Interpersonal relationships of people living with HIV in sustained viral suppression with the multidisciplinary health team.
Thamyris Lucimar Pastorini Gonçalves, Maria Clara de Freitas, Mara Solange Gomes Dellaroza and 3 others
PMID 41059827WHAT IT FOUND
People living with HIV in sustained viral suppression described welcoming, nonjudgmental, discreet team contact, clear education, empathy, and holistic support as helping them stay in care.
They also flagged infrequent viral-load tests and rigid pharmacy or appointment logistics.
Key findings
01Participants said being well received by nonprejudiced staff, discretion about their diagnosis, and continuous team support helped them keep coming to treatment.
02Clear, simple explanations and empathetic care were described as central to feeling safe and staying in care.
03Participants raised concerns about viral-load test frequency, pharmacy medication pickup limits, appointment rescheduling, and lack of structural resources.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Findings come from 15 people already in sustained viral suppression who were present for consultations or test collections, so they may not represent people who dropped out, were not adherent, or had unsuppressed virus. Participants were selected by convenience from two services in northern Paraná, Brazil, so themes may not transfer to other settings or populations. The study did not assess socioeconomic aspects, which the authors note as a limitation. The analysis reports perceptions and discourse themes, not measured effects of team relationships on adherence or viral suppression.
The easy way to misread this
Do not treat these patient accounts as proof that nurse or team communication caused viral suppression. The study interviewed 15 people already in sustained viral suppression, so it describes perceptions, not a measured treatment effect.