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Posts tagged ‘Joseph De Santis’

Frailty in Older People Living With HIV


The current ANS featured article is titled “Frailty in the Context of Older People Living With HIV: A Concept Analysis” by Evelyn Iriarte, MSN, BSN, RN; Rosina Cianelli, PhD, MPH, RN, IBCLC, FAAN; and Joseph De Santis, PhD, APRN, ACRN, FAAN. While this article is featured you can access it on the ANS website at no charge here

Evelyn Iriarte

I am currently a PhD candidate at the School of Nursing and Health Studies at the University of Miami. My dissertation is entitled “Impact of HIV Self-Management on Multidimensional Frailty and Quality of Life among Hispanic/Latinx People Living with HIV Infection Aged 50 and above”.  In the context of developing my dissertation, I wrote this concept analysis aimed to analyze the concept of frailty in the context of older people living with HIV (PLWH). The reasons to start writing this article were that despite advances in knowledge about older PLWH, frailty remains a challenge to HIV care. Numerous studies have documented its impact; however, the concept remains unclear. This knowledge is needed to promote an increased understanding and recognition of frailty among PLWH due to its potential preventive role within health care services. However, there is still much debate about the concept and its’ measurement, as this concept has not been clearly explored and defined within the context of older PLWH.  

This concept analysis provides an initial framework for understanding frailty in the context of older PLWH that includes attributes such as older age, inflammatory, hormonal, and immunological dysregulation, HIV-specific factors, comorbidities, and social, structural, and behavioral factors. Furthermore, frailty is evidenced as a state of vulnerability to HIV infection stressors, unintentional weight loss, exhaustion/fatigue, slower gait speed, decreased physical activity level, and muscle weakness. This state is manifested through several adverse outcomes that can impact health and quality of life.

In light of the current potential impact on health care, frailty requires further empirical and conceptual work. It is critical to continue developing research to advance the knowledge about frailty among older PLWH, principally regarding its assessment and interventions to prevent or treat frailty centered in holistic care.

Authors L-R: Dr. Joseph De Santis, Mrs. Evelyn Iriarte, and Dr. Rosina Cianelli
ANAC Conference 2021

Examining the meaning of “relationship power”


The latest ANS featured article is authored by Valerie Halstead, BSN; Joseph De Santis, PhD, ARNP, ACRN; Jessica Williams, PhD, MPH, APHN-BC, and is titled “Relationship Power in the Context of Heterosexual Intimate Relationships: A Conceptual Development.” The article is available to download at no cost while it is featured, and we welcome your comments in response!  Ms Halstead shared this information about this work:

It is a great pleasure to have our article featured on the ANS blog. The need for this article was identified while I was

Valerie Halstead

Valerie Halstead

enrolled in an epistemology class. Within this class we discussed the importance for concepts to be clearly defined to advance nursing knowledge, research, and theory development. Though this is the case, when reading literature focused on relationship power, inconsistencies were revealed in how this concept has been examined and defined. Because of this, a need for clarification of this concept was identified.

Therefore, with the guidance and collaboration from co-authors Dr. DeSantis and Dr. Williams, we are pleased to offer this conceptual development of relationship power in the context of heterosexual intimate relationships. We conducted a concept analysis on the basis of the guidelines

Jessica Williams

Jessica Williams

provided by Walker and Avant to assist in understanding this concept. As specified in this article, we propose the definition of relationship power to be the relative perceived, and actual ability to influence a relationship partner.

Many of the identified consequences of relationship power were found to have health care implications. Because of

Joseph De Santis

Joseph De Santis

this, it is extremely important for nurses in the clinical setting to be aware of what this concept entails. Doing so will help ensure they provide appropriate and comprehensive care to patients. Therefore, we hope that this article assists nurses with this. Furthermore, it is hoped that this article will assist nurse researchers in increasing consistency in their use of conceptual definitions and operational uses of relationship power. Doing so will allow for more directed future research in this particular area of science. We want to thank ANS for giving us the opportunity to share our developing work in this important area of nursing research.

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