Management of nursing care in HIV/AIDS from a palliative and hospital perspective

ABSTRACT Objectives: To understand the meaning attributed by the nurse to the management of nursing care to the person hospitalized due to clinical complications caused by AIDS; to analyze actions related to palliative care; and to construct a theoretical matrix regarding the management of nursing care. Method: Qualitative, exploratory research, guided by the Grounded Theory. Seven nurses and ten nursing technicians were interviewed between May and September 2015, in a university hospital, located in Rio de Janeiro State, Brazil. Results: Five categories that covered the profile of the hospitalized person, palliative care, intervening conditions for care management, the need for professional qualification, and other aspects to better organize and manage care, including conflict management arose. Final considerations: The theoretical matrix values the quality of life, the need to understand the flow of care to avoid readmissions and not adherence to medications, requiring new research in the area, such as implementation.

摘要
研究目的：明晰护士对因艾滋病（AIDS）引发临床并发症而住院患者的护理管理认知；分析与姑息治疗相关的照护举措；并构建围绕护理管理的理论矩阵。
研究方法：本研究为基于扎根理论（Grounded Theory）的质性探索性研究，于2015年5月至9月间，在巴西里约热内卢州的一所大学附属医院开展，共访谈7名护士与10名护理技术员。
研究结果：最终形成5个类别，涵盖住院患者概况、姑息治疗、护理管理的干预条件、专业资质提升需求，以及优化护理组织与管理的其他相关维度（包括冲突管理）。
研究结论：本研究构建的理论矩阵重视生命质量，同时指出需明晰护理流程以降低患者再入院率与减少药物不依从情况，该领域仍需开展诸如实施方案类的后续研究。