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Implementing a protocol for HIV screening in the ED
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Mahmoud, Ghada. Implementing a protocol for HIV screening in the ED. Retrieved from https://doi.org/doi:10.7282/t3-xck7-4w62

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TitleImplementing a protocol for HIV screening in the ED
NameMahmoud, Ghada (author); Willard, Suzanne (chair); Rutgers University; School of Nursing - RBHS
Date Created2021
Other Date2021-05 (degree)
SubjectHIV, STDs, Sexually transmitted diseases, STIs, Sexually transmitted illnesses, HIV testing in emergency departments, HIV coinfections, Early treatment of HIV, Art therapy, Antiretroviral therapy, Viral loads, Early HIV linkage to care, Providers’ perceptions to HIV testing, Routine opt-out, Family Nurse Practitioner in Emergency Care
Extent1 online resource (71 pages)
DescriptionObjectives: The purpose of this project was to evaluate the effect of an educational intervention on the knowledge and attitudes of the ED providers and on the ordering of HIV testing in the presence of an STI related diagnosis.

Methods: The project consisted of a prospective and retrospective design looking for HIV orders in the presence of an STI related diagnosis at 6 months before the intervention and then 6 weeks and 3 months after the educational intervention. It also examined the knowledge and attitudes of the ED providers towards HIV testing in the ED, pre- and post-educational sessions, utilizing anonymous questionnaires.

Results: The results yielded statistical significance for the questionnaires with an averaged mean (M) and standard deviation (SD) for the pretest scored M=8.92, SD=1.26 and for the posttest scored M=7.75, SD=1.16 (p < .05). On the ordering HIV tests, the order rate increased to 3.7 % at 6 weeks and 3.2% at 3 months from a 1.4% at baseline (p < .05). The providers reported barriers to testing for HIV such as time, patient flow and congestion, patient refusal and blood versus oral swabs.

Conclusion: An education intervention has a positive effect on the knowledge and attitudes of ED providers on HIV ordering in the ED. However, future recommendations would be reflexing orders to HIV or offering routine opt-out.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-xck7-4w62
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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