RESUMEN
ABSTRACT: Black women living with HIV (WLWH) face individual and sociostructural challenges. Despite these challenges, many exemplify remarkable levels of resilience and coping. Yet, research on resilience and coping in this population is limited. Twenty Black WLWH in the Southern United States completed semi-structured interviews that explored challenges facing WLWH. We identified six themes related to resilience and coping: self-acceptance, disclosure, self-compassion, social support, will to live, and service. Of these, social support was a driving protective element and an essential component to building and sustaining resilience and coping. Women who experienced positive support often expressed a will to live as well as a desire to support other WLWH. Resilience and social support were characterized by patterns of reciprocity, in that they were mutually sustaining, stabilizing, and strengthening.
Asunto(s)
Infecciones por VIH , Adaptación Psicológica , Población Negra , Femenino , Infecciones por VIH/epidemiología , Humanos , Investigación Cualitativa , Apoyo Social , Estados UnidosRESUMEN
Acute upper respiratory infections account for most urgent care visits, and most do not require antibiotics. A quality improvement project was conducted at an urgent care clinic in Texas over a 1-month period with the intent of improving antibiotic prescribing practices for acute upper respiratory infections. The rates of antibiotic prescribing before and after the implementation were compared, and focus group discussions were conducted for insight. A significant decrease in the rates of antibiotics prescribed was noted when prescribing rates before and after implementation were compared. Insightful information was collected from the focus groups.
RESUMEN
The coronavirus disease 2019 mortality rate among Black adults in the U.S. is double that of other racial and ethnic groups. The current pandemic is re-illuminating health inequities that are pervasive in our society and reflected in our health system. This creative controversy describes critical conversations needed within nursing to acknowledge the contribution of structural racism to health equity. We recommend implementing structural competency into nursing education and prioritizing nursing research and policies focused on health equity and community-based interventions.