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Hagedorn HJ. Evaluating the Implementation of Nurse-Initiated HIV Rapid Testing in VA Substance Use Disorder Clinics. Paper presented at: American Public Health Association Annual Meeting and Exposition; 2011 Nov 2; Washington, DC.
Abstract: Objective: To link individuals with substance use disorders (SUDs) to HIV testing by implementing and evaluating a variant of our previously successful nurse-initiated HIV oral rapid testing (NRT) strategy at three VA SUD clinics.
1. Training: - Evidence for NRT - Training in the use of a computerized clinical reminder (CCR) - Instructions on the HIV oral rapid test - Patient education strategies
2. Implementation: - Installation of an HIV rapid test CCR and CPRS template - An individualized testing procedure for each sub-clinic based on respective clinic flow
3. Qualitative interviews with nursing staff
4. Quantitative evaluation of HIV testing rates
Local laboratory data showed the following rates of testing over a six month period:
Site 1: 178
Site 2: 9
Site 3: 65
Barriers - Lack of support from the lab or providers who are required to sign off on nurse point-of-care testing - Resistance from some staff to expand their duties to include routine medical procedures
Facilitators - The CCR as a prompt for testing - Awareness of the population's risk and a positive attitude towards HIV testing - Offering guidance on how to provide support to preliminary positive patients
Conclusions: Besides timely receipt of results, HIV rapid testing in SUD clinics allows patients to be tested by a provider that is familiar to them in a setting that is convenient and comfortable.
Point-of-care NRT can be easily and sustainably incorporated into SUD clinics with minimal impact on nurse workflow and time.
Conduct evaluation related to programs, research, and other areas of practice
Public health or related nursing
Public health or related research
Design a sustainable nurse-initiated HIV rapid test program in substance use disorder clinics
Keywords: Substance Abuse, Nurses
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I was the project coordinator and oversaw the implementation and evaluation of the implementation research being presented.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation