DescriptionPurpose of Project: To understand the factors that influence emergency nurses’ intentions and behaviors toward performing HIV screening.
Methods: Participant-administered online survey of emergency department staff nurses who work in the United States and provide direct patient care.
Results: Key findings were low knowledge about the CDC’s HIV screening recommendation, low levels of HIV screening intention and behavior, and unfavorable attitudes toward HIV screening in the ED. The amount of HIV screening-related nursing education and/or training was the only demographic factor that predicted nurses’ HIV screening intention and behavior. The availability of HIV screening and/or diagnostic testing and policies that support offering routine HIV screening were the only workflow variables that predicted nurses’ HIV screening intention and behavior. The following study measures predicted emergency nurses’ HIV screening intentions: the level of importance given to performing HIV screening, the degree to which nurses perceived they were expected to perform HIV screening, and the perceived facilitators to performing HIV screening. The following study measures predicted emergency nurses’ HIV screening behaviors: HIV screening knowledge, perceived facilitators to performing HIV screening, and HIV screening intention.
Implications for Practice: The results of this study demonstrate emergency nurses’ knowledge about HIV screening and organizational support for HIV screening are key factors in the development of HIV screening intention and behavior. Nurses’ workflows, knowledge, and resources must be considered when organizations create and sustain ED-based HIV screening programs.