Abstracts for the 18th NHIVNA Annual Conference

Abstracts for 18th NHIVNA conference held at Manchester Conference Centre 29 June–1st July

360° person-centred care: a call to add a fourth 90 to the 2020 UNAIDS 90-90-90 treatment targets

Welcome to this issue of HIV Nursing. I feel honoured writing this editorial focusing on stigma and the impact it has on people living with HIV.

HIV Nursing 2017; 17 (2): 35

Michelle Croston
Senior Lecturer, Advance Nurse Practitioner

Prevention the challenge continues

Welcome to the spring issue, which focuses on prevention of HIV infection and also at the relevance of female gender on the risk of HIV acquisition.

Juliet Bennett
Independent Nurse Advisor

Patients, peers and volunteers

Welcome to the bumper 2016 summer edition. In this issue we have focused on upon the one thing that makes us nurses: patients. Within HIV care, it is our patients who have fought, challenged, shaped and developed the HIV service that we see today. Patient involvement has led to patient groups, peer support, peer-led services and the involvement of patient at the highest board level to ensure their voices are still heard and acted upon.

Shaun Watson
Clinical Nurse Specialist

Innovative nursing practices

Hello and welcome to the first issue of 2017. I am really excited about this issue, which is full of, what we hope are, interesting and challenging articles.

Elizabeth Foote
HIV Clinical Nurse Specialist

Continuing Professional Developement: HIV and mental health

Despite advances in HIV medicine people living with HIV (PLWH) continue to face many challenges. These include successfully adhering to treatment recommendations to maintain optimal health, negotiating disclosure of HIV status and coping with living with a stigmatised condition, all of which can impact on mental health and wellbeing. Pre-existing mental health difficulties can amplify these challenges. The co-occurrence of HIV and mental illness poses a significant public health problem and represents a challenge for healthcare professionals (HCPs) working in this field. In order to effectively identify and meet the mental health needs for PLWH vigilance, knowledge and enhanced communication skills from nurses are required.

HIV Nursing 2017: 17(2); 37–47

Juliet Bennett
Independent Nurse Advisor

HIV nursing and research

Hello and welcome to this issue of HIV Nursing. I am really excited about this edition, which has a focus on research in HIV care.

HIV Nursing 2017; 17: 75–76

James Meek
Senior Lecturer. University of Central Lancashire

Drugs, alcohol and HIV: It’s all about extremes

Themes, themes, themes. Deciding the themes we select for HIV Nursing can be an arduous task. Over the past 11 years we have exhausted many avenues, but surprisingly we’ve never really hit upon drugs and alcohol.

Shaun Watson
Clinical Nurse Specialist


Welcome to the autumn issue of HIV Nursing. As I write this editorial, the NHIVNA annual conference seems a distant memory. It is always inspirational to come across like-minded nurses in the same field sharing their expertise and knowledge, and innovative ideas.

Linda Panton
Clinical Nurse Specialist, Western General Hospital, Edinburgh

Show and tell – the art of poster prevention

This is the first of a series of short articles with guidance for those who would like to present research. Here we give some pointers on preparing a poster for a conference.

Juliet Bennett
Independent Nurse Advisor

Peer support in HIV care

While very much an upcoming health support strategy, peer support has been a mainstay of HIV care since the initial days of the epidemic, over 30 years ago. The gay community took up the challenge to look after its own when few others would, setting up organisations such as Body Positive and Terrence Higgins Trust to provide support and share what little information there was available. Peer support has developed over the years and with the NHS recognising its value, and many local authorities specifying the requirement for peer support and mentoring in their tenders for HIV services, the time has clearly come for programmes that deliver on the approach laid out in the BHIVA 'Standards of Care for People Living with HIV'.

Garry Brough
Positively UK

Continuing professional development: HIV and renal disorders

Despite advances in HIV medicine it is widely acknowledged that people living with HIV are at particular risk of renal problems although the pattern of disease has changed significantly over time renal disease, also known as kidney disease or nephropathy, is currently one of the most common non-infectious comorbidities seen among PLWH.

HIV Nursing 2017; 17: 77–87

Juliet Bennett
Independent Nurse Advisor

ChemSex and care-planning: One year in practice

Throughout the HIV/AIDS epidemic, the disinhibition and poor judgement associated with drugs and alcohol have continuously impacted our patients’ abilities to practice safe sex and to keep themselves safe from infection.

David Stuart & Johannes Weymann
Substance Use Lead & Specialist Advisor, 56 Dean Street

Injecting drug users

People who inject drugs (PWID) certainly have to be considered as a ‘hard-to-reach’ population at risk of HIV transmission. They often come from marginalised groups in society, such as sex workers, MSM or prisoners, and once they are diagnosed with HIV, often are stigmatised further, driving them more underground, and away from any support services.

Linda Panton
Clinical Nurse Specialist, Western General Hospital, Edinburgh

Writing an abstract

In the second item for those presenting research, abstract writing is put under the microscope.

Linda Panton
Clinical Nurse Specialist, RIDU, Western General Hospital, Edinburgh

Take Control, Learn and Connect: weekend workshops for people recently diagnosed with HIV

For many people, receiving an HIV diagnosis is a worrying and confusing time. Whatever the reaction, one thing that is common at the start of a person’s HIV journey is the need for information, reassurance and support. Providing support and interventions at this early stage of diagnosis has long been recognised as beneficial to the client. Positively UK has developed a weekend workshop programme for recently diagnosed people: Take Control, Learn, and Connect.

Marc Thompson & Jim Fielder
National Coordinator, Project 100 & Gay Men's Support Worker, Positively UK

The UK People Living with HIV Stigma Survey 2015

The landscape for people living with HIV (PLWH) in the UK has changed dramatically over the last 20 years with significant advances being made in treatment and prevention methods that enable PLWH to have improved life expectancy and opportunities to be involved in fulfilling relationships. However, there is still much to be done to significantly reduce stigma and discrimination and continue to improve the quality of life, health and overall wellbeing of PLWH.

HIV Nursing 2017; 17(2): 49–53

Irina Lut
Family Planning Association, London

Barriers preventing early testing and diagnosis of HIV: results of a five-year retrospective review of clinical data for those diagnosed HIV positive in two European regions

This article provides an overview of the aims, conduct, and findings of a five-year retrospective review of patient records to identify and compare clinical and demographic data on every patient diagnosed with HIV in Kent and Medway in the UK, and Amiens and Creil in France.

HIV Nursing 2017; 17: 75–76

Stephen O'Connor, Sharon Manship, Momar Diouf, Jean-Luc Schmit, Stephen Clift
Reader, Canterbury Christ church University,Research Assistant,Researcher, Centre Hospitalier Universitaire d'Amiens,Professor,Professor

HIV and frailty: Just another symptom?

It seems obvious doesn’t it: we get older we get frailer. But are the two things automatically connected, and what is frailty? To some it’s generalised weakness, the inability to complete activities of living, or is it just an affliction of old age?

Shaun Watson
Clinical Nurse Specialist

A hepatitis B-screening outreach clinic for the Chinese community

An estimated 2 billion people worldwide have been infected with the hepatitis B virus (HBV) and more than 350 million have chronic infections. HBV infection is an established cause of both acute and chronic hepatitis.

Sara Davis
Sexual health nurse, 56 Dean St Clinic

Dean Street

Europe’s first venereal disease (VD) clinic for men was set up in Dean Street, Soho, London in 1862. Though much has changed since then, Soho continues to be a vibrant and cosmopolitan area, particularly for LGBT Londoners. The ethos of the Dean Street Wellbeing programme is if people experience good general wellbeing, and benefit from inclusion and participation in their communities, good sexual health will result by default.

David Stuart & Leigh Chislett
56 Dean Street, Chelsea & Westminster Hospital NHS Foundation Trust

Resourcing peer support volunteers in HIV prevention and sexual wellbeing: NHS settings

Nursing staff in sexual health and HIV settings may find themselves busier than ever before, as HIV diagnoses amongst gay, bisexual and other men who have sex with men (MSM) continue to rise. in a climate of cuts and austerity, this is a concern. Read about 56 Dean Street's solution.

David Stuart
56 Dean Street

How could a smartphone app improve health outcomes for HIV-positive MSM?

This article discusses the development and thinking behind a smartphone application, called Positive Thinking that aims to promote improved health outcomes, such as medication adherence, through the use of technology-based education and to support newly diagnosed men who have sex with men.

HIV Nursing 2017; 17(2): 54–56

Jaz Hudson & Michelle Croston
Student Nurse & Senior Lecturer, Advance Nurse Practitioner

What is known from the existing literature about men living with HIV, erectile dysfunction and role of HIV nurses: a scoping review

This article reviews the current literature regarding HIV and erectile dysfunction. The article will explore why erectile dysfunction is more common in men who are HIV positive as appose to men who do not have HIV. HIV Nursing 2017; 17: 96–102

James Meek & Michelle Croston
Senior Lecturer, University of Central Lancashire & Senior Lecturer, Manchester Metropolitan University

The elephant in the room?

The question of addiction as it relates to drug/alcohol use and sexual behaviours: raising the issue with patients

Steve Barlow
Counsellor and Clinical Supervisor in Private Practice

From Preston to Zambia: what can student children’s nurses learn from a two-week placement?

Sexual and reproductive health (SRH) promotion aimed at children and young people is particularly relevant in Zambia as a high proportion of the population of children and adolescents are HIV positive (150,000) or AIDS orphans (600,000).

Linda Sanderson, James Meek, Debbie Brittain, Abigail Heath, Zoe Wood
Senior Lecturer,Senior Lecturer,Senior Lecturer,Student Nurse,Student Nurse, University of Central Lancashire

HIV prevention revolution

Over the past 3 years, there have been major breakthroughs in the science of HIV prevention, especially in our understanding of how ART impacts on the transmissibility of HIV and the role that ARVs can play outside the context of treatment. HIV prevention needs a comprehensive response involving combining different approaches on the biomedical, behavioural and social levels.

Rebekah Webb
European AIDS Treatment Group

Rewriting the Patient Champion: a report on creative innovations in patient empowerment

Patient Champion is a rather grandiose title for a role that aims to empower patients, and give them a voice within their healthcare service. Community engagement can be a potent tool in improving wellbeing within patient cohorts. It offers strategies to, for example, achieve better collective mental health, or for working with people who have been marginalised by wider society.

Patrick Cash & Laurie Poole
Patient Champion, 56 Dean Street & 2Let’s Talk About Gay Sex & Drugs, Researcher

Barriers, solutions, and progress: nurses are central to improving and expanding HIV care and supp

Welcome to the 2016 winter issue of HIV Nursing. This bumper edition has a strong focus on international issues. As always, we invite feedback on these articles and if you would like to comment, please send a message to hivnursing@mediscript.net.

Ian Hodgson
Independent Consultant

Stigma and HIV: the current situation

As health professionals we aim to do the best we can for our patients by attempting to address these problems and providing working solutions for them. But do we always address one of the main challenges faced by those living with HIV: stigma. Long-standing evidence proves that stigma poses a major issue in HIV care and not only affects those living with HIV but the people around them.

HIV Nursing 2017; 17(2): 57–62

Kyle Carabini
HIV and Sexual Health Research Nurse

Stigma, time to address the issues: a literature review

The gay community have lived with being externally stigmatised for generations and it is a growing issue in areas such as HIV.

HIV Nursing 2017; 17: Stuart Roberts

Stuart Roberts
Senior Lecturer, Manchester Metropolitan University

HIV and homelessness in central London: Reflections from a specialist homeless general practice

The term ‘homelessness’ is interpreted in a variety of ways, depending on perspective and context. The definition which is generally accepted within healthcare settings includes rough sleepers and those in temporary accommodation such as hostel dwellers, couch surfers and squatters.

Maxine Radcliffe
London Network of Nurses and Midwives Homelessness Group

Halve It

Late diagnosis is associated with a greater risk of hospitalisation, AIDS-related illness, reduced life expectancy, increased risk for onward transmission and increased cost to the NHS. The Halve It coalition’s aims are to halve the number of people diagnosed late and to halve the number of undiagnosed people living with HIV.

Nathaniel Brito-Ault
Consultant HIV Nurse, Barts Health NHS Trust

An evaluation of Living Well’s Life Coaching programme: the clients’ perspective

LivingWell is a community interest company that focuses on the development and delivery of innovative health services. One of the services they currently provide is Life Coaching for people living with HIV. The purpose of this article is to evaluate this service from the clients’ perspective.

Janice Constance
London Metropolitan University

‘Just take a tablet and you’ll be okay’: medicalisation, the growth of stigma and the silencing of HIV

This article explores the growth and impact of the medicalisation of HIV and HIV-related stigma. Since the early days of the virus when treatments were unavailable, political voices for HIV advocacy were powerful; public discourse reflected these changes with growing public-health campaigns that began to demystify HIV as a concept.

HIV Nursing 2017: 17(2); 62–68

Andrew Dalton
Lecturer in Social Sciences

‘There is goodness in life, even when living with HIV’: an exploration using caritative caring

There are many challenges for people living with HIV. People can react in different ways, and for some it can be a traumatic and very negative event. They deal with it either alone or with extra psychological and social support. It is in this context that caring science, developed by Watson, and caritative caring knowledge, proposed by Eriksson, provide possible approaches to conquer challenges.

HIV Nursing 2017; 17: 108–111

Christel Estlander
Researcher, Åbo Akademi University, Vasa, Finland

Wernicke–Korsakoff syndrome: The hidden dementia in HIV? A case study

For some living with HIV, alcohol use may go hand in hand with recreational or street drug use, poverty, anxiety and/or mental health issues. This article will look at the development of Wernicke–Korsakoff syndrome.

Shaun Watson
Clinical Nurse Specialist

Seeking support in Liverpool: issues and barriers for asylum seekers and refugees who are lesbian, gay, bisexual, trans or intersex

The following article highlights significant issues and barriers that lesbian, gay, bisexual, trans and intersex (LGBTI) asylum seekers and refugees can experience when seeking asylum in the UK and accessing relevant support services in Liverpool.

Jennifer New
University of Liverpool

Violence and Women

Violence against women and girls can be a cause or a consequence of HIV. There is a growing body of evidence that illustrates the impact violence can have on transmission of HIV. Women who have experienced intimate partner violence are 50% more likely to acquire HIV and UNAIDS indicates that one third of women living with HIV have been physically assaulted.

Pauline Jelliman
Clinical Lead HIV and TB Community Nursing Teams, Liverpool Community Health NHS Trust

Self-awareness and HIV nursing

Patients with HIV often present to services with complex and challenging psychosocial issues. As nurses, we are often required to discuss the sexual disclosure of HIV, testing of children/sexual partners, issues around sexuality, risky sexual behaviour, harm reduction and the onward transmission of HIV. When working with others in a professional capacity, it is important that we are clear about our own personal beliefs, values and needs. Self-awareness is a process that enables nurses to learn more about their personal beliefs and value and is considered an important tool during the development of therapeutic relationships with patients.

Michelle Croston & Kirsten Jack
North Manchester General Hospital & Manchester Metropolitan University

How to write a case study for HIV Nursing

Case studies are a lived experience and something that can be used for reflection and learning for other nurses. Writing a case study isn’t difficult but it can take time to pull together the pertinent information that you want to discuss and, when you have lived that situation, keeping it to a strict word count can be tricky.

Shaun Watson
Clinical Nurse Specialist (HIV Community)

Abstracts for the 19th NHIVNA Annual Conference

Abstracts and Posters For the 19th NHIVNA Annual Conference held at Bristol Marriott Royal Hotel 22–23 June 2017

17th NHIVNA Annual Conference

Abstracts for the 17th NHIVNA Annual Conference held at Royal Armouries International, Leeds, 17–19 June 2015.

Waverley Care: developing HIV services that are inclusive, responsive and accurately meet the needs of Africans in Scotland

In this article I describe how Waverley Care has developed services that are relevant to and inclusive of Africans living with and affected by HIV in Scotland.

Martha Baillie
Deputy Chief Executive, Waverley Care

Book review

Aimed at healthcare professionals, this book is a very timely guide. Particularly so because, due to the intimate nature of the relationships they have with their patients, healthcare professionals are in a unique position to identify the issue, empathise with their patients and refer them for support. The book aims to provide practical help to learners early in their careers.

Angelina Namiba
Salamander Trust Associate

Book review. Living Confidently with HIV: A Self-help Book for People Living with HIV

In the 2016 revised edition of Living confidently with HIV: A Self-help Book for People Living with HIV the authors Shaw, Tacconelli, Watson and Herbert write sensitively about the issues that people living with HIV experience.

Michelle Croston
North Manchester General Hospital

Impact of nursing intervention on improving HIV, hepatitis knowledge and mental health among homeless young adults (Nyamathi et al. 2013)

The article reports on the results from a pilot study considering the impact of two interventions on improving homeless young adults’ knowledge of HIV and hepatitis, and their mental health.

Enmma Jones & James Meek
Lecturer & Lecturers, University of Central Lancashire

Pushing for change: using advocacy to make better policy

Writing an editorial at the end of a year allows a reflection on the previous 12 months, and internationally, the launch of the Sustainable Development Goals (SDGs) to replace the Millennium Development Goals (MDGs) has been a key development.

Ian Hodgson
Independent Consultant, HIV Education and Research

A national nurse-led audit of the standards for psychological support for adults living with HIV

The prevalence of psychological distress among people living with HIV (PLWHIV) is substantially higher than that of the general population, with PLWHIV twice as likely to be diagnosed with depression. The National HIV Nurses Association (NHIVNA) undertook an audit to assess whether standards for psychological support are being implemented in clinical practice. The intention was also to highlight gaps in service provision and identify training needs.

Continuing Professional Developement (CPD): Cardiovascular disease and HIV

The first of a series of four articles providing an opportunity to earn CPD points. Among the many comorbidity conditions, cardiovascular disease (CVD) has become an area of particular concern in the field of HIV. The high prevalence of cardiovascular risk factors in people living with HIV, alongside the growing evidence of HIV-accelerated inflammatory processes, known to promote atherosclerosis, presents an ongoing challenge. This article has been prepared to aid your continuing professional development and with revalidation in mind.

HIV Nursing 2017; 17: 3–15.

Juliet Bennett
Independent Nurse Advisor

HIV across the lifespan

I am pleased to be presenting this issue to you as we offer a range of articles that represent people at different points of their lifespan and their experiences of living with HIV or caring for people with HIV.

John McLuskey
Associate Professor, University of Nottingham

HIV care: learning from the past, and the right to health

Welcome to the 2018 spring issue of HIV Nursing, in its exciting new format! Since the last edition of HIV Nursing we’ve seen World AIDS Day come and go. It’s surprising to think that 2017 was the 29th World AIDS Day, and reminds us that the HIV sector has a strong and rich legacy; there is still much to learn, but it’s important not to forget the past.

Ian Hodgson
Independent Consultant

HIV 2018: the complex picture

Welcome to the Summer issue of HIV Nursing. I always consider this as the conference issue, it’s a good selling point when I ask people to write for it and as it’s our 20th Annual NHIVNA conference we have a bumper one for you.

HIV Nursing 2018: 18(2); 23.

Shaun Watson
Clinical Nurse Specialist (HIV Community)

Holistic HIV care: bridging the gap between primary and secondary care

People with HIV (PWH) are living longer and, therefore, long-term conditions and comorbidities are on the increase, as well as among the general population. The ageing demographic in the UK is placing demands on service provision, hence, the need for innovative, cost-effective and high-quality services is crucial.

Elizabeth Foote
Royal Liverpool and Broadgreen Hospital Trust

HIV nursing and research

Hello and welcome to the final issue of HIV Nursing for 2018. I am always really excited about this issue, which has a focus on research in HIV care, something that I am very passionate about.

HIV Nursing 2018: 4; 81.

James Meek
Senior Lecturer. University of Central Lancashire

Understanding factors behind the late testing and diagnoses of HIV: a review of the international literature

Late diagnosis of HIV results in increased morbidity and mortality and raises the potential for onward transmission to others. It also increases costs to health-service providers and impacts on national health budgets. This is a review of the literature available from an international study investigating barriers to early HIV testing from the perspectives of both patients and healthcare professionals.

Stephen J. O'Connor & Sharon Manship
Canterbury Christ Church University & Canterbury Christ Church University

Australian nurses discover a thirst for knowledge in Myanmar

Following the International AIDS Conference held in Melbourne in 2014, a group of doctors from Myanmar came to Sydney for two weeks as part of the Australian Award Fellowship.

Denise Cummins, Kurt Andersson-Noorgard, Garry Trotter
Sydney District Nursing Service, Royal Prince Albert Hospital, Sydney, Australia

Are the WHOQOL-HIV-Bref and 15D adequate measures of quality of life in HIV-infected adults?

The WHOQOL-HIV-Bref has been widely used in the assessment of quality of life (QoL) in HIV, but it has never been simultaneously evaluated with any generic health-related QoL (HRQoL) instrument. The aim of this study was to test the psychometric properties of the WHOQOL-HIV-Bref and compare it with the generic 15D HRQoL instrument in a sample of Finnish HIV-infected patients.

Nuno Nobre , Marco Pereira , Risto P. Roine , Jussi Sutinen, Harri Sintonen
Hartman Hospital, Finland,University of Coimbra, Portugal,Research Centre for Comparative Effectiveness and Patient Safety, University of Eastern Finland, Kuopio, Finland,University of Eastern Finland,University of Helsinki, Finland

HIV and bone health

Despite advances in HIV medicine people living with HIV (PLWH) continue to face many physical challenges. As the natural history of HIV infection evolves and with an ageing cohort, bone health and disease should be an important consideration for healthcare professionals working in this field.

Juliet Bennett
Independent Nurse Advisor

Trans:Mission A community-led HIV testing initiative for trans people and their partners at a London sex-on-premises venue

Studies indicate that transgender (trans) communities are particularly vulnerable to HIV. However, trans people in the UK are often excluded from HIV services and research. This evaluation reviews the activity of a trans-led team that provided monthly outreach testing at a trans sex-on-premises venue in London.

HIV Nursing 2018: 18(2); 24–29.

Aedan Wolton, Richard Cameron, Tara Suchak
cliniQ CIC,Chelsea and Westminster Hospital NHS Foundation Trust London,cliniQ

Peer mentorship to increase cervical cancer screening uptake in women living with HIV: a pilot project

Women living with HIV have a higher risk of developing cervical cancer. Screening guidelines recommend that women living with HIV (WLH) have a Papanicolaou (Pap) test more often than the usual standard of care.This project examined peer mentorship influence on cervical cancer screening uptake.

HIV Nursing 2018; 18(3): 59–61.

Jacqueline Thomas & Aimee Holland
DNP Candidate, University of Alabama at Birmingham School of Nursing US & Associate Professor, University of Alabama at Birmingham School of Nursing, US

Timing of HIV acquisition and disclosure: a qualitative typology of serodiscordant relationships among heterosexual black African migrant couples in the UK

This study examined the timing of HIV acquisition and disclosure of HIV status to HIV-negative sexual partners in serodiscordant relationships (SdRs) among heterosexual black African migrant couples.

HIV Nursing 2018: 18; 82–88

Mohamed Kemoh Rogers & Eamonn McKeown
Senior Lecturer, University of East Anglia & Senior Lecturer, UCL

HIV-related stigma and discrimination among people living with HIV in Croatia

HIV-associated stigma and discrimination affect the quality of people’s lives and their ability to access care and support. They can also inhibit people diagnosed with HIV from disclosing their status to others

Sanja Belak Kovacevic, Stacie A Solt, Thomas E Novotny, Josip Begovac
Zagreb, Croatia, Philadelphia, USA, San Diego, USA, Zagreb, Croatia

Innovation in HIV nursing: the Liverpool Community Clinic

The Liverpool Community Clinic (LCC) was established to address the pressing problem of non-attendance to hospital by people who are living with HIV (PLWH). This group now receives timely, safe and appropriate care while being managed remotely. The aims of the LCC are to reduce hospital admissions, manage side effects, guarantee medication and adherence, identify psychosocial factors that impact on engagement and retention in care, and enable person-centred care incorporating shared decision making.

HIV Nursing 2017; 17: 16–19.

Pauline Jelliman
Operational and Clinical lead for TB and HIV

Freedom to Be: impact of CHIVA camp

This article presents the importance of peer support for young people growing up with HIV in the UK. We provide insight in to some of the challenges young people experience, by reviewing the impact of the Children’s HIV Association (CHIVA) camp: Freedom to Be (F2B).

Irina Lut, Katie Rowson, Amanda Ely
Researcher. Family Planning Association,Senior Lecturer, University of Central Lancashire,CHIVA Manager

NHIVNA Academy

The National HIV Nurses Association (NHIVNA) launched the NHIVNA Academy at the 2016 Annual NHIVNA conference in Manchester. This article provides a first hand review of Module 1: Making it happen, held over two days in January 2017.

Kirstie Weeks
Manchester University NHS Foundation Trust

HIV testing in primary care: a small-scale qualitative study to gain understanding

A qualitative research study was used with primary care clinicians to ascertain knowledge, understanding and current practices of clinicians to promote HIV testing of high-risk individuals in primary care. Using semi-structured interviews (n=7) the questioning focused on HIV testing guidelines, prevalence, late diagnosis and perceptions of where best to test. Interview data were thematically analysed.

HIV Nursing 2018; 18(2): 30–32.

Rebecca Kelly & Joanne Garside
Registered Nurse Adult & Principal Lecturer, University of Huddersfield

Joint working to treat hepatitis C in hard-to-reach patients who are co-infected: a case study example

As a result of shared routes of transmission, at least one quarter of people living with HIV globally are also infected with hepatitis C (HCV) and the rate of co-infection in the UK is estimated to be approximately 9%. Hepatitis C does not have an effect on HIV progression, but despite advances in treatment, patients who are co-infected with HIV and HC are still at higher risk of developing liver cirrhosis.

HIV Nursing 2018; 18: 63–66.

Lindsay Chalmers, Sara Lamond , Linda Panton
Blood Borne Virus Clinical Nurse Specialist, NHS Lothian, Edinburgh, NHS Lothian,Senior Charge Nurse, NHS Lothian

Plan Zero at 56 Dean Street

This article aims to provide an explanation of what ‘Plan Zero’ is, discuss the achievements it has already made, as well as reflect on the challenges that are still faced when attempting to bring positive HIV diagnoses to zero.

HIV Nursing 2018; 18: 89–91.

Joe Phillips
Nurse Practitioner, 56 Dean Street

HIV and young people – it's not just about more condoms

'The doctor, instead of conducting a normal consultation, began to give me moral advice.' he number of adolescents and young people today is at an all-time high. There are more than 1.8 billion young people in the world, 90% of whom live in developing countries, where they tend to make up a large proportion of the population. Vital information on sexuality, HIV transmission and legal protection is already difficult to access as a young person. As a young person whose sexuality, work or HIV status has been criminalised or shamed, that access can be removed completely.

Julie Mellin
Global Youth Coalition on HIV/AIDS, Brooklyn, NY, USA

Ageing with HIV: a growing challenge

In the initial period of the HIV response, ageing with HIV was not a priority issue – in the absence of treatment, few people living with HIV could expect to reach an older age, and older people were not recognised as at risk of acquiring HIV. Since effective antiretroviral treatment has become available, this picture has changed, and HIV has become a long-term condition manageable with treatment

Jacqui Stevenson
Athena Network

HIV survivors in a resource-rich setting: middle-aged and older HIV-infected sub-Saharan African migrant women in Belgium

The population of HIV-infected women is increasing as antiretroviral therapy coverage continues to expand worldwide. Limited research has explored the challenges middle-aged and older migrant women from sub-Saharan Africa (SSA) face as they survive and grow older with HIV in a resource-rich setting such as Belgium. These women are likely to be invisible to care interventions that may help them age well with this disease. The aim of this paper is to explore the challenges SSA migrant women face on surviving and ageing with HIV, and understand what helps them to persist in HIV care and management.

Agnes E. Arrey, Johan Bilsen, Patrick Lacor, Reginald Deschepper
Mental Health and Wellbeing Research Group,Mental Health and Wellbeing Research Group,Department of Internal Medicine and Infectious Diseases,Mental Health and Wellbeing Research Group

HIV among people using anabolic steroids in the United Kingdom: an overview

Since the mid-1980s, preventing HIV transmission among people who inject drugs (PWIDs) has been one of the cornerstones of the UK’s response to HIV. The early comprehensive implementation of harm reduction, particularly needle and syringe programmes, has been widely acknowledged as key to a low prevalence of HIV among PWIDs in the UK. However, this harm-reduction strategy was developed to avert an HIV epidemic among people injecting heroin and while the prevalence in this population remains low, it is clear that there are now emerging populations of PWIDs with different patterns of drug use and risks.

HIV Nursing 2017; 17: 20–23.

Geoff Bates, Vivian Hope, Jim McVeigh
Researcher, Public Health Institute,Public Health Institute,Public Health Institute

Reflections on prison HIV nursing

I am starting to write this reflection in the wake of riots in prisons in Bedford, Birmingham and Lewes and with a NHIVNA Conference (2015) invited lecture date in June on the horizon.

Martin Jones
Clinical Nurse Specialist, East Sussex Healthcare, NHS Trust

Nursing women living with HIV in Europe

Back in September 2013, I attended my first European AIDS Clinical Society conference. One of the presentations that I found troubling was Stigma and Discrimination in Health Care Sector in Belarus. The presentation included grave results from the Belarus stigma index. It also included results from further studies and training for healthcare workers that the researchers had organised and carried out the previous year.

Christina Antoniadi
Registered Nurse

Working with boys and young men: relationships, sex and identity

From briefly exploring a host of issues pertinent to working professionally with boys and young men (BYM) in any number of contexts, this article will discuss the benefits of working holistically with BYM within a sexual health environment.

HIV Nursing 18: 18(2): 33–37.

Oliver O'Donohoe
Metro Charity UK

Managing a patient’s choice to opt out of treatment: three case studies

Ultimately, as healthcare professionals, our aim is to promote a healthy lifestyle, to deliver high-quality care and to enable people to live long and healthy lives. So how do we approach and manage those patients who choose to opt out of treatment and also the consequences of this decision?

HIV Nursing 2018; 18: 67–69.

Elizabeth Foote
Royal Liverpool and Broadgreen University Hospital Trust

Manchester model of complex care

This article will explore the development of a model of care for managing the complex patients with HIV in a Mancheser hospital clinic. HIV Nursing 2018; 4: 92–96.

Jaqueline Houston, Emily Huufton, Rebecca Leech
Northern Integrated Contraception,Sexual Health and HIV Service,Hathersage Centre, Manchester

Book review: Sexual and Reproductive Health at a Glance

Overall this is an excellent text that would be useful not only to professionals working within sexual health but also to clinicians in general practice, and it is most certainly a pre-reader for anyone about to study sexual health.

James Meek & Emma S Jones
Senior Lecturers & University of Central Lancashire

Young HIV-positive people and experiences of HIV stigma in the UK: a pilot study

Children and young people with HIV disease in the UK are now surviving into adolescence and adulthood in greater numbers than ever before and of the 1934 known HIV-positive children and young people in the UK and Ireland, 65% are now over the age of 15 years. Most young people living with HIV (YPLHIV) in the UK are of African origin and face multiple challenges and stressors including medical concerns, psychological issues and exposure to HIV stigma.

Tomás Campbell, Jane Griffiths, Rebecca Wilkins
Consultant Clinical Psychologist,Principal Clinical Psychologist,Advanced Nurse Practitioner

Treatment of HIV associated lipoatrophy: more than just skin deep

With increased survival rates and individuals living with long-term treatment regimens, side effects of HAART have become more evident . One widely documented side effect of HAART is lipodystrophy in which body fat is redistributed as a result of lipohypertrophy of fat of the viscera, neck and breast and lipoatrophy of subcutaneous fat. Facial wasting has serious implications for an HIV-positive person’s self-confidence and quality of life due to the stigmatising nature of the condition and its association with HIV. In order to counteract the stigmatising nature of the condition, New Fill, which is a polylactic acid treatment, is injected to cover the buccal and/or temporal fat pads to improve facial appearance. The New Fill clinic at North Manchester General Hospital is a nurse-led service that is a once-weekly clinic offering this service to patients in the North West.

HIV Nursing 2017; 17: 24–26.

Michelle Croston & Jennifer Cawsey
Manchester Metropolitan University & North Manchester General Hospital

Women’s experiences of ageing with HIV in London

Out of a total of 101,200 people living with HIV (PLWH) in the UK 31,600 (31%) are women. The UK has an ageing population of PLWH, with over 34% of people accessing HIV care in 2015 aged ≥50 years.

Jaqcui Stevenson, Peter Keogh, John Smith, Elizabeth West
University of Greenwich,The Open University,University of Greenwich,University of Greenwich

HIV and diabetes

Diabetes in the general population is increasing in the developed world. Likewise, the numbers of PLWH who are diagnosed with the condition is escalating. This article provides an overview of the types of diabetes, outlines the various risk factors, describes screening measures and discusses the clinical management of this condition, with a focus on type 2 diabetes. The nurse’s role in diabetes prevention and care will be discussed, with specific reference to meeting the needs of PLWH.

Juliet Bennett
Independent Nurse advisor

HIV complex care and care coordination: the nurse’s role

Over the past 30 years treatment for HIV has developed to a point where today, people living with HIV now have a near normal lifespan. However, living and ageing with HIV, just like the general ageing population, means that healthcare professionals are now managing, supporting and caring for a group of people who are at risk of developing increasing numbers of comorbidities and complexities.

HIV Nursing 2018: 18(2); 38–46.

Shaun Watson
Clinical Nurse Specialist (Community)

HIV co-infections: TB, HCV and HBV

Immunodeficiency caused by suboptimally treated HIV infection increases the risk of additional concurrent infections, both opportunistic and those that occur in spite of a relatively robust immune system. In relation to the latter, this article identifies three such infections that continue to cause significant morbidity and mortality in people living with HIV globally.

HIV Nursing 2018; 18: 70–76

Juliet Bennett
Independent Nurse Advisor

CPD article: HIV and women’s health

While antiretroviral therapy has transformed medical outcomes many challenges remain. Globally HIV/ AIDS is the leading cause of morbidity and mortality among women aged 15–49 years. Women, including transgender women, may be particularly vulnerable to HIV infection for a host of reasons, including biological, economical, educational, political and social factors. In addition many women also encounter a range of gender specific challenges to HIV treatment and management of their sexual and reproductive health.

HIV Nursing 2018; 4: 97–106.

Juliet Bennett
Nursing Practice Educator

HIV care and prevention – nurses still at the forefront: a report from the 2016 European HIV Nursing Conference, 18–19 November 2016, Barcelona, Spain

In November 2016, the second European HIV Conference for nurses working in HIV care was held in Barcelona, Spain. The majority of the 150 or so attendees work in the European region though some came from as far away as Singapore, Australia, and Israel. The conference was hosted by the International Association of Providers of AIDS Care (IAPAC), in association with the European HIV Nursing Network (EHNN) and the National HIV Nurses Association (NHIVNA).

Ian Hodgson
Conference Co-chair

Pop it up! The suitability and acceptability of community-based pop-up sexual health screening for men who have sex with men

Bournemouth has one of the highest rates of HIV in the UK, a diverse community associated with high rates of partner change and complex, hard-to-reach sexual networks. However, an emphasis has now been placed on the availability of community-based screening programmes in order to increase testing coverage [3] particularly among identified most at-risk populations (MARPs).

HIV Nursing 2017; 17: 27–30.

Kevin Turner
Sexual health advisor

Naming HIV to children: it’s time to talk

This article is a review of the literature, a presentation of a UK audit, and future proposals. Informing a child, they are HIV positive remains a challenge for the family, carers and healthcare professionals. The appropriate time to talk to children about their HIV status has changed along with the timeline of medication development.

Katie Warburton (Rowson)
Senior Lecturer, University of Lancashire and CHIVA Health Lead

Resilience of people living with HIV-AIDS in Indonesia: a phenomenological study

People living with HIV/AIDS (PLWHA) fall into a state of crisis, which signifies the difficulties of living with chronic pathological conditions. Resilience is one unique phenomenon observed among PLWHA in Indonesia.

Kumboyono Kumboyono, Cathrine T Sukotjo, Yulia C Lestari, Dini P Wijayanti
Brawijaya University, Indonesia,Brawijaya University, Indonesia,Brawijaya University, Indonesia,Brawijaya University, Indonesia

Report from the 22nd International AIDS Society Conference 23–27 July 2018, Amsterdam, the Netherlands: a nurse’s view

The theme of the conference was ‘breaking barriers, building bridges', but this was lost in a sea of U=U (undetectable=untransmittable), pre-exposure prophylaxis (PrEP) and activism talks, banners, t-shirts and chanting.

HIV Nursing 2018; 18: 78–79.

Shaun Watson
Chelsea and Westminster NHS Trust

Report from the 2018 Australasian HIV and AIDS Conference, September 2018, Sydney, Australia

The inaugural Australasian HIV and AIDS conference was held in 1989 and has been run as an annual event, coordinated by the Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine (ASHM) since its inception. The 2018 conference theme, ‘Leave no one behind’, and the programme were developed in collaboration with clinicians, researchers, community and consumer organisations.

HIV Nursing 2018; 4: 108–113.

Elizabeth Crock, Penny Kenchington, Melinda Hassall
Bolton Clarke Homeless Person's Program, Melbourne,Townsville Sexual Health Service, Queensland Health,ASHM

Abstracts of the 2016 European HIV Nursing Conference

Abstracts of the 2016 European HIV Nursing Conference, 18-19 November 2016

Continuum of care for children and adolescents within a European setting: a patient-centred approach

This is a descriptive study of all HIV-infected paediatric patients in care at the adult unit of infectious diseases of IRCCS AOU San Martino-IST in Genoa, Italy. To improve retention in care, a dedicated day with a patient-customised environment was established and a multidisciplinary approach was adopted. Psychological support and counselling was provided as well as memory aids, such as texts and phone calls. Self-management and educational activities were encouraged. Adherence-support devices were used and treatment personalisation was implemented. Laboratory and pharmacology data was automatically updated from an electronic health record in a structured query language (SQL) database, accessible with a web interface.

HIV Nursing 2017; 17: 31–33.

Ambra Righetti, Loredana Nulvesco, Lucia Taramasso, Federica Portunato, Piero Cai, Giovanna Ferrandes, Mauro Giacomini, Barbara Giannini, Claudio Viscoli, Antonio Di Biagio
San Martino Healthcare,San Martino Healthcare,San Martino Healthcare,San Martino Healthcare,San Martino Healthcare,San Martino Healthcare,University of Genoa,University of Genoa,San Martino Healthcare,San Martino Healthcare

Case study: ageing HIV-positive drug users

Approximately 25% of HIV-positive adults accessing care in the UK are aged over 50 years. Due to the success of highly active antiretroviral therapy (HAART), people living with HIV now have a life expectancy that is only slightly shorter than people who are not infected.Many drug users who were infected in the mid-1980s, but survived due to the introduction of ART, are now in this age bracket.

Linda Panton
Senior Charge Nurse, Edinburgh, NHS Lothian

Blood-borne pathogens: Further opportunities for ‘gold standard’ nursing care

We kick off 2015 with a look at blood-borne pathogens and related issues. I hope this issue provides you with some food forthought and some inspiration. HIVN 2015; 15: 1-2

Juliet Bennett
Independent Nurse Advisor

Case study: Battle of the CQUINS

Commissioning for Quality and Innovation (CQUIN) national goals was introduced as a system in 2009. It made a proportion of healthcare providers’ income conditional on demonstrating improvements in quality and innovation in specified areas of patient care. Working with patients with HIV and hepatitis C can lead to a conflict between meeting the CQUINS and other targets set for the HIV service.

Ricky Gellissen
Hepatitis Clinical Nurse Specialist, Imperial College Healthcare NHS Trust, London

Trials and tribulations of hepatitis C treatment in Lothian prisons

Hepatitis C virus (HCV) is a blood-borne virus that can cause both acute and chronic infection. In Scotland, it is well known that the main transmission route of HCV is through drug use and a study into prevalence of HCV in Her Majesty’s Prisons (HMPs) in Scotland showed that 53% of intravenous drug users (IVDU) tested were antibody positive. HIVN 2015; 15: 3-7

Fiona Rose & Sara Lamond
Nurse & Nurse

New treatments for HIV and hepatitis C co-infection and the impact in nursing practice

There have been significant developments in how chronic hepatitis C (HCV) can be treated in the last few years, since the advent of direct-acting antivirals. HIV Nursing 2015; 15: 15-18

Ricky Gellissen
Clinical Nurse Specialist

Examining the impact on HIV and hepatitis C co-infection in the era of ‘ChemSex’

This article examines the rising incidence of HIV and hepatitis C infections amongst MSM (men who have sex with men) patients, and how the use of recreational drugs in the ‘era of ChemSex’ is contributing to the rise of co-infection.

Joe Philiips
Nurse Practitioner, 56 Dean Street

Syphilis: diagnosis and management

Syphilis is a bacterial, sexually transmitted infection caused by the spirochaete Treponema pallidum. It can be transmitted through unprotected oral, anal and vaginal sexual intercourse as well as by vertical transmission during pregnancy or via a blood transfusion.

James Meek, Claire McCausland, Debbie Brittain
Lecturer, University of Central Lancaashire,Lecturer, University of Central Lancaashire,Lecturer, University of Central Lancaashire

Book Review: HIV in the United Kingdom, 2014 report

HIV in the United Kingdom: 2014 ReportAn overview of the key information.

James Meek & Claire McCausland
Lecturers, University of Central Lancaashire & Lecturers, University of Central Lancaashire

Innovative models of nursing care and the role of advanced nursing practice.

The 2017 Australasian HIV & AIDS Conference and Australasian Sexual Health Conference provided an opportunity for healthcare professionals, community organisations and people with lived experiences from countries including Australia, Canada, Fiji, New Zealand, Papua New Guinea, Thailand, UK and the US to share their knowledge and experiences in the fields of HIV, AIDS, and sexual and reproductive health.

Melinda Hassall & Elizabeth Crock
Clinical Nurse Lead, ASHM & HIV Clinical Nurse Consultant, Bolton Clarke Homeless Person's Program, Vice President ASHM

Is Wikipedia suitable as a learning resource for nursing and healthcare students?

The way in which students learn has changed considerably, with them accessing electronic resources in a variety of ways. Students do not just read textbooks and journals; instead they use the World Wide Web to access information. So what are they accessing and how reliable is it? Should we allow nursing and healthcare students to use Wikipedia as a resource in their academic work?

James Meek
Senior Lecturer, University of Central Lancashire

The effectiveness of workplace interventions to reduce HIV-related stigma amongst healthcare professionals

The aim of this study was to undertake a systematic review and critically appraise research to investigate the effectiveness of workplace interventions to reduce HIV-related stigma amongst healthcare providers. The evidence shows a great deal more research needs to be undertaken, all using the same, validated measurement tool of stigma, to investigate the biomedical and health effects stigma-reducing interventions have on PLWH.

Megan Hill & Catrin Evans
Staff Nurse, Royal London Hospital & Associate Professor, University of Nottingham

An exploration of student mental health nurses’ narratives about working with service users living with HIV

This article reviews student mental health nurses' narratives of working with service users with mental health problems and HIV. It is an explorative study including two student narratives reviewing their experiences. This study could be replicated on a larger scale to further explore students’ experiences of working with this service user group.

James Meek, Emma Jones, Nicola Kennedy, Martin Jones
Senior Lecturer,University of Central Lancashire,Student Mental Health Nurse,University of Central Lancashire

The nurses of the future: HIV education, where is it on the curriculum?

This article explores pre-registration nurses’ exposure to HIV education. Using a combination of clinical and academic reflections the article aims to establish how student nurses develop their passion for caring for people living with HIV. Within the article a way forward is discussed with a view to improve care for people living with HIV and also ensuring that HIV education is firmly embedded within the pre-registration nurse curriculum.

Michelle Croston
Specialist Nurse, North Manchester General Hospital and Senior Lecturer, Manchester Metropolitan University

Increasing HIV awareness for young people through a creative and student-led assessment strategy

According to the World Health Organisation, 34% of all newly diagnosed global HIV infections are attributed to 15–24 year olds. It is recognised that health promotion for this age group holds complex barriers, largely arising from hesitancy to confront sexual issues. A fresh, imaginative promotion idea is described here.

Jade Johnson
Student Nurse, University of Central Lancashire

Experiences of stigma and discrimination in healthcare towards people living with HIV: how can this be addressed?

Stigma and discrimination towards people living with HIV remains a global challenge within healthcare today and it is largely caused by lack of knowledge regarding methods of transmission. There is a very great need for education to address the issue.

Sarah Skundric
Manchester Metropolitan University

What influences the uptake of the human papillomavirus (HPV) vaccine in males: a public health approach

In the UK vaccination programme, HPV vaccination is predominantly promoted as a female public health concern, and vaccination is aimed at girls aged 12–13 years old. Recent studies in HPV vaccination have shown health benefits for males in the prevention of ano-genital and penile cancer and genital warts. Despite male vaccination being supported by significant national and international organisations, in the UK it has come down to a cost-effectiveness issue, which raises many ethical questions.

Jade Hill
Faculty of Nursing, Manchester Metropolitan University

Book review: Body Counts – A Memoir of Activism, Sex, and Survival

'As I’ve survived longer, I’ve felt more of a compulsion to bear witness…there are fewer and fewer people alive who were there who can speak first hand as to what it was like.’ Few have articulated so honestly, and in such depth, what was taking place in the earliest days of the HIV epidemic, but Sean Strub can and does just this. This is a powerful and moving book which I would recommend to anybody as a story of resilience and survival.

Juliet Bennett
Independent Nurse Advisor

How to conduct a literature review: a process that should be familiar to nurses

Writing and research can be challenging for nurses at undergraduate and postgraduate level; however, understanding the process and developing the skills to conduct a literature review with a staged strategy will positively affect care delivery.

Katie Rowson
University of Central Lancashire

HIV Nursing

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