TY - JOUR
T1 - HIV status disclosure in the workplace
T2 - Positive and stigmatizing experiences of health care workers living with HIV
AU - Stutterheim, Sarah E
AU - Brands, Ronald
AU - Baas, Ineke
AU - Lechner, Lilian
AU - Kok, Gerjo
AU - Bos, Arjan E R
N1 - Copyright © 2017 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.
PY - 2017/11
Y1 - 2017/11
N2 - We explored workplace experiences of 10 health care providers with HIV in the Netherlands. We used semi-structured interviews to discuss motivations for disclosure and concealment, reactions to disclosures, the impact of reactions, and coping with negative reactions. Reasons for disclosure were wanting to share the secret, expecting positive responses, observing positive reactions to others, wanting to prevent negative reactions, and being advised to disclose. Reasons for concealment included fearing negative reactions, observing negative reactions, previous negative experiences, having been advised to conceal, and considering disclosure unnecessary. Positive reactions included seeing HIV as a nonissue; showing interest, support, and empathy; and maintaining confidentiality. Negative reactions included management wanting to inform employees, work restrictions, hiring difficulties, gossip, and hurtful comments, resulting in participants being upset, taken aback, angry, depressed, or feeling resignation. Participants coped by providing information, standing above the experience, attributing reactions to ignorance, seeking social support, or leaving their jobs.
AB - We explored workplace experiences of 10 health care providers with HIV in the Netherlands. We used semi-structured interviews to discuss motivations for disclosure and concealment, reactions to disclosures, the impact of reactions, and coping with negative reactions. Reasons for disclosure were wanting to share the secret, expecting positive responses, observing positive reactions to others, wanting to prevent negative reactions, and being advised to disclose. Reasons for concealment included fearing negative reactions, observing negative reactions, previous negative experiences, having been advised to conceal, and considering disclosure unnecessary. Positive reactions included seeing HIV as a nonissue; showing interest, support, and empathy; and maintaining confidentiality. Negative reactions included management wanting to inform employees, work restrictions, hiring difficulties, gossip, and hurtful comments, resulting in participants being upset, taken aback, angry, depressed, or feeling resignation. Participants coped by providing information, standing above the experience, attributing reactions to ignorance, seeking social support, or leaving their jobs.
KW - coping
KW - disclosure
KW - HIV
KW - Netherlands
KW - stigma
KW - work
KW - AFRO-CARIBBEAN COMMUNITIES
KW - PSYCHOLOGICAL DISTRESS
KW - PEOPLE
KW - NETHERLANDS
KW - SETTINGS
KW - HIV/AIDS
KW - AFRICAN
KW - MODEL
KW - MANIFESTATIONS
KW - ATTITUDES
U2 - 10.1016/j.jana.2017.06.014
DO - 10.1016/j.jana.2017.06.014
M3 - Article
C2 - 28751112
SN - 1055-3290
VL - 28
SP - 923
EP - 937
JO - Janac-Journal of the Association of Nurses in Aids Care
JF - Janac-Journal of the Association of Nurses in Aids Care
IS - 6
ER -