Nursing care in serodifferent relationships: an analysis in the light of Imogene King
Cuidados de enfermería en las relaciones serias: un análisis a la luz de Imagen King
O cuidado de enfermagem nas relações sorodiferentes: uma análise à luz de Imogene King
Valéria Gomes Fernandes da Silva; Luíza Geanine da Silva Melo; Bruno Neves da Silva; Nilba Lima de Souza
Abstract
Objective: to reflect on the possibility of using Imogene King’s assumptions as a theoretical basis for nursing care in HIV-serodifferent partnerships.
Method: a descriptive study of a reflective nature, with the theoretical contribution of Imogene King’s Goal Attainment Theory.
Results: the reflections gave rise to two axes of analysis: in the first, it is necessary to detail Imogene King’s conceptual assumptions and goal attainment, and in the second, the convergence of King’s theory in caring for serodifferent relationships is explored with regard to their limits, possibilities and developments in the personal, interpersonal and social systems. Concepts such as perception, interaction and organization form the central axes of the systems and enable a broader understanding of serodifferent partners’ demands with a view to balancing stress factors for maintaining health.
Final considerations and implications for practice: the understanding of open systems applied to people living with HIV individually and in a dyad with their partner, both inserted in groups in society, results in a better understanding of their needs and thus contributes to planning targeted goals.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: refletir sobre a possibilidade de utilização dos pressupostos de Imogene King como fundamentação teórica para os cuidados de enfermagem a parceiros sexuais sorodiferentes ao HIV.
Método: estudo descritivo de caráter reflexivo, com o aporte teórico da Teoria do Alcance de Metas de Imogene King.
Resultados: as reflexões deram origem a dois eixos de análise: no primeiro, cumpre-se detalhar os pressupostos conceituais de Imogene King e o alcance de metas, e no segundo, explora-se a convergência da teoria de King no cuidado às relações sorodiferentes no que concerne aos seus limites, possibilidades e desdobramentos nos sistemas pessoal, interpessoal e social. Conceitos como percepção, interação e organização formam os eixos centrais dos sistemas e possibilitam a compreensão ampliada das demandas dos parceiros sorodiferentes com vistas ao equilíbrio dos fatores estressores à manutenção da saúde.
Considerações finais e implicações para a prática: o entendimento dos sistemas abertos aplicados à pessoa que vive com HIV individualmente e na díade com seu parceiro, ambos inseridos em grupos na sociedade, resulta em uma melhor compreensão de suas necessidades e, assim, contribuem com o planejamento de metas direcionadas.
Palavras-chave
References
1 Antonini M, Pontes PS, Melo ES, Alves RS, Gir E, Sorensen W et al. Serodiscordance predictors among couples in the HIV context: implications for health care. BMC Public Health. 2021;21(1):1849.
2 Silva Jr AL, Brigeiro M, Simone M. Saúde, aprimoramento e estilo de vida: o uso da profilaxia pré-exposição ao HIV (PrEP) entre homens gays, mulheres trans e travestis. Physis. 2023;33:e33082.
3 Colaço AD, Meirelles BHS, Heidemann ITSB, Villarinho MV. O cuidado à pessoa que vive com HIV/AIDS na atenção primária à saúde. Texto Contexto Enferm. 2019;28:e20170339.
4 Mantovani MF, Silva ATM, Ulbrich EM, Arthur JP. Case management as a care model: thinking from the perspective of Imogene King’s Theory. Cien Cuid Saude. 2019;18(4):1.
5 Schwartz SR, Bassett J, Mutunga L, Yende N, Mudavanhu M, Phofa R et al. HIV incidence, pregnancy, and implementation outcomes from the Sakh’umndeni safer conception project in South Africa: a prospective cohort study. Lancet HIV. 2019;6(7):e438-46.
6 Pissinati PSC, Martins EAP, Costa RG, Haddad MCFL. Goal setting in retirement planning: reflection in the light of Imogene King. Rev Min Enferm. 2020;24:e-1283.
7 King IM. A theory for nursing: systems, concepts, process. New York: Wiley; 1981.
8 McEwen M, Wills EN. Bases teóricas de enfermagem. 4ª ed. Porto Alegre: Artmed; 2016.
9 Oliveira LB, Costa CRB, Ponte PS, Magalhães RLB, Gir E, Reis RK. Sexual partnership between people living with HIV: managing serological differences. Enferm. Glob. 2020;19(58):494-530. http://doi.org/10.6018/eglobal.384261.
10 Reis RK, Sousa LRM, Melo ES, Fernandes NM, Sorensen W, Gir E. Predictors of HIV status disclosure to sexual partners among people living with HIV in Brazil. AIDS Behav. 2021;25(11):3538-46.
11 Kurniawan DE, Sulistyorini L. Self-disclosure of HIV status among HIV Positive-MSM (Men who Have Sex with Men) to their male sexual partner in Pendalungan area of Jember, Indonesia. PJMHS [Internet]. 2019; [citado 2024 fev 27];13(3):974-7. Disponível em:
12 Silva VGF, Nogueira ILA, Elias TMN, Reis RK, Souza NL, Menezes RMP. HIV serodiscordant sexual partners: social representations of health care professionals. Rev Bras Enferm. 2022;75(6):e20210867.
13 Muniz CG, Brito C. What does the diagnosis of HIV/AIDS represent after four decades of epidemic? Saúde Debate. 2022;46(135):1093-106.
14 Oliveira JAA, Araújo AHIM, Alves AHT. Strategies to couple in situation of sorodiscordance for HIV: a literature review. Rev JRG. 2020;3(7):404-17. http://doi.org/10.5281/zenodo.4268845.
15 Melo DS, Mello R. The social representations of people living with HIV: self-perception of the ego-ecological identity. Saúde Debate. 2022;45(131):1101-10.
16 Carvalho RA, Souza DC. A autoestima da pessoa que vive com HIV: uma revisão integrativa da literatura. Cad Gênero Tecnol. 2021;14(43):278-99.
17 Fonner VA, Ntogwisangu J, Hamidu I, Joseph J, Fields J, Evans E et al. “We are in this together:” dyadic-level influence and decision-making among HIV serodiscordant couples in Tanzania receiving access to PrEP. BMC Public Health. 2021;21(1):720.
18 Lima MCL, Pinho CM, Dourado CARO, Silva MAS, Andrade MS. Diagnostic aspects and in-service training in the decentralization of care to people living with HIV. Rev Esc Enferm USP. 2021;55:e20210065.
19 Silva VGF, Serra MAAO, Alexandre DR, Lima MCA, Silva CJAS, Miranda FAN et al. Stigma and prejudice with HIV serologic-differents diagnosis couples. Rev Recien. 2021;11(34):59-67.
20 Oliveira MLS, Oliveira MS, Silva MR. Conducts and challenges of the nursing professional in the care of patients with HIV: an integrative review. Braz J Hea Rev. 2023;6(3):10553-71.
21 Silva DPE, Oliveira DC, Marques SC, Hipólito RL, Costa TL, Machado YY. Social representations of the quality of life of the young people living with HIV. Rev Bras Enferm. 2021;74(2):e20200149.
22 Lelaka CM, Moyo I, Tshivhase L, Mavhandu-Mudzusi AH. Psychosocial support for HIV serodiscordant couples. Health Psychol Behav Med. 2022;10(1):537-56.
23 Moreira TMM, Araújo TL. The conceptual model of interactive open systems and the theory of goal attainment by Imogene King. Rev Lat Am Enfermagem. 2002;10(1):97-103.
Submitted date:
02/27/2024
Accepted date:
05/09/2024
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email