IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v26y2017i23-24p4605-4612.html
   My bibliography  Save this article

Improving support and education of low‐income baby boomers diagnosed with chronic hepatitis C virus infection through universal screening

Author

Listed:
  • Barbara J Turner
  • Kathryn Craig
  • Vidhi S Makanji
  • Bertha E Flores
  • Ludivina Hernandez

Abstract

Aims and objectives To identify support needs of low‐income baby boomers recently diagnosed with chronic hepatitis C virus infection. Background The U.S. Preventive Services Task Force has endorsed one‐time screening of all baby boomers (born 1945–1965) for hepatitis C because 75% of the estimated 2–3 million persons with chronic infection are in this age range. We hypothesised that persons diagnosed by routine screening would have significant psycho‐emotional, cognitive and healthcare challenges that need to be met by collaborative care and services from nurses and other healthcare personnel. Design Qualitative descriptive study of data from three focus groups with predominantly minority participants (N = 16). Data were analysed using qualitative content analysis, and transcribed data were categorised by three domains in a previously developed model and a new domain identified in this study. Frequencies of unique participants’ comments about each theme were calculated. Results Elucidated domains were as follows: (i) psycho‐emotional effects due to social stigma, shame, fear and dealing with risky behaviours; (ii) social effects due to concerns about infecting others; and (iii) cognitive deficits because of poor understanding about hepatitis C virus infection and its care. A new domain related to health care emerged reflecting the following themes: poor access to care, barriers to costly treatment, and navigating complex care for comorbidities. Despite these challenges, participants strongly endorsed universal baby boomer hepatitis C virus screening. Conclusions This study describes psycho‐emotional and social challenges of people dealing with a hepatitis C diagnosis which are compounded by poor knowledge and barriers to supportive care. Relevance to clinical practice Nursing and other allied health personnel require structured support programmes to assist older persons diagnosed with hepatitis C with addressing these common challenges with the ultimate goal of achieving a cure.

Suggested Citation

  • Barbara J Turner & Kathryn Craig & Vidhi S Makanji & Bertha E Flores & Ludivina Hernandez, 2017. "Improving support and education of low‐income baby boomers diagnosed with chronic hepatitis C virus infection through universal screening," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 4605-4612, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4605-4612
    DOI: 10.1111/jocn.13806
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13806
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.13806?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Golden, Jeannette & Conroy, Ronán Michael & Marie O'Dwyer, Ann & Golden, Daniel & Hardouin, Jean-Benoit, 2006. "Illness-related stigma, mood and adjustment to illness in persons with hepatitis C," Social Science & Medicine, Elsevier, vol. 63(12), pages 3188-3198, December.
    2. Christine Timko & Calvin Kong & Lisa Vittorio & Michael A. Cucciare, 2016. "Screening and brief intervention for unhealthy substance use in patients with chronic medical conditions: a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3131-3143, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yvonne Nelly Drazic & Marie Louise Caltabiano, 2013. "Chronic hepatitis B and C: Exploring perceived stigma, disease information, and health‐related quality of life," Nursing & Health Sciences, John Wiley & Sons, vol. 15(2), pages 172-178, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:4605-4612. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.