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1.
Prepare for Final Paper
Topic: Ethical Conduct of Research
(Outcomes 1,6): 20 hours
Select a healthcare related research study. Identify the
sample population. Analyze and critique the study to identify if
sampling method reflects ethical principles including
consent, conditions of the participants, study approved by
IRB,
Minimum
20 pages
excluding title and reference page.
APA format
Final paper will be submitted through TURNIT in™.
Papers MAY NOT show evidence of similarity beyond 17%
excluding reference pages!
Papers that reflect over 17% SIMILARITIES will be assigned a
ZERO. There is NO opportunity for late or re-submitted work!
MINIMUN 6 REFERENCES, from 2014 to 2019
YOU WANT ADDED MORE CRITIQUE QUESTION IF YOU
WANT TO COMPLET THE 20 PAGES
FOLLOW THE TERM TEMPLATE APA PAPER TEMPLATE
6th
Title in Upper and Lower Case
Your Name
Miami Regional College
MSN 5300: Advanced Nursing Inquiry and Evidence Based
Practice
Title of Paper in Upper and Lower Case (Centered, Not Bold)
Paragraph one is the introduction to the paper. It should begin
with something that will grab the reader’s attention and provide
a citation to support your opening sentence (Norwood, 2002).
Next, support that opening sentence with discussion or
explanation with one or multiple sentences which will make up
the body of the introductory paragraph. The last sentence of the
introduction should highlight areas to be covered in the paper.
APA success requires knowledge of the format and skill in
concise, clear written communication.
Research Study Overview
This section is where you provide a summary of the research
study being critiqued? What were the goals of the research?
What health care related issue was addressed? Is it a
good/feasible study to apply in clinical practice? Was a
practical study, from a financial aspect? Use as many
paragraphs as needed to cover the content appropriately.
Ethical Issues in Research
Use this paragraph to provide feedback/history on ethical issues
on research.
Protection of Human Rights
What are the five human rights that must be protected during
research/investigation? What do they stand for? How do they
relate to this research study? Were any/all of the human rights
protected in the duration of the research study in question? Use
as many paragraphs as needed to cover the content
appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod
faosdijfaosdjfaodjfasdjdklfljkadf
Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa
osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf
poifpadofiadf ;lskdm;vokmae ;obvkmse;rokmgageo sivjnseariun
v;osdr g;I s;bnofnb;o aiermf ;sokdfmb;osiermg oskmfbopvsidfm
b;mseoribgmseoribg nbsodfjbvs;ervjnnbs;odrkmfbv;oaerkmv
sodbmsnoe;rif nvpsoeonvrsep.
Sampling Method
What was the sampling method used, how did the researchers
choose the subjects for participation? What other sampling
methods could have worked better, provided better results?
Does the sampling method used reflect ethical principles, was it
a fair process? Is the population in question a vulnerable
population, and if so were there special considerations taken?
Use as many paragraphs as needed to cover the content
appropriately.
Ina;osif;oaiwe mfasodifmaow vmoadifmgo ;aodifgi ;aodfvmao
vma;o nvaoejjngfpsoinfv
bnaeornfgvpesunfvpasjnvpadjfnvpajnvpoadf
vpoasjdfnv[oiadsno[cv afnvpainfvpaw9unfvpasdj
avmaojf;oaskdjfoaskdmv;lkamdsfovmewpoigfnasdock
apovmaporingrpaio
Informed Consent
What is an informed consent? In regards to this research study,
was it obtained, if appropriate? If a consent was part of the
study, was it obtained properly? Did the participants assent? If
participants unable to consent, were they not competent, did a
caregiver consent? Were participants provided full/complete
detailed information or was it a short version? What
components did it include? Use as many paragraphs as needed
to cover the content appropriately.
Mv;aoskdkjfngaogna;o aosngfva;osing; aodkfkngvo;sdjfnv
ngvsoerphngea;oi aojgnjvspdofinv;sdjfvn;sdozjfvns;
vnaoeriengpa9eru vnapesring[earoi vnaeroinmg[eaoirm
vna[eroimgfaoskmf;szlkmf ngae[iorng[awekmf
mvaoeor[imges’aripom d;mokgm ae
Ethical Scientific Integrity
What are the credentials of the researchers? Did the researchers
fabricate data, publish errors/ publish correction? Is there
evidence of plagiarism? Use as many paragraphs as needed to
cover the content appropriately. Ifnagw;oeifnaw;eo
vo;ianener;ai nvzodsianvaei;or nag;oekermf naipeieufn
;aoidfvim; ;aodkzkfnv;azdfskjvn.
IRB
This section is where you will discuss all the information
available (or lack thereof) regarding the IRB. Was the research
study approved by an institutional review board? If not, why
not? Was a research proposal submitted for approval by an IRB?
Use as many paragraphs as needed to cover the content
appropriately Adkjfasdojfa dfoasidfjaod. Aff fasdfjasod
faosdijfaosdjfaodjfasdjdklfljkadf.
Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa
osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf
poifpadofiadf.
HIPPA
What is HIPPA and how does it apply to a research study? Was
the research conducted using database information, and if so,
was the health information protected? How was it protected?
Was any data de-identified? Were participants provided
pseudonyms or assigned numbers? Use as many paragraphs as
needed to cover the content appropriately.
Benefit to Risk Ratio
Discuss if a benefit to risk ratio was calculated and how? Did it
provide am honest estimation? What is your opinion about the
outcome of the study and the potential benefits? Can it have a
positive impact on the individual, how about in the community?
Use as many paragraphs as needed to cover the content
appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod
faosdijfaosdjfaodjfasdjdklfljkadf
Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa
osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf
poifpadofiadf.
Conclusion
Most papers should end with a conclusion or summary, which
consists a short description of the key points of the paper. It
should be concise and contain little or no detail. No matter how
much space is left on the page, the References are always on the
next page.
References (centered, not bold)
American Psychological Association. (2010).
Publication manual of the American Psychological Association
(6th ed.). Washington, DC: Author.
You next reference.
Appendix A(centered, not bold)
This is the article to analyze, and critique
Resilience of people living with HIV/AIDS in Indonesia: a
phenomenological study Kumboyono Kumboyono, Cathrine T
Sukotjo, Yulia C Lestari, Dini P Wijayanti Faculty of Medicine,
Brawijaya University, Malang City, Indonesia
Abstract Background: HIV/AIDS is one of the most
continuously developing communicable diseases in the world.
The number of people diagnosed with HIV/AIDS is currently
increasing worldwide, including in Indonesia. 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, which further reveals the results
of current health management and expectations of PLWHA for
better health programmes. Objective: This study aims to explore
the mechanism of resilience in Indonesian PLWHA and the
factors affecting that particular mechanism. Method: This is a
qualitative phenomenological study. Twenty-seven PLWHA
were selected from a primary healthcare centre in Malang City,
East Java, Indonesia. Participants were selected from various
economic, social, and diverse sexual orientation backgrounds.
Participants were informed about the conduct of the research
and consented to take part in the interview. Results: Diagnosis
of HIV/AIDS signifies the beginning of psychological and
social distress, the spiritual reaction after being diagnosed is a
state of crisis, and the coping mechanism and understanding of
life by PLWHA is a definite sign of resilience. Conclusion:
HIV/AIDS is a chronic progressive disease and induces the
distinct mechanism of resilience in Indonesian society. Future
healthcare and management of PLWHA will be required to
support and motivate this mechanism to guide PLWHA into a
more comfortable and healthy lifestyle.
Keywords: HIV/AIDS, healthcare, meaning of life, resilience,
spiritual
Introduction HIV/AIDS is one of the most continuously
developing communicable diseases in the world among other
communicable diseases, such as tuberculosis, affecting people
diagnosed with immunocompromised conditions. The number of
people living with HIV/AIDS (PLWHA) worldwide is currently
increasing with a significant incline among Asian countries,
especially the Asia and Pacific region [1]. In Indonesia, the
number of PLWHA is in synergy with the increasing pattern of
an Asian epidemic, with 300,000 estimated new infections in
2015 [2]. Having been diagnosed HIV-positive, novel
psychological and social disturbances are certainly experienced
by PLWHA in general. As reported by Dahlui [3], PLWHA are a
vulnerable community experiencing a psychosocial burden,
together with physical discomforts. Another study from India
also reported the effects of stress and the psychosocial burden
suffered by people diagnosed with HIV/AIDS [4]. Although
there is a mechanism of resilience to chronic diseases, this
group of people are still under enormous pressure to survive the
harmful pathological progress of HIV/AIDS and the
opportunistic infections that follow. A lack of psychosocial
support from family, for example, loss of parents and caregivers
at an early age, adds to this pressure [5]. Biological mechanisms
of survival under the duress of chronic diseases, such as
HIV/AIDS or tuberculosis, can result in two outcomes. People
living with the chronic disease will experience the entire
physical
andpsychologicaldisturbancesafterperseveringunder similar
clinical manifestations for a long period of time. One outcome
results in depression and loss of spiritual motivation that may
lead to mortality [6,7]. The other is the mechanism of
resilience, the most distinct phenomenon will eventually lead to
survival while experiencing deteriorations of physical and
psychological well-being [8,9]. Qualitative phenomenological
studies exploring the mechanism of resilience in PLWHA and
its other factors have not been the focus of researches in
Indonesia. The purpose of this study is to explore the nature of
resilience amongpeoplediagnosedwithHIV/AIDS.Themeaning of
experiencing an HIV/AIDS burden, physically and
psychologically, and also the social responses of PLWHA were
recorded and reported in this study. This research is important
as it will allow health professionals to identify the support
required by PLWHA.
Method Design of study This study is a classical
phenomenological study with an analytic descriptive approach.
This approach is used to understand the meaning of the patient’s
life after being diagnosed with HIV/AIDS. This study obtained
an ethical health licence from the Ethical, Health, and Research
Commission of Medical Faculty, Brawijaya University, Malang
City (Ref: 261/EC/KEPK/04/2014) and was upheld according to
the Helsinki Declaration of 1975.
HIV Nursing; 2018: 18(1): 4–7 Research
4 © Mediscript Ltd 2018
Population and sample For this study 27 PLWHA were selected
by snowball sampling from Malang City, Indonesia. Criteria for
selection were that participants had been diagnosed with
HIV/AIDS for at least 1 year and be aged 18–40 years. The
benefit to participants in this research was
anincreaseinawarenessoftheimportanceofaccepting a diagnosis
of HIV/AIDS in order to remain productive. They were selected
according to achieved saturation of data [10]. Participants
consisted of 13 men and 14
womendiagnosedwithHIV/AIDSacquiredfromvarious modes of
transmission, such as, multiple sexual partners: 17 participants;
men who have sex with men: four participants; and injectable
drug users: six participants. Participants were aged 25–34 years
and lived in the areas of Malang city, Batu city, and Blitar
municipality. The educational background of participants
ranged from primary school, junior high school, senior high
school, and vocational school. The
marriagestatusofparticipantsvariedfrombeingsingle, married,
and widowed. The occupational backgrounds of participants
were freelancers, private-organisation workers, and
homemakers.
Data collection
Instrumentsusedtoanalysethedataweretheinterview process and
the participative observation of researchers. Data were collected
at the participants’ homes through private interviews and there
were no repeat interviews. Data were recorded in the form of
audio files (MP3) and the duration of interviews was 28–42
minutes. A community health nursing specialist who is a
registered practitioner and a lecturer at Brawijaya University
conducted the interviews
Data analysis Analysis of qualitative data was accomplished by
creating a transcript of interview recordings and notes during
the interview. Manual analysis of the data was carried out
according to the Colaizzi method [11]. Analysing qualitative
data manually provides more precise results because the data
contain information on attitudes, values, and feelings that
cannot be detected by software The procedure was as follows: 1.
Read all transcribed verbatim to gain a whole sense of the
resilience experience; 2. review each transcript and extract
significant statements; 3. explain the meaning of each
significant statement; 4. organise the formulated meanings into
clusters of themes; 5. integrate results into an exhaustive
description of the phenomenon under study; 6. formulate an
exhaustive description of the phenomenon in uniquivocal
statements of identification as far as possible; and 7. ask
participants about the findings thus far as a final validating
step. The results of the analysis were based on keywords,
categories, and themes and subthemes of qualitative
variables of the study. There were two themes (phases) in this
research and two subthemes from each.
Results According to the results of qualitative analysis of data,
the mechanism of resilience of PLWHA in Malang city can be
divided into two phases: crisis phase and survival phase. The
crisis phase can be described by examining the psychological
and social stresses of a lifestyle acquired by PLWHA.
Meanwhile, the survival phase is explored by asking about the
changes in the spiritual pattern and future arrangements of
PLWHA. Each theme is discussed thoroughly and described
qualitatively according to specific subthemes. Crisis phase of
people living with HIV/AIDS The crisis phase of PLWHA is
described through two subthemes: psychological and social
stress. Psychological stress: the psychological response of
PLWHA after being diagnosed with HIV/AIDS can be
illustrated by anxiety and anger conditions. Anxiety
aroseinparticipantsconsideringtheuncertaintyoftheir lives, which
could end in morbidities and mortalities. Anger is also one of
the psychological responses after participants pass the initial
shock of being diagnosed with HIV/AIDS. Some of them accuse
God for their sickness and acquire deep enmity against those
who they perceive as responsible for transmitting the diseas e:
Now I am afraid, anxious, worried that my sickness will result
in me being sick all my whole life or I might die
someday.IthinkGodnolongerlovesme,Ihadthisperiod of being
angry with God, but now I realised and widely opened my heart
… I’m open to taking the advantages of my situation …, God is
the almighty, God will be the one who heals me. (Patient [P] 5,
male, 25 years) Social stress: Feeling isolated from the social
environment is perceived by participants to be due to social
stigma. Social stigma arises as an impact of incorrect
perceptions of society about PLWHA and HIV transmission, in
the forms of societal embarrassment, labeling, prejudice, social
isolation, fear of being isolated and being shunned by society.
Whereas some participants suffered from discrimination, several
others admitted that they also received acceptance from people
living around them, depending on the openness and educational
level of their communities: People gossip about me … both my
own family and the society … many say that it’s the burden I
have to bear alone as a consequence of what I did. If I want to
work, Iwillmostsurelyberejectedbecauseofthedisease.But
luckily, now there’s no pressure from society, in this area, it’s
no longer a taboo subject. (P21, female, 28 years) Survival
phase of life of people living with HIV/AIDS The survival
phase of PLWHA can be divided into these following two
subthemes: changes of spiritual pattern and future
arrangements. Changes to spiritual pattern: changes of spiritual
meaning experienced by participants occur in the form
Research HIV Nursing; 2018: 18(1): 4–7
5
of spiritual closeness to God through surrendering all to God,
repentance, diligence of prayers, and worship: I don’t want to
grief for too long … because everything
that’shappeningrightnowisGod’swill,ifGodgivesme the disease,
God will be the one giving me medicine. Now I’m diligently
reciting prayers, before my illness, I rarely do it. I can now read
the Quran which I was to unable before. (P16, female, 30
years). Futurearrangement: Planningforthefutureistheform
ofPLWHA’sawarenessinlearninglifelessonsfromtheir personal
experiences by maintaining health and future arrangements for
their family. Maintaining health is a method used by
participants to support their declining immune system through
behaviour changes and beliefs leading to a more healthy
lifestyle. I want to show that though I am diagnosed with HIV
positive, I can live a healthy lifestyle without medical
problems. I will change my lifestyle, change all of them. … All
the bad behavior of my past I have left, such as drinking, doing
drugs, multiple sex partners, I have left all of it. (P23, male, 32
years). Future hope for the family is a participants’ wishes for
the security of their family, the future of their children, and
happiness of their parents and relatives to redeem their previous
deeds. This phenomenon can be observed through this following
comment: What I fear is; it is acceptable if it is only me who
suffer the disease … what about my kids, who will take care of
them if I die … I have to stay healthy for my children. Besides,
I want to get work again; I want to please my parents. … My
parents need more attention now. (P25, female, 29 years).
Discussion The results of this study indicate that resilience is
the participants’ ability to bounce back to psychological and
social norms after facing adversity owing to a positive
HIV/AIDS diagnosis. The nature of resilience among people
diagnosed with chronic diseases can be categorised into the
crisis and survival phase. The former is signified by the
beginning of a psychological and physical struggle immediately
after having been diagnosed with a certain critical disease, such
as HIV/AIDS. Individuals acquiring one particular severe
disease enter the crisis phase, which is also the beginning of
their mental and physical experiences as people under the
pathological burden of chronic and worsening physical
manifestations [12]. Under the duress of discomfort and pain
over a long period,togetherwiththeheavyburdenofpsychological
and social pressures, individuals will finally arrive at certain
destinations. One likely destination is morbidities and
irreversibly deteriorating psychological conditions, which
eventually lead to mortality. The other destination is an
interesting phenomena to behold in itself, in which PLWHA and
others suffering from chronic progressive disorders can
persevere and acquire the physical resistance needed to counter
the destructive progression of the disease. This phenomenon is
called resilience and is a distinctive topic that may be discussed
based on the results of this study.
According to the interview results, all the participants agree
with the notion of having suffered great negative psychological
changes regarding their diagnosis of HIV/AIDS. Participants
admitted that some of them were hardly able to control the
anger and hatred they had after first being informed about their
actual clinical conditions. They perceived people in their close
acquaintance as ones who were responsible for their clinical
conditions, and this understanding led to justifying their
motivation to harm innocent individuals and the perceived bad
deeds of others in transmitting the virus. Other participants
reacted in a different way by expressing great sadness, anxiety,
and depression regarding their bleak future and low rate of
survival under the rapid progressive manifestation of the
disease. Based on these results of psychological and social
reactions of the participants, it can be inferred that one
significant negative event relating to their well-being can
deflate the positive perceptions that participants’ acquire about
themselves. The psychological and physical stress they receive
after being diagnosed with HIV/AIDS signify the beginning of
their long struggle
andjourneyinreachingthecriticalphasethatallpeople with chronic
disease will eventually reach. Those participants proceed both
physically and mentally through the discomforts and the state of
being constantly uncomfortable with themselves, which is
specifically induced by the harmful particular stressor that is
HIV/AIDS. Having been diagnosed with HIV/AIDS, initially,
participants revealed a great distrust and absolutely blamed God
and other spiritual systems of belief in their society, according
to their upbringing. As most Indonesians consider that spiritual
devotedness to God is the absolute duty in their private and
public lifestyle,
itisgenerallyperceivedasawrongdoingtoblameGod for the disease
and discomfort the participants have to pass through in life.
PLWHA in this study had a difficult time reconciling their
sufferings with the goodness and righteousness of religious
beliefs. This alsoaddedtotheirpsychologicalandphysicalburdens,
whichfurtherledtoanxietyanddepression.Thismental
stateofPLWHAisadistinctivepointinthecriticalphase of suffering
from a chronic disease, and also has the role as a determining
factor of the final destinations of the participants’ well -being.
The final destinations of people with a chronic disease, as
mentioned above, can manifest in mortalities owing to an
individuals’ inability to cope with a long and strenuous
psychological and physical burden. However, an interesting
phenomenon called resilience to chronic disease can also exist
and be presented in the final stages of an individuals’ struggle.
According to this study, all participants reacted in a positive
way regarding their experiences and meanings of life acquired
by contracting HIV/AIDS. Most participants agreed to repent
and improve their spiritual lifestyle by being more vigilant in
prayers to God. Participants also admitted that they behaved
more carefully after being diagnosed with HIV/AIDS to
preserve their HIV Nursing; 2018: 18(1): 4–7 Research 6
remaining years and also to prepare economically and
psychologically for their families. These are positive signs in
the final destinations of PLWHA and can be further categorised
into the resilience expected to be found in people with chronic
disease. The resilience phenomena of PLWHA found in this
study are in conjunction with the results of other previous
studies of PLWHA. According to one study held in a Haitian
children’s community diagnosed with HIV/AIDS [13], the
participants admitted that they suffered great stress/depressive
symptoms of being diagnosed with HIV/AIDS owing to a lack
of social support, stigma, and discrimination; which agrees with
the initial process of HIV/AIDS for participants of this study.
Similarly, PLWHA in Brazil, Iran, and USA also
revealedthepsychologicalandsocialstruggleofhaving negative
social stigma from the environment, which is worsened with the
struggle of coping with all the negative perceptions without
their caregivers or family to support them [14,15,16].
AnHIV/AIDSdiagnosismaymakeanindividualstressed and impart
a sense of grief. Therefore, a nurse has a
veryimportantroleinhelpingpatientsthroughdisbelief of their fate
and to be able to adapt to the condition
oftheillness.Nursescanactascounsellorsbyproviding individual
and group counselling and educators by providing accurate
information about HIV/AIDS to the patient, family and
community. The role of nurses as educators and counsellors is
corroborated by research findings that reveal nurses have a role
in providing access to knowledge and counselling for newly
diagnosed HIV patients to help them in dealing with stigma and
disclosure. The National HIV/AIDS Strategy of United States
reveals that advanced and innovative education strategies are
necessary to provide care that is free from stigma and
discrimination [17,18]. An HIV/AIDS nursing education
strategy involving PLHWA and experts in the field could help
nurses reduce HIV/AIDS stigma in society. Conclusion
PLWHAhaveachronicprogressivediseasethatinduces the distinct
mechanism of resilience in Indonesian society. Future health
care and management of PLWHA should socially support and
motivate this mechanism to guide PLWHA into more
comfortable and healthy lifestyles. The role of nurses as
counsellors and educators can assist the adaptation of PLWHA
in facing adversity after being diagnosed with HIV/AIDS.
Acknowledgements Conflicts of interests The authors declare
there are no conflicts of interests regarding the funding and
publication of this article. Funding The author is grateful for
the support of the Directorate General of Higher Education,
Ministry of Culture and Education, Republic of Indonesia in
funding
this community health nursing research (Ref:
023.04.2.414989/2014). References 1. UNAIDS DATA 2017.
Available at: www.unaids.org/sites/
default/files/media_asset/20170720_Data_book_2017_ en.pdf
(accessed January 2018). 2. UNAIDS. Global AIDS update,
2016. Available at:
www.unaids.org/en/resources/publications/all/ (accessed
January 2018). 3. Dahlui M, Azahar N, Bulgiba A et al.
HIV/AIDS related stigma and discrimination against PLWHA in
Nigerian population. Plos One 2015; 10: e0143749. 4. Kumar S,
Mohanraj R, Rao D et al. Positive coping strategiesandHIV-
relatedstigmainSouthIndia. AIDSPatient Care STDS 2015; 29:
157–163. 5. Dejman M, Ardakani HM, Malekafzali B et al.
Psychological, social, and familial problems of people living
withHIV/AIDSinIran:aqualitativestudy. IntJPrevMed 2015; 6:
126. 6. SakiM,KermansashiSMK,MohammadiEetal.Perception
ofpatientswithHIV/AIDSfromstigmaanddiscrimination. Iran Red
Crescent Med J 2015; 17: e23638. 7.
AmiyaRM,PoudelKC,Poudel-TandukarK etal. Perceived family
support, depression, and suicidal ideation among people living
with HIV/AIDS: a cross-sectional study in the Kathmandu
Valley, Nepal. Plos One 2014: 9: e90959. 8. Kanez S.
Depression and coping mechanism among HIV/AIDS patients
under anti-retroviral therapy. Indian J Soc Psychiatry. 2016. 32:
149–153. 9. Sun W, Wu M, Qu P et al. Quality of life of people
living
withHIV/AIDSunderthenewepidemiccharacteristicsinChina and
the associated factors. Plos One 2014; 8: e64562. 10.
GentlesSJ,CharlesC,PloegJ,McKibbonKA.Sampling in
qualitative research: Insights from an overview of the methods
literature. Qualitative Report 2015; 20: 1772–1789. 11.
Streubert HJ, Carpenter DR. Qualitative research in nursing:
Advancing the humanistic imperative, 2nd edn. Philadelphia:
Lipincott Williams & Wilkins, 1999. 12. Arrey AE, Bilsen J,
Lacor P Deschepper R. Spirituality/ Religiosity: A cultural and
psychological resource among sub-
SaharanAfricanmigrantwomenwithHIV/AIDSinBelgium. Plos
One 2016; 11: e0159488. 13.
SurkanaPJ,MukherjeebJS,WilliamsdDRetal.Perceived
discrimination and stigma toward children affected by
HIV/AIDS and their HIV-positive caregivers in central Haiti.
AIDS Care 2010; 22: 803–815. 14.
daSilvaLMS,TavaresJSK.Thefamily’sroleasasupport network for
people living with HIV/AIDS: a review of Brazilian research
into the theme. Cien Saúde Colet 2015; 20: 1109– 1118. 15.
Forouzan AS, Jorjoran Shustari Z et al. Social support
networkamongpeoplelivingwithHIV/AIDSinIran. AIDSRes Treat
2013; 2013: 715381. 16. Peterson JL, Rintamaki LS, Brashers
DE et al. The forms and functions of peer social support for
people living with HIV. J Assoc Nurses AIDS Care 2012; 23:
294–305. 17. Wei-Ti C, Shiu CS, Simoni J et al. Optimizing
HIV care by expanding the nursing role: patient and provider
perspectives. J Adv Nurs 2009; 49: 1841–1850. 18.
FrainJA.PreparingeverynursetobecomeanHIVnurse. Nurse Educ
Today 2017; 48: 129–33.
Correspondence: Kumboyono Kumboyono Email:
[email protected]
/
[email protected]
Research HIV Nursing; 2018: 18(1): 4–7
7
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1.Prepare for Final PaperTopic Ethical Conduct of Resea

  • 1. 1. Prepare for Final Paper Topic: Ethical Conduct of Research (Outcomes 1,6): 20 hours Select a healthcare related research study. Identify the sample population. Analyze and critique the study to identify if sampling method reflects ethical principles including consent, conditions of the participants, study approved by IRB, Minimum 20 pages excluding title and reference page. APA format Final paper will be submitted through TURNIT in™. Papers MAY NOT show evidence of similarity beyond 17% excluding reference pages! Papers that reflect over 17% SIMILARITIES will be assigned a ZERO. There is NO opportunity for late or re-submitted work! MINIMUN 6 REFERENCES, from 2014 to 2019 YOU WANT ADDED MORE CRITIQUE QUESTION IF YOU WANT TO COMPLET THE 20 PAGES
  • 2. FOLLOW THE TERM TEMPLATE APA PAPER TEMPLATE 6th Title in Upper and Lower Case Your Name Miami Regional College MSN 5300: Advanced Nursing Inquiry and Evidence Based Practice Title of Paper in Upper and Lower Case (Centered, Not Bold) Paragraph one is the introduction to the paper. It should begin with something that will grab the reader’s attention and provide a citation to support your opening sentence (Norwood, 2002). Next, support that opening sentence with discussion or explanation with one or multiple sentences which will make up the body of the introductory paragraph. The last sentence of the introduction should highlight areas to be covered in the paper. APA success requires knowledge of the format and skill in concise, clear written communication. Research Study Overview This section is where you provide a summary of the research study being critiqued? What were the goals of the research? What health care related issue was addressed? Is it a good/feasible study to apply in clinical practice? Was a practical study, from a financial aspect? Use as many paragraphs as needed to cover the content appropriately.
  • 3. Ethical Issues in Research Use this paragraph to provide feedback/history on ethical issues on research. Protection of Human Rights What are the five human rights that must be protected during research/investigation? What do they stand for? How do they relate to this research study? Were any/all of the human rights protected in the duration of the research study in question? Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf poifpadofiadf ;lskdm;vokmae ;obvkmse;rokmgageo sivjnseariun v;osdr g;I s;bnofnb;o aiermf ;sokdfmb;osiermg oskmfbopvsidfm b;mseoribgmseoribg nbsodfjbvs;ervjnnbs;odrkmfbv;oaerkmv sodbmsnoe;rif nvpsoeonvrsep. Sampling Method What was the sampling method used, how did the researchers choose the subjects for participation? What other sampling methods could have worked better, provided better results? Does the sampling method used reflect ethical principles, was it a fair process? Is the population in question a vulnerable population, and if so were there special considerations taken? Use as many paragraphs as needed to cover the content appropriately. Ina;osif;oaiwe mfasodifmaow vmoadifmgo ;aodifgi ;aodfvmao vma;o nvaoejjngfpsoinfv bnaeornfgvpesunfvpasjnvpadjfnvpajnvpoadf
  • 4. vpoasjdfnv[oiadsno[cv afnvpainfvpaw9unfvpasdj avmaojf;oaskdjfoaskdmv;lkamdsfovmewpoigfnasdock apovmaporingrpaio Informed Consent What is an informed consent? In regards to this research study, was it obtained, if appropriate? If a consent was part of the study, was it obtained properly? Did the participants assent? If participants unable to consent, were they not competent, did a caregiver consent? Were participants provided full/complete detailed information or was it a short version? What components did it include? Use as many paragraphs as needed to cover the content appropriately. Mv;aoskdkjfngaogna;o aosngfva;osing; aodkfkngvo;sdjfnv ngvsoerphngea;oi aojgnjvspdofinv;sdjfvn;sdozjfvns; vnaoeriengpa9eru vnapesring[earoi vnaeroinmg[eaoirm vna[eroimgfaoskmf;szlkmf ngae[iorng[awekmf mvaoeor[imges’aripom d;mokgm ae Ethical Scientific Integrity What are the credentials of the researchers? Did the researchers fabricate data, publish errors/ publish correction? Is there evidence of plagiarism? Use as many paragraphs as needed to cover the content appropriately. Ifnagw;oeifnaw;eo vo;ianener;ai nvzodsianvaei;or nag;oekermf naipeieufn ;aoidfvim; ;aodkzkfnv;azdfskjvn. IRB This section is where you will discuss all the information available (or lack thereof) regarding the IRB. Was the research study approved by an institutional review board? If not, why not? Was a research proposal submitted for approval by an IRB?
  • 5. Use as many paragraphs as needed to cover the content appropriately Adkjfasdojfa dfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf. Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf poifpadofiadf. HIPPA What is HIPPA and how does it apply to a research study? Was the research conducted using database information, and if so, was the health information protected? How was it protected? Was any data de-identified? Were participants provided pseudonyms or assigned numbers? Use as many paragraphs as needed to cover the content appropriately. Benefit to Risk Ratio Discuss if a benefit to risk ratio was calculated and how? Did it provide am honest estimation? What is your opinion about the outcome of the study and the potential benefits? Can it have a positive impact on the individual, how about in the community? Use as many paragraphs as needed to cover the content appropriately. Ladkjfasdojfadfoasidfjaod. Aff fasdfjasod faosdijfaosdjfaodjfasdjdklfljkadf Adpapsdufas dfoaidfoakds. Lijaofijasdijfalsd adifasdiufa osdifuaosdfaisdufad fjsdif asdoif. Poiofapdfiasdpfoi asdpf poifpadofiadf. Conclusion Most papers should end with a conclusion or summary, which consists a short description of the key points of the paper. It should be concise and contain little or no detail. No matter how
  • 6. much space is left on the page, the References are always on the next page. References (centered, not bold) American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author. You next reference. Appendix A(centered, not bold) This is the article to analyze, and critique Resilience of people living with HIV/AIDS in Indonesia: a phenomenological study Kumboyono Kumboyono, Cathrine T Sukotjo, Yulia C Lestari, Dini P Wijayanti Faculty of Medicine, Brawijaya University, Malang City, Indonesia Abstract Background: HIV/AIDS is one of the most continuously developing communicable diseases in the world. The number of people diagnosed with HIV/AIDS is currently increasing worldwide, including in Indonesia. 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, which further reveals the results of current health management and expectations of PLWHA for better health programmes. Objective: This study aims to explore the mechanism of resilience in Indonesian PLWHA and the factors affecting that particular mechanism. Method: This is a qualitative phenomenological study. Twenty-seven PLWHA were selected from a primary healthcare centre in Malang City,
  • 7. East Java, Indonesia. Participants were selected from various economic, social, and diverse sexual orientation backgrounds. Participants were informed about the conduct of the research and consented to take part in the interview. Results: Diagnosis of HIV/AIDS signifies the beginning of psychological and social distress, the spiritual reaction after being diagnosed is a state of crisis, and the coping mechanism and understanding of life by PLWHA is a definite sign of resilience. Conclusion: HIV/AIDS is a chronic progressive disease and induces the distinct mechanism of resilience in Indonesian society. Future healthcare and management of PLWHA will be required to support and motivate this mechanism to guide PLWHA into a more comfortable and healthy lifestyle. Keywords: HIV/AIDS, healthcare, meaning of life, resilience, spiritual Introduction HIV/AIDS is one of the most continuously developing communicable diseases in the world among other communicable diseases, such as tuberculosis, affecting people diagnosed with immunocompromised conditions. The number of people living with HIV/AIDS (PLWHA) worldwide is currently increasing with a significant incline among Asian countries, especially the Asia and Pacific region [1]. In Indonesia, the number of PLWHA is in synergy with the increasing pattern of an Asian epidemic, with 300,000 estimated new infections in 2015 [2]. Having been diagnosed HIV-positive, novel psychological and social disturbances are certainly experienced by PLWHA in general. As reported by Dahlui [3], PLWHA are a vulnerable community experiencing a psychosocial burden, together with physical discomforts. Another study from India also reported the effects of stress and the psychosocial burden suffered by people diagnosed with HIV/AIDS [4]. Although there is a mechanism of resilience to chronic diseases, this group of people are still under enormous pressure to survive the harmful pathological progress of HIV/AIDS and the
  • 8. opportunistic infections that follow. A lack of psychosocial support from family, for example, loss of parents and caregivers at an early age, adds to this pressure [5]. Biological mechanisms of survival under the duress of chronic diseases, such as HIV/AIDS or tuberculosis, can result in two outcomes. People living with the chronic disease will experience the entire physical andpsychologicaldisturbancesafterperseveringunder similar clinical manifestations for a long period of time. One outcome results in depression and loss of spiritual motivation that may lead to mortality [6,7]. The other is the mechanism of resilience, the most distinct phenomenon will eventually lead to survival while experiencing deteriorations of physical and psychological well-being [8,9]. Qualitative phenomenological studies exploring the mechanism of resilience in PLWHA and its other factors have not been the focus of researches in Indonesia. The purpose of this study is to explore the nature of resilience amongpeoplediagnosedwithHIV/AIDS.Themeaning of experiencing an HIV/AIDS burden, physically and psychologically, and also the social responses of PLWHA were recorded and reported in this study. This research is important as it will allow health professionals to identify the support required by PLWHA. Method Design of study This study is a classical phenomenological study with an analytic descriptive approach. This approach is used to understand the meaning of the patient’s life after being diagnosed with HIV/AIDS. This study obtained an ethical health licence from the Ethical, Health, and Research Commission of Medical Faculty, Brawijaya University, Malang City (Ref: 261/EC/KEPK/04/2014) and was upheld according to the Helsinki Declaration of 1975. HIV Nursing; 2018: 18(1): 4–7 Research
  • 9. 4 © Mediscript Ltd 2018 Population and sample For this study 27 PLWHA were selected by snowball sampling from Malang City, Indonesia. Criteria for selection were that participants had been diagnosed with HIV/AIDS for at least 1 year and be aged 18–40 years. The benefit to participants in this research was anincreaseinawarenessoftheimportanceofaccepting a diagnosis of HIV/AIDS in order to remain productive. They were selected according to achieved saturation of data [10]. Participants consisted of 13 men and 14 womendiagnosedwithHIV/AIDSacquiredfromvarious modes of transmission, such as, multiple sexual partners: 17 participants; men who have sex with men: four participants; and injectable drug users: six participants. Participants were aged 25–34 years and lived in the areas of Malang city, Batu city, and Blitar municipality. The educational background of participants ranged from primary school, junior high school, senior high school, and vocational school. The marriagestatusofparticipantsvariedfrombeingsingle, married, and widowed. The occupational backgrounds of participants were freelancers, private-organisation workers, and homemakers. Data collection Instrumentsusedtoanalysethedataweretheinterview process and the participative observation of researchers. Data were collected at the participants’ homes through private interviews and there were no repeat interviews. Data were recorded in the form of audio files (MP3) and the duration of interviews was 28–42 minutes. A community health nursing specialist who is a registered practitioner and a lecturer at Brawijaya University conducted the interviews Data analysis Analysis of qualitative data was accomplished by creating a transcript of interview recordings and notes during
  • 10. the interview. Manual analysis of the data was carried out according to the Colaizzi method [11]. Analysing qualitative data manually provides more precise results because the data contain information on attitudes, values, and feelings that cannot be detected by software The procedure was as follows: 1. Read all transcribed verbatim to gain a whole sense of the resilience experience; 2. review each transcript and extract significant statements; 3. explain the meaning of each significant statement; 4. organise the formulated meanings into clusters of themes; 5. integrate results into an exhaustive description of the phenomenon under study; 6. formulate an exhaustive description of the phenomenon in uniquivocal statements of identification as far as possible; and 7. ask participants about the findings thus far as a final validating step. The results of the analysis were based on keywords, categories, and themes and subthemes of qualitative variables of the study. There were two themes (phases) in this research and two subthemes from each. Results According to the results of qualitative analysis of data, the mechanism of resilience of PLWHA in Malang city can be divided into two phases: crisis phase and survival phase. The crisis phase can be described by examining the psychological and social stresses of a lifestyle acquired by PLWHA. Meanwhile, the survival phase is explored by asking about the changes in the spiritual pattern and future arrangements of PLWHA. Each theme is discussed thoroughly and described qualitatively according to specific subthemes. Crisis phase of people living with HIV/AIDS The crisis phase of PLWHA is described through two subthemes: psychological and social stress. Psychological stress: the psychological response of PLWHA after being diagnosed with HIV/AIDS can be illustrated by anxiety and anger conditions. Anxiety aroseinparticipantsconsideringtheuncertaintyoftheir lives, which could end in morbidities and mortalities. Anger is also one of
  • 11. the psychological responses after participants pass the initial shock of being diagnosed with HIV/AIDS. Some of them accuse God for their sickness and acquire deep enmity against those who they perceive as responsible for transmitting the diseas e: Now I am afraid, anxious, worried that my sickness will result in me being sick all my whole life or I might die someday.IthinkGodnolongerlovesme,Ihadthisperiod of being angry with God, but now I realised and widely opened my heart … I’m open to taking the advantages of my situation …, God is the almighty, God will be the one who heals me. (Patient [P] 5, male, 25 years) Social stress: Feeling isolated from the social environment is perceived by participants to be due to social stigma. Social stigma arises as an impact of incorrect perceptions of society about PLWHA and HIV transmission, in the forms of societal embarrassment, labeling, prejudice, social isolation, fear of being isolated and being shunned by society. Whereas some participants suffered from discrimination, several others admitted that they also received acceptance from people living around them, depending on the openness and educational level of their communities: People gossip about me … both my own family and the society … many say that it’s the burden I have to bear alone as a consequence of what I did. If I want to work, Iwillmostsurelyberejectedbecauseofthedisease.But luckily, now there’s no pressure from society, in this area, it’s no longer a taboo subject. (P21, female, 28 years) Survival phase of life of people living with HIV/AIDS The survival phase of PLWHA can be divided into these following two subthemes: changes of spiritual pattern and future arrangements. Changes to spiritual pattern: changes of spiritual meaning experienced by participants occur in the form Research HIV Nursing; 2018: 18(1): 4–7 5 of spiritual closeness to God through surrendering all to God,
  • 12. repentance, diligence of prayers, and worship: I don’t want to grief for too long … because everything that’shappeningrightnowisGod’swill,ifGodgivesme the disease, God will be the one giving me medicine. Now I’m diligently reciting prayers, before my illness, I rarely do it. I can now read the Quran which I was to unable before. (P16, female, 30 years). Futurearrangement: Planningforthefutureistheform ofPLWHA’sawarenessinlearninglifelessonsfromtheir personal experiences by maintaining health and future arrangements for their family. Maintaining health is a method used by participants to support their declining immune system through behaviour changes and beliefs leading to a more healthy lifestyle. I want to show that though I am diagnosed with HIV positive, I can live a healthy lifestyle without medical problems. I will change my lifestyle, change all of them. … All the bad behavior of my past I have left, such as drinking, doing drugs, multiple sex partners, I have left all of it. (P23, male, 32 years). Future hope for the family is a participants’ wishes for the security of their family, the future of their children, and happiness of their parents and relatives to redeem their previous deeds. This phenomenon can be observed through this following comment: What I fear is; it is acceptable if it is only me who suffer the disease … what about my kids, who will take care of them if I die … I have to stay healthy for my children. Besides, I want to get work again; I want to please my parents. … My parents need more attention now. (P25, female, 29 years). Discussion The results of this study indicate that resilience is the participants’ ability to bounce back to psychological and social norms after facing adversity owing to a positive HIV/AIDS diagnosis. The nature of resilience among people diagnosed with chronic diseases can be categorised into the crisis and survival phase. The former is signified by the beginning of a psychological and physical struggle immediately after having been diagnosed with a certain critical disease, such as HIV/AIDS. Individuals acquiring one particular severe
  • 13. disease enter the crisis phase, which is also the beginning of their mental and physical experiences as people under the pathological burden of chronic and worsening physical manifestations [12]. Under the duress of discomfort and pain over a long period,togetherwiththeheavyburdenofpsychological and social pressures, individuals will finally arrive at certain destinations. One likely destination is morbidities and irreversibly deteriorating psychological conditions, which eventually lead to mortality. The other destination is an interesting phenomena to behold in itself, in which PLWHA and others suffering from chronic progressive disorders can persevere and acquire the physical resistance needed to counter the destructive progression of the disease. This phenomenon is called resilience and is a distinctive topic that may be discussed based on the results of this study. According to the interview results, all the participants agree with the notion of having suffered great negative psychological changes regarding their diagnosis of HIV/AIDS. Participants admitted that some of them were hardly able to control the anger and hatred they had after first being informed about their actual clinical conditions. They perceived people in their close acquaintance as ones who were responsible for their clinical conditions, and this understanding led to justifying their motivation to harm innocent individuals and the perceived bad deeds of others in transmitting the virus. Other participants reacted in a different way by expressing great sadness, anxiety, and depression regarding their bleak future and low rate of survival under the rapid progressive manifestation of the disease. Based on these results of psychological and social reactions of the participants, it can be inferred that one significant negative event relating to their well-being can deflate the positive perceptions that participants’ acquire about themselves. The psychological and physical stress they receive after being diagnosed with HIV/AIDS signify the beginning of their long struggle
  • 14. andjourneyinreachingthecriticalphasethatallpeople with chronic disease will eventually reach. Those participants proceed both physically and mentally through the discomforts and the state of being constantly uncomfortable with themselves, which is specifically induced by the harmful particular stressor that is HIV/AIDS. Having been diagnosed with HIV/AIDS, initially, participants revealed a great distrust and absolutely blamed God and other spiritual systems of belief in their society, according to their upbringing. As most Indonesians consider that spiritual devotedness to God is the absolute duty in their private and public lifestyle, itisgenerallyperceivedasawrongdoingtoblameGod for the disease and discomfort the participants have to pass through in life. PLWHA in this study had a difficult time reconciling their sufferings with the goodness and righteousness of religious beliefs. This alsoaddedtotheirpsychologicalandphysicalburdens, whichfurtherledtoanxietyanddepression.Thismental stateofPLWHAisadistinctivepointinthecriticalphase of suffering from a chronic disease, and also has the role as a determining factor of the final destinations of the participants’ well -being. The final destinations of people with a chronic disease, as mentioned above, can manifest in mortalities owing to an individuals’ inability to cope with a long and strenuous psychological and physical burden. However, an interesting phenomenon called resilience to chronic disease can also exist and be presented in the final stages of an individuals’ struggle. According to this study, all participants reacted in a positive way regarding their experiences and meanings of life acquired by contracting HIV/AIDS. Most participants agreed to repent and improve their spiritual lifestyle by being more vigilant in prayers to God. Participants also admitted that they behaved more carefully after being diagnosed with HIV/AIDS to preserve their HIV Nursing; 2018: 18(1): 4–7 Research 6 remaining years and also to prepare economically and psychologically for their families. These are positive signs in
  • 15. the final destinations of PLWHA and can be further categorised into the resilience expected to be found in people with chronic disease. The resilience phenomena of PLWHA found in this study are in conjunction with the results of other previous studies of PLWHA. According to one study held in a Haitian children’s community diagnosed with HIV/AIDS [13], the participants admitted that they suffered great stress/depressive symptoms of being diagnosed with HIV/AIDS owing to a lack of social support, stigma, and discrimination; which agrees with the initial process of HIV/AIDS for participants of this study. Similarly, PLWHA in Brazil, Iran, and USA also revealedthepsychologicalandsocialstruggleofhaving negative social stigma from the environment, which is worsened with the struggle of coping with all the negative perceptions without their caregivers or family to support them [14,15,16]. AnHIV/AIDSdiagnosismaymakeanindividualstressed and impart a sense of grief. Therefore, a nurse has a veryimportantroleinhelpingpatientsthroughdisbelief of their fate and to be able to adapt to the condition oftheillness.Nursescanactascounsellorsbyproviding individual and group counselling and educators by providing accurate information about HIV/AIDS to the patient, family and community. The role of nurses as educators and counsellors is corroborated by research findings that reveal nurses have a role in providing access to knowledge and counselling for newly diagnosed HIV patients to help them in dealing with stigma and disclosure. The National HIV/AIDS Strategy of United States reveals that advanced and innovative education strategies are necessary to provide care that is free from stigma and discrimination [17,18]. An HIV/AIDS nursing education strategy involving PLHWA and experts in the field could help nurses reduce HIV/AIDS stigma in society. Conclusion PLWHAhaveachronicprogressivediseasethatinduces the distinct mechanism of resilience in Indonesian society. Future health care and management of PLWHA should socially support and motivate this mechanism to guide PLWHA into more
  • 16. comfortable and healthy lifestyles. The role of nurses as counsellors and educators can assist the adaptation of PLWHA in facing adversity after being diagnosed with HIV/AIDS. Acknowledgements Conflicts of interests The authors declare there are no conflicts of interests regarding the funding and publication of this article. Funding The author is grateful for the support of the Directorate General of Higher Education, Ministry of Culture and Education, Republic of Indonesia in funding this community health nursing research (Ref: 023.04.2.414989/2014). References 1. UNAIDS DATA 2017. Available at: www.unaids.org/sites/ default/files/media_asset/20170720_Data_book_2017_ en.pdf (accessed January 2018). 2. UNAIDS. Global AIDS update, 2016. Available at: www.unaids.org/en/resources/publications/all/ (accessed January 2018). 3. Dahlui M, Azahar N, Bulgiba A et al. HIV/AIDS related stigma and discrimination against PLWHA in Nigerian population. Plos One 2015; 10: e0143749. 4. Kumar S, Mohanraj R, Rao D et al. Positive coping strategiesandHIV- relatedstigmainSouthIndia. AIDSPatient Care STDS 2015; 29: 157–163. 5. Dejman M, Ardakani HM, Malekafzali B et al. Psychological, social, and familial problems of people living withHIV/AIDSinIran:aqualitativestudy. IntJPrevMed 2015; 6: 126. 6. SakiM,KermansashiSMK,MohammadiEetal.Perception ofpatientswithHIV/AIDSfromstigmaanddiscrimination. Iran Red Crescent Med J 2015; 17: e23638. 7. AmiyaRM,PoudelKC,Poudel-TandukarK etal. Perceived family support, depression, and suicidal ideation among people living with HIV/AIDS: a cross-sectional study in the Kathmandu Valley, Nepal. Plos One 2014: 9: e90959. 8. Kanez S. Depression and coping mechanism among HIV/AIDS patients under anti-retroviral therapy. Indian J Soc Psychiatry. 2016. 32: 149–153. 9. Sun W, Wu M, Qu P et al. Quality of life of people
  • 17. living withHIV/AIDSunderthenewepidemiccharacteristicsinChina and the associated factors. Plos One 2014; 8: e64562. 10. GentlesSJ,CharlesC,PloegJ,McKibbonKA.Sampling in qualitative research: Insights from an overview of the methods literature. Qualitative Report 2015; 20: 1772–1789. 11. Streubert HJ, Carpenter DR. Qualitative research in nursing: Advancing the humanistic imperative, 2nd edn. Philadelphia: Lipincott Williams & Wilkins, 1999. 12. Arrey AE, Bilsen J, Lacor P Deschepper R. Spirituality/ Religiosity: A cultural and psychological resource among sub- SaharanAfricanmigrantwomenwithHIV/AIDSinBelgium. Plos One 2016; 11: e0159488. 13. SurkanaPJ,MukherjeebJS,WilliamsdDRetal.Perceived discrimination and stigma toward children affected by HIV/AIDS and their HIV-positive caregivers in central Haiti. AIDS Care 2010; 22: 803–815. 14. daSilvaLMS,TavaresJSK.Thefamily’sroleasasupport network for people living with HIV/AIDS: a review of Brazilian research into the theme. Cien Saúde Colet 2015; 20: 1109– 1118. 15. Forouzan AS, Jorjoran Shustari Z et al. Social support networkamongpeoplelivingwithHIV/AIDSinIran. AIDSRes Treat 2013; 2013: 715381. 16. Peterson JL, Rintamaki LS, Brashers DE et al. The forms and functions of peer social support for people living with HIV. J Assoc Nurses AIDS Care 2012; 23: 294–305. 17. Wei-Ti C, Shiu CS, Simoni J et al. Optimizing HIV care by expanding the nursing role: patient and provider perspectives. J Adv Nurs 2009; 49: 1841–1850. 18. FrainJA.PreparingeverynursetobecomeanHIVnurse. Nurse Educ Today 2017; 48: 129–33. Correspondence: Kumboyono Kumboyono Email: [email protected] / [email protected]
  • 18. Research HIV Nursing; 2018: 18(1): 4–7 7 Copyright of HIV Nursing is the property of Mediscript Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use.