist grounded theory design. Purposive sampling was used to interview 12 children with Human Immunodeficiency Virus and 8 family members with the age of the children ranged from 9 to 18 years, and 23 health professionals, including general practitioners, paediatric specialists, nurses, midwife, and nutritionist from public health centres and provincial hospitals in East Java, Indonesia. Data was analysed using constant comparative coding methods, theoretical sensitivity, memo writing, and diagramming to facilitate the development of the substantive theory. Exploring the perspectives of the participants has revealed the need to enhance the delivery of comprehensive care across the continuum, because HIV care and services for children was sub-optimal. Understanding children's needs and preferences forms the foundation of the development of a framework for the comprehensive care of children with HIV consisting of child-centred care and social support, delivered by integration and coordination of care through a healthcare service. The conceptual model provides new knowledge and has the capacity to bring together optimal care across the continuum addressing the challenges of fragmentation of care for children and their families. The model informs that children with HIV not only need pharmacotherapy, but also other care interventions depending on their individual needs, preferences, and age. Implementing the model may help to resolve such problems, to improve collaborative practice and enhance children's participation, thereby promoting children's health outcomes. •Constructionist ground theory in the study of Indonesian children with HIV•The conceptual model of comprehensive care enhances understanding of children and adolescent's needs and preferences about the components of HIV care interventions and services•Child-centred care and support with integration and coordination of care are components of the model addressing the fragmentation of care.
ISSN:0882-5963
1532-8449
DOI:10.1016/j.pedn.2022.01.004