Paper
Saturday, July 24, 2004
People With HIV/AIDS -- Perceptions of the Care Behaviors of Their Providers
Anna Omery, RN, DNSc1, Mark Katz, MD2, and Enid K. Eck, RN1. (1) Patient Care Services, Kaiser Permanente, Pasadena, CA, USA, (2) West Los Angeles Medical Center, Kaiser Permanente, Los Angeles, CA, USA
| Learning Objective #1: Describe the actual types of caring behaviors demonstrated by HIV providers who care for persons with HIV in the U.S. |
| Learning Objective #2: Identify the types of caring behaviors of providers that predict the satisfaction of people with HIV/AIDS |
Satisfaction with care received is a common patient outcome. Satisfaction is however, a complex construct that includes both expectations and needs. Caring behaviors can be both assessed directly by recipients of care and directed by providers. OBJECTIVES: The objectives of this study are to describe the caring behaviors of HIV/AIDS care providers and to determine the caring behaviors that are predictors of satisfaction with care. DESIGN: Cross-sectional survey POPULATION, SAMPLE, SETTING, YEARS: Data were collected every two years from a non-probability sample of persons with HIV/AIDS who received their care in the US in a large integrated health care system from 1997 to 2003 (N=1069). CONCEPTS: Caring is a psycho-social-relational process based on interaction, meaningful interpretation, and action. Action is manifested as behaviors that are goal directed, quality focused, cost effective, competent, and ethical. METHODS: Data were collected via a survey questionnaire that measured competent caring, personalized caring, care of significant others, negative caring behaviors, and care outside of the HIV team and satisfaction with care. Data were analyzed using descriptive statistics, one-way ANOVAs, and multiple regression techniques. FINDINGS: Scores for all types of caring behaviors generally stayed the same or improved for all types of caring except care of significant others. There the scores have decreased for each survey since 1999 (76% v 73%). Satisfaction with the HIV team was predicted most by personalized (b=.334, t=8.465, p=0.000) and competent (b=.354, t=9.049, p=0.00) caring behaviors (R2=0.44). CONCLUSIONS: Caring behaviors of significant others have become less frequently demonstrated. Personalized and competent caring behaviors seem to drive persons with HIV/AIDS’ assessment of satisfaction with the HIV team. IMPLICATIONS: For providers, focus on personalized and competent behaviors, including care of significant others, is more likely to result in scores that suggest that persons with HIV/AIDS are satisfied with their care.
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Sigma Theta Tau International
July 22-24, 2004