Original ArticleMaintaining Normalcy A Grounded Theory of Engaging in HIV-oriented Primary Medical CareMallinson, R. Kevin PhD, RN, AACRN; Relf, Michael V. PhD, APRN, BC, AACRN, CCRN; Dekker, Debra PhD; Dolan, Kathy BS; Darcy, Ashley; Ford, Anna BSAuthor Information School of Nursing & Health Studies, Georgetown University (Drs Mallinson and Relf and Ms Darcy and Ford), and the Whitman-Walker Clinic, Washington, DC (Dr Dekker and Ms Dolan). Corresponding author: R. Kevin Mallinson, PhD, RN, AACRN, School of Nursing & Health Studies, Georgetown University, 3700 Reservoir Rd, NW, Washington, DC 20057. (e-mail: [email protected]). This study was supported by grant 1-H97HA0027-01 from the Health Resources and Services Administration (HRSA), Special Projects of National Significance (SPNS), program awarded to Whitman-Walker Clinic and Dr Relf (PI). This report's contents are the sole responsibility of the authors and do not necessarily reflect the official view of HRSA or the SPNS program. Advances in Nursing Science: July 2005 - Volume 28 - Issue 3 - p 265-277 Buy Abstract Despite advances in the medical treatment of HIV disease, marginalized populations continue to shoulder a disproportionate burden of HIV/AIDS-related morbidity and mortality. This study explored the process by which clients at HIV-oriented primary care clinics transition from being sporadic users of care to engaging as regular users of care. A model illustrating how participants were striving to maintain normalcy, manage perceptions, and develop life mastery skills contributes to an understanding of living with HIV disease in a social context. Elements of the model are sensitive to nursing interventions aimed at improving health outcomes and reducing health disparities among persons at highest risk. © 2005 Lippincott Williams & Wilkins, Inc.