Biomedical Approaches and Disparities in HIV Prevention
Human immunodeficiency virus (HIV) remains a significant public concern, with certain groups disproportionately impacted. Pre-exposure prophylaxis (PrEP) for HIV prevention was approved by the Food and Drug Administration in 2012. However, stark disparities persist in PrEP access and uptake, leaving those at highest risk of acquiring HIV without knowledge of, access to, and uptake of PrEP. Nurses play a key role in eliminating the causes of these disparities that occur at the individual, provider, and systemic level. It is imperative that we increase PrEP knowledge, access, and use, especially in groups most at risk for ac...
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Authors: Jared Carter-Davis, Ellen Seymour Source Type: research

Overview of the Epidemiology and Clinical Care Considerations for Adolescents and Young Adults Living with or at Risk of Human Immunodeficiency Virus
This article provides an updated examination of human immunodeficiency virus (HIV) epidemiologic trends among adolescents and young adults (AYAs) in the United States, highlighting the significant public health challenge posed by HIV within this demographic. Despite a notable decline in HIV diagnoses among AYAs, challenges remain, particularly due to 50% of AYAs living with HIV being unaware of their status. The article aims to evaluate current clinical recommendations, identify deficiencies, and propose evidence-based improvements for HIV prevention, diagnosis, and care, with the goal of enhancing health outcomes and redu...
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Authors: Adam Leonard, Brenice Duroseau Source Type: research

Navigating the Horizon of Progress in HIV/AIDS Care
Over the past few decades, the landscape of HIV/AIDS care has undergone a profound transformation, marked by persistent research, innovative therapies, and a deepened understanding of the virus and its impact on individuals and communities. Our commitment to advancing the battle against HIV/AIDS stands as a testament to human resilience, scientific ingenuity, and compassionate care. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Authors: Benjamin Smallheer Tags: Foreword Source Type: research

Care of People Living with HIV: Contemporary Issues
NURSING CLINICS OF NORTH AMERICA (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Authors: Kara S. McGee Source Type: research

Copyright
ELSEVIER (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Source Type: research

Contributors
BENJAMIN SMALLHEER PhD, RN, ACNP-BC, FNP-BC, CCRN, CNE, FAANP (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Source Type: research

Contents
Benjamin Smallheer (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Source Type: research

Forthcoming Issues
Healthcare Simulation in Nursing Practice (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 25, 2024 Category: Nursing Source Type: research

Revolutionizing Simulation in Nursing Education and Practice
Simulation, once confined to the realm of aviation and military training, has become highly integrated into nursing education, offering a dynamic platform for experiential learning. The diverse landscape of simulation modalities, from high-fidelity mannequins to virtual-reality environments, offers a unique set of advantages in preparing nurses for the complexities of real-world practice. The term “simulation” is defined as Imitation of a situation or process, the action of pretending. From this perspective, it is hard to imagine a time when the nursing profession hasn’t included some degree of simulation within its ...
Source: Nursing Clinics of North America - April 17, 2024 Category: Nursing Authors: Benjamin Smallheer Tags: Foreword Source Type: research

Professional Integrity and Ethical Considerations in Simulation
As healthcare providers, ethical decisions are woven into the fabric of our profession from bedside care to the use of simulation as an educational pedagogy. Simulation as a method for healthcare education began in response to ethical dilemmas in clinical practice. Educators require an interactive approach to education that will keep patients, learners, and faculty psychologically safe, decrease errors in clinical practice, and engage participants, all of which are inherent in simulation-based experiences. Professional integrity and morality are infused throughout simulation design: prebriefing, facilitation, debriefing, a...
Source: Nursing Clinics of North America - April 8, 2024 Category: Nursing Authors: Fara Bowler, Patrick Luna, Tammy Spencer Source Type: research

Simulation ’s Use Across the Clinical Landscape
Across the healthcare continuum simulation is routinely integrated into the curriculum for nurses and other professionals. The amount of simulation experienced at different points in the clinical setting highly depends on the specialty and organizational investment. The use of simulation in nursing can be divided into five specific use cases. Required and specialty certification courses include the following: Nurse Onboarding, Nurse Continuing Education, Regulatory& Joint Commission, and Interprofessional Education. Although common elements exist for each of the abovementioned use cases, there are distinct advantages, disa...
Source: Nursing Clinics of North America - March 21, 2024 Category: Nursing Authors: Jared M. Kutzin, Connie M. Lopez Source Type: research

Simulation Modalities in Clinical Practice
For maximum effectiveness of a simulation-based educational experience, the correct modality must be chosen. Modality refers to the equipment or platform used to conduct the simulation. There are a variety of options available to clinical simulation educators, ranging from simple task trainers to full-body manikins to virtual experiences. The correctly chosen modality will allow the learners to achieve the learning objectives. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 21, 2024 Category: Nursing Authors: Elizabeth Horsley, Jennifer Dale-Tam Source Type: research

Primary Prevention of Cardiovascular Disease for People Living with Human Immunodeficiency Virus
People living with HIV (PLWH) have a risk of cardiovascular disease (CVD) that is 1.5 to 2 times higher than the general population owing to traditional risk factors, HIV-mediated factors like chronic inflammation and immune dysfunction, and exposure to antiretroviral therapy. Currently available CVD risk estimation calculators tend to underestimate risk in PLWH but can be useful when an individual ’s HIV history is considered. Improving modifiable risks is the primary intervention for reducing CVD risk in PLWH. Statin therapy is important for specific individuals, but attention should be given to drug interactions with ...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Christopher B. Fox, Kristine Butler, Devon Flynn Source Type: research

Overview of the US National HIV Strategy and Ending the HIV Epidemic Initiative
This article provides an overview of the NHAS and EHE and provides examples of programs and strategies that can be used to end the HIV epidemic in the United States. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Kara S. McGee Source Type: research

A Review of Updated Guidelines on Breastfeeding with Human Immunodeficiency Virus Using Relational Decision-Making and Intellectual Humility to Support Infant Feeding Choices
This article summarizes the updated guidelines on breastfeeding with HIV with an emphasis on using relational decision-making and intellectual humility to support the conversation around infant feeding choices. The complex cultural experiences and historical disparities that influence these decisions are highlighted, along with an overview of the recent changes to recommendations for breastfeeding in people with HIV. The article describes individualized clinical scenarios that consider infant feeding decisions, outlines communication and support strategies for health care providers, and proposes a relational decision-makin...
Source: Nursing Clinics of North America - March 15, 2024 Category: Nursing Authors: Emily A. Barr, Lisa L. Abuogi, Christiana Smith Source Type: research