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Urban Outpost Nursing: The Nature of the Nurses' Work in the AIDS Prevention Street Nurse Program

Authors

  • B. Ann Hilton R.N., Ph.D.,

    1. B. Ann Hilton is a Professor and Ray Thompson is an Assistant Professor, University of British Columbia, School of Nursing, Vancouver, British Columbia. At the time of the study, Laura Moore-Dempsey was an Outreach Nursing Administrator, STD/AIDS Control, BC Center for Disease Control Society, Vancouver, British Columbia. Kylie Hutchinson is the director of Community Solutions, Vancouver, British Columbia.
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  • Ray Thompson R.N., M.S.N.,

    1. B. Ann Hilton is a Professor and Ray Thompson is an Assistant Professor, University of British Columbia, School of Nursing, Vancouver, British Columbia. At the time of the study, Laura Moore-Dempsey was an Outreach Nursing Administrator, STD/AIDS Control, BC Center for Disease Control Society, Vancouver, British Columbia. Kylie Hutchinson is the director of Community Solutions, Vancouver, British Columbia.
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  • Laura Moore-Dempsey R.N., B.Sc.N.,

    1. B. Ann Hilton is a Professor and Ray Thompson is an Assistant Professor, University of British Columbia, School of Nursing, Vancouver, British Columbia. At the time of the study, Laura Moore-Dempsey was an Outreach Nursing Administrator, STD/AIDS Control, BC Center for Disease Control Society, Vancouver, British Columbia. Kylie Hutchinson is the director of Community Solutions, Vancouver, British Columbia.
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  • Kylie Hutchinson B.Sc.

    1. B. Ann Hilton is a Professor and Ray Thompson is an Assistant Professor, University of British Columbia, School of Nursing, Vancouver, British Columbia. At the time of the study, Laura Moore-Dempsey was an Outreach Nursing Administrator, STD/AIDS Control, BC Center for Disease Control Society, Vancouver, British Columbia. Kylie Hutchinson is the director of Community Solutions, Vancouver, British Columbia.
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Address correspondence to Dr. Ann Hilton, School of Nursing, T201–2211 Wesbrook Mall, University of British Columbia, Vancouver, BC V6T 2B5, Canada. E-mail: hilton@nursing.ubc.ca.

Abstract

The AIDS Prevention Street Nurse Program in Vancouver, Canada focuses on HIV and sexually transmitted diseases (STD) prevention within a context of harm reduction and health promotion targeted at marginalized, hard to reach, high-risk populations. As part of a large evaluation project that included interviews with street nurses, clients, and other service providers together with document analysis, the nature of the street nurses' work and its fit within the provision of health care were described. The street nurses' work reflected the following themes: reaching the marginalized high-risk populations for HIV/STDs; building and maintaining trust, respect, and acceptance; doing HIV/AIDS and STD prevention, early detection, and treatment work; helping clients connect with and negotiate the health care system; and influencing the system and colleagues to be responsive. The findings and their implications for community health nursing practice are examined.

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