title: Motivation, management, and mastery: a theory of resilience in the context of HIV infection.
abstract: BACKGROUND
  Clients with HIV infection have been conceptualized as a resilient population. Although a few researchers have documented resilience among clients with HIV infection, a theory of resilience in the context of HIV infection has not been developed. The purpose of this study was to describe the process by which resilience occurs for clients in the context of HIV infection.
  
  
  METHODS
  Grounded theory methodology was used to sample and analyze data from 15 qualitative interviews with adults with HIV infection. Data were collected until saturation was reached.
  
  
  RESULTS
  A theory, motivation, management, and mastery, a description of the process by which resilience occurs in the context of HIV infection, emerged from the data.
  
  
  CONCLUSIONS
  Many clients living with HIV infection are resilient, despite the physical, psychological, and social challenges of this chronic illness. Nursing interventions to promote resilience among clients with HIV infection should be directed toward identification of client motivation factors and disease management strategies that may influence health outcomes of people living with HIV infection.
authors: University of Miami School of Nursing and Health Studies, Coral Gables, FL 33146, USA. jdesantis@miami.edu
authors: Joseph P
authors: JP
authors: De Santis
authors: Aubrey
authors: A
authors: Florom-Smith
authors: Amber
authors: A
authors: Vermeesch
authors: Susana
authors: S
authors: Barroso
authors: Diego A
authors: DA
authors: DeLeon
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015897:Comorbidity; D019468:Disease Management; D005260:Female; D015658:HIV Infections / Q000451:nursing* / Q000523:psychology*; D006801:Humans; D007389:Internal-External Control; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011582:Psychological Theory; D012069:Religion and Psychology; D055500:Resilience, Psychological; D012803:Sick Role; D012944:Social Support; D029181:Spirituality
references: J LGBT Health Res. 2007;3(4):37-51
references: 19042909
references: Nurs Res. 1998 Mar-Apr;47(2):69-78
references: 9536190
references: AIDS Behav. 2005 Mar;9(1):15-26
references: 15812610
references: Health Care Women Int. 2009 Jul;30(7):572-94
references: 19492204
references: J Nurs Meas. 1993 Winter;1(2):165-78
references: 7850498
references: Am J Occup Ther. 1991 Jun;45(6):493-503
references: 2063939
references: Child Dev. 2000 May-Jun;71(3):543-62
references: 10953923
references: J Trauma Stress. 2010 Aug;23(4):452-60
references: 20648562
references: J Immigr Minor Health. 2010 Dec;12(6):932-9
references: 20455080
references: J Assoc Nurses AIDS Care. 2009 May-Jun;20(3):161-8
references: 19427593
references: Psychosomatics. 2000 Mar-Apr;41(2):140-6
references: 10749952
references: J Consult Clin Psychol. 2011 Apr;79(2):203-14
references: 21355637
references: Arch Med Res. 2000 Sep-Oct;31(5):515-9
references: 11179588
references: Health Care Women Int. 2007 Jan;28(1):3-20
references: 17148106
references: Soc Work Health Care. 2003;37(1):87-114
references: 12921407
references: Gerontologist. 2011 Feb;51(1):101-11
references: 20650948
references: Clin Med (Lond). 2009 Apr;9(2):125-8
references: 19435115
references: Issues Ment Health Nurs. 2011;32(6):345-54
references: 21692572
references: J Consult Clin Psychol. 2010 Dec;78(6):952-63
references: 20919760
references: Public Health Nurs. 2008 Sep-Oct;25(5):409-19
references: 18816358
references: Arch Psychiatr Nurs. 1996 Oct;10(5):276-82
references: 8897710
references: AIDS Patient Care STDS. 2008 Mar;22(3):233-43
references: 18290749
references: AIDS Behav. 2012 Feb;16(2):295-303
references: 21380494
references: Br J Psychiatry. 1985 Dec;147:598-611
references: 3830321
references: Health Psychol. 2008 Sep;27(5):628-37
references: 18823189
references: Qual Health Res. 2007 Feb;17(2):162-75
references: 17220388
references: AIDS Behav. 2012 Apr;16(3):690-9
references: 21221755
references: AIDS Care. 2011 Apr;23(4):435-43
references: 21271396
references: J Health Soc Behav. 1981 Dec;22(4):337-56
references: 7320473
references: Am J Public Health. 2002 Mar;92(3):371-7
references: 11867313
references: Am J Orthopsychiatry. 2001 Jul;71(3):290-7
references: 11495331
references: Am J Orthopsychiatry. 2011 Jan;81(1):1-17
references: 21219271
references: Res Theory Nurs Pract. 2008;22(4):273-87
references: 19093664
references: AIDS Care. 2011 Jan;23(1):79-90
references: 21218280
references: AIDS Behav. 2010 Jun;14(3):567-79
references: 19357943
references: Compr Psychiatry. 1980 Nov-Dec;21(6):510-8
references: 7428355
references: J Assoc Nurses AIDS Care. 2010 Mar-Apr;21(2):144-52
references: 19879778
references: AIDS Behav. 2010 Apr;14(2):379-89
references: 18064557