“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault

Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure p...

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Autores principales:	Jessica E. Draughon Moret PhD, RN, Daniel J. Sheridan PhD, RN, FAAN, Jennifer A. Wenzel PhD, RN, CCM, FAAN
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/56cb4b9ed5df4cf099f331ab919fd1bd
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spelling	oai:doaj.org-article:56cb4b9ed5df4cf099f331ab919fd1bd2021-11-12T17:03:21Z“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault2333-393610.1177/23333936211046581https://doaj.org/article/56cb4b9ed5df4cf099f331ab919fd1bd2021-09-01T00:00:00Zhttps://doi.org/10.1177/23333936211046581https://doaj.org/toc/2333-3936Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients ( N =11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another.Jessica E. Draughon Moret PhD, RNDaniel J. Sheridan PhD, RN, FAANJennifer A. Wenzel PhD, RN, CCM, FAANSAGE PublishingarticleNursingRT1-120ENGlobal Qualitative Nursing Research, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Jessica E. Draughon Moret PhD, RN Daniel J. Sheridan PhD, RN, FAAN Jennifer A. Wenzel PhD, RN, CCM, FAAN “Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
description	Sexual assault is an irrefutable trauma; an insult to the autonomy of the person forced into sexual acts. Sexual assault sequelae range from physical injury and acute traumatic stress, to pregnancy and sexually transmitted infections, including human immunodeficiency virus (HIV). HIV post-exposure prophylaxis (HIV PEP) following sexual assault may decrease the likelihood of HIV transmission. Many patients seeking healthcare post-sexual assault either do not initiate HIV PEP or do not complete the 28-day medication regimen. In this qualitative interpretive description, we interviewed sexual assault patients ( N =11) about HIV PEP discussions/reactions, attitudes and understanding related to HIV and PEP, and barriers and facilitators of HIV PEP acceptance and adherence. Participants described a process of losing and reclaiming control throughout post-assault care and follow-up; and how this affected HIV PEP-related decision-making. Most HIV PEP decisions were described as a process of reclaiming control over one outcome while simultaneously losing control of another.
format	article
author	Jessica E. Draughon Moret PhD, RN Daniel J. Sheridan PhD, RN, FAAN Jennifer A. Wenzel PhD, RN, CCM, FAAN
author_facet	Jessica E. Draughon Moret PhD, RN Daniel J. Sheridan PhD, RN, FAAN Jennifer A. Wenzel PhD, RN, CCM, FAAN
author_sort	Jessica E. Draughon Moret PhD, RN
title	“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
title_short	“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
title_full	“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
title_fullStr	“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
title_full_unstemmed	“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault
title_sort	“reclaiming control” patient acceptance and adherence to hiv post-exposure prophylaxis following sexual assault
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/56cb4b9ed5df4cf099f331ab919fd1bd
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“Reclaiming Control” Patient Acceptance and Adherence to HIV Post-Exposure Prophylaxis Following Sexual Assault

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