{"id":{"repo_id":"usd-thes","oai_identifier":"oai:digital.sandiego.edu:dissertations-1269"},"canonical_url":"https://search.dev.ndltd.org/etd/usd-thes/oai:digital.sandiego.edu:dissertations-1269","repository":{"repo_id":"usd-thes","name":"University of San Diego","base_url":"https://digital.sandiego.edu/do/oai/"},"display":{"title":"The Work of Living with HIV: A Study of Binational Groups","abstract":"The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the context of the HIV care system. Conditions influencing participants were societal stigma and social support. Taking care of self, which included involvement with HIV-related treatment activities, making changes, being willing to experiment, taking charge of one's health care, and being cautious, were undertaken with the goals of staying healthy--for the cure (San Diego participants) and living better (Tijuana participants). Of particular interest was the use of clinical drug trials by a majority of participants from both groups as either a supplemental or essential source of HIV health care. The findings of this study have implications for nurse clinicians, researchers, and educators working in community and multicultural settings.","abstract_html":"The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the context of the HIV care system. Conditions influencing participants were societal stigma and social support. Taking care of self, which included involvement with HIV-related treatment activities, making changes, being willing to experiment, taking charge of one's health care, and being cautious, were undertaken with the goals of staying healthy--for the cure (San Diego participants) and living better (Tijuana participants). Of particular interest was the use of clinical drug trials by a majority of participants from both groups as either a supplemental or essential source of HIV health care. The findings of this study have implications for nurse clinicians, researchers, and educators working in community and multicultural settings.","abstract_has_math":false,"creators":["Joy, Christina, DNSc"],"institution":null,"degree_name":"Doctor of Nursing Science","degree_level":"Dissertation: Open Access","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":1997,"date_issued":"1997-05-01T07:00:00Z","date_published":"1997-05-01T07:00:00Z","updated_at":"2026-07-24T05:40:42Z","subjects":["Acquired Immunodeficiency Syndrome--AIDS","health management","Human Immunodeficiency Virus--HIV","nursing"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://digital.sandiego.edu/dissertations/266","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Joy, Christina, DNSc"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2021-06-28T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation: Open Access"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Science"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Acquired Immunodeficiency Syndrome--AIDS","health management","Human Immunodeficiency Virus--HIV","nursing"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://digital.sandiego.edu/dissertations/266"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the context of the HIV care system. Conditions influencing participants were societal stigma and social support. Taking care of self, which included involvement with HIV-related treatment activities, making changes, being willing to experiment, taking charge of one's health care, and being cautious, were undertaken with the goals of staying healthy--for the cure (San Diego participants) and living better (Tijuana participants). Of particular interest was the use of clinical drug trials by a majority of participants from both groups as either a supplemental or essential source of HIV health care. The findings of this study have implications for nurse clinicians, researchers, and educators working in community and multicultural settings."]},{"key":"dc:title","label":"Title","values":["The Work of Living with HIV: A Study of Binational Groups"]}]}],"canonical_facts":{"dc:creator":["Joy, Christina, DNSc"],"dc:date.available":["2021-06-28T07:00:00Z"],"dc:description.abstract":["The purpose of this investigation was to study the experience of individuals who live with and manage HIV infection and AIDS. The context of living with HIV/AIDS, the prevailing conditions, the actions/strategies used, and the consequences of the actions were considered using grounded theory methodology and dimensional analysis. A purposeful sample of 21 individuals HIV positive or diagnosed with AIDS from San Diego, California and Tijuana, Mexico were interviewed using semi-structured questions. Data were analyzed using open and axial coding, the constant comparative method, and dimensional analysis. The work of living with HIV emerged as the central dimension within the context of the HIV care system. Conditions influencing participants were societal stigma and social support. Taking care of self, which included involvement with HIV-related treatment activities, making changes, being willing to experiment, taking charge of one's health care, and being cautious, were undertaken with the goals of staying healthy--for the cure (San Diego participants) and living better (Tijuana participants). Of particular interest was the use of clinical drug trials by a majority of participants from both groups as either a supplemental or essential source of HIV health care. The findings of this study have implications for nurse clinicians, researchers, and educators working in community and multicultural settings."],"dc:identifier":["https://digital.sandiego.edu/dissertations/266"],"dc:subject":["Acquired Immunodeficiency Syndrome--AIDS","health management","Human Immunodeficiency Virus--HIV","nursing"],"dc:title":["The Work of Living with HIV: A Study of Binational Groups"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Dissertation: Open Access"],"thesis:degree_name":["Doctor of Nursing Science"]},"updated_at":"2026-07-24T05:40:42Z"}