Heinert Sara, Carter Julius, Mauntel-Medici Cammeo, Lin Janet
J Assoc Nurses AIDS Care. 2017 May-Jun;28(3):316-326. doi: 10.1016/j.jana.2016.12.004. Epub 2016 Dec 15.
Routine opt-out HIV screening is recommended for everyone between 13 and 64 years of age. An urban, academic emergency department implemented a nurse-driven routine opt-out HIV screening program. The aim of our study was to assess program uptake and opportunities to improve the program from the perspectives of emergency nurses. Emergency nurses completed a brief prediscussion questionnaire and then participated in a focus group or semi-structured one-on-one interview to elicit feedback on the routine opt-out HIV screening program. All 16 participants felt adequately prepared for the screening program. Several themes emerged from the discussions, including challenges of specific patient characteristics and overall nurse and patient support for the program. One thread across themes was the importance of good language and communication skills in such programs. While there are opportunities to improve nurse-driven routine opt-out HIV testing programs in emergency settings, this program was found to be accepted by emergency nurses.
建议对所有13至64岁的人群进行常规的HIV主动退出筛查。一家城市学术急诊科实施了一项由护士主导的常规HIV主动退出筛查项目。我们研究的目的是从急诊护士的角度评估该项目的接受情况以及改进该项目的机会。急诊护士先填写一份简短的讨论前问卷，然后参加焦点小组或半结构化一对一访谈，以获取他们对常规HIV主动退出筛查项目的反馈。所有16名参与者都觉得为筛查项目做好了充分准备。讨论中出现了几个主题，包括特定患者特征带来的挑战以及护士和患者对该项目的总体支持。贯穿各主题的一个共同观点是良好的语言和沟通技巧在此类项目中的重要性。虽然在急诊环境中有机会改进由护士主导的常规HIV主动退出检测项目，但该项目被急诊护士所接受。
