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Vårdresan med hiv: En litteraturstudie om hälso- och sjukvårdsupplevelse hos vuxna personer som lever med hiv
Swedish Red Cross University.
Swedish Red Cross University.
2025 (Swedish)Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Despite major medical advances, stigma remains a significant barrier in the healthcare of people living with HIV (PLHIV). Stigmatization occurs both through individual actions and structural barriers that affect patients’ right to equitable and respectful care.

Aim: The aim of this study was to explore experiences of stigma in nursing care among PLHIV within healthcare settings.

Method: The study was conducted as a general literature review based on nine qualitative research articles retrieved from CINAHL and PubMed. The data were analyzed using thematic analysis according to Braun and Clarke (2006), applying an inductive approach.

Results: Three main themes and seven subthemes were identified: Enacted and judgmental stigma in healthcare encounters, Structural and systemic barriers, and Resistance, coping, and restoration. The findings revealed that stigma manifests through discriminatory attitudes, breaches of confidentiality, and unequal healthcare structures, while patients actively develop coping strategies to regain dignity and autonomy.

Conclusion: HIV-related stigma within healthcare remains a global and ethical concern. Enhancing knowledge, reflection, and education in person-centred care can help reduce stigma and promote equitable and compassionate nursing care for people living with HIV.

Abstract [sv]

Bakgrund: Trots stora medicinska framsteg kvarstår stigma som en betydande barriär i vården av personer som lever med hiv (PLHIV). Stigmatisering kan ta sig uttryck både i direkta handlingar och i strukturella hinder som påverkar patienters rätt till jämlik och respektfull vård.

Syfte: Syftet med studien var att belysa upplevelser av stigma i omvårdnaden hos vuxna PLHIV inom hälso- och sjukvården.

Metod: Studien genomfördes som en allmän litteraturstudie baserad på nio kvalitativa vetenskapliga artiklar hämtade från databaserna CINAHL och PubMed. Materialet analyserades genom tematisk analys enligt Braun och Clarke (2006), med en induktiv ansats.

Resultat: Tre övergripande teman och sju subteman identifierades: Utagerat och dömande stigma i vårdmötet, Strukturella och systemiska hinder samt Motstånd, hantering och återupprättelse. Resultatet visar att stigma ofta yttrar sig i diskriminerande bemötande, bristande sekretess och ojämlika vårdstrukturer, men även i patienters motstånd och strategier för att återfå kontroll och värdighet.

Slutsats: Hiv-relaterat stigma i vården kvarstår som en global och etisk utmaning. Ökad kunskap, reflektion och utbildning inom personcentrerad vård kan bidra till att minska stigmatisering och främja jämlik vård för personer som lever med hiv.

Place, publisher, year, edition, pages
2025. , p. 30
Keywords [en]
HIV, stigma, discrimination, nursing care, experiences, person-centred care
Keywords [sv]
HIV, stigma, diskriminering, omvårdnad, upplevelser, personcentrerad vård
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:rkh:diva-5280OAI: oai:DiVA.org:rkh-5280DiVA, id: diva2:2011965
Educational program
Undergraduate Nursing Program
Supervisors
Examiners
Available from: 2025-11-07 Created: 2025-11-06 Last updated: 2025-11-07Bibliographically approved

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