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Open Access Negotiating "Home" and "Care" among the HIV+ Homeless: An Ethnographic Case Study of Home Care Nursing Habitus La négociation du « domicile » et des « soins » chez les personnes vivant avec le VIH et les sans-abri : une étude de cas ethnographique de l'habitus des soins infirmiers à domicile

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The authors combine field work among home care nurses working in an impoverished urban neighbourhood with analysis of changing models of service provision. They explore the concepts of "home" and "care" for the homeless and marginally housed as features of a home care nursing "habitus" in the face of conflicting professional and institutional approaches to HIV care. While the nurses' innovative practice is a result of the failure of existing models to meet the needs of multi-diagnosis patients, it is also influenced by the drive to increase adherence to antiretroviral regimens as a means of slowing the spread of HIV at the population level. The authors describe the nurses' negotiated practice and use Pierre Bourdieu's notion of habitus to theorize about their ability to meet competing demands.

French
Les auteures combinent le travail de terrain que fait le personnel infirmier affecté aux soins à domicile et œuvrant dans un milieu urbain pauvre, et l'analyse des modèles en évolution de la prestation des services. Elles explorent les notions de « domicile » et de « soins » pour les sans-abri ou sans domicile fixe en tant que caractéristiques d'un habitus des soins infirmiers à domicile, dans le contexte d'approches institutionnelles et professionnelles conflictuelles en matière de soins du VIH. Les infirmières et infirmiers ont adopté une pratique des soins infirmiers novatrice, puisque les modèles existants ne répondent pas aux besoins des « patients diagnostiqués comme souffrant de plusieurs troubles ». Cette pratique est aussi influencée par le mouvement axé sur l'accroissement de régimes antirétroviraux comme moyens pour ralentir la propagation du VIH dans la population. Les auteures décrivent la pratique négociée par le personnel infirmier et utilisent la notion d'habitus de Pierre Bourdieu pour élaborer une théorie sur leur capacité à répondre à des demandes concurrentielles.

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Keywords: ANTIRETROVIRALS; HABITUS; HOME CARE; HOMELESS PERSONS; NURSING PRACTICE

Document Type: Research Article

Publication date: 2008-06-01

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