Bagchi Ann D, Karasin Mark
J Contin Educ Nurs. 2018 Dec 1;49(12):563-574. doi: 10.3928/00220124-20181116-08.
Since 2006, the Centers for Disease Control and Prevention (CDC) has recommended routine HIV screening in primary care settings for people ages 13 to 64, regardless of individual risk factors. However, an extensive body of research has identified several barriers to primary care providers' (PCPs) adherence to the CDC recommendations. Employing a pre-postintervention design, this study provided an assessment of barriers among 11 PCPs and implemented an evidence-based continuing education program adapted to the specific individual barriers they identified. The study found that PCPs were initially providing HIV testing using risk-based criteria but that the continuing education program increased intentions to perform routine HIV testing (e.g., during annual wellness examinations and new patient visits). Results of the study inform individual quality improvement projects and legislative or policy actions to increase HIV screening in sites providing primary care. [J Contin Educ Nurs. 2018;49(12):563-574.].
自2006年以来，美国疾病控制与预防中心（CDC）建议在初级保健机构中对13至64岁的人群进行常规HIV筛查，无论其个人风险因素如何。然而，大量研究发现了初级保健提供者（PCP）遵守CDC建议存在的几个障碍。本研究采用干预前后设计，评估了11名PCP面临的障碍，并实施了一项根据他们确定的具体个人障碍量身定制的循证继续教育计划。研究发现，PCP最初使用基于风险的标准进行HIV检测，但继续教育计划增加了进行常规HIV检测的意愿（例如，在年度健康检查和新患者就诊期间）。该研究结果为个人质量改进项目以及旨在增加初级保健场所HIV筛查的立法或政策行动提供了参考。[《护理继续教育杂志》。2018年；49(12):563 - 574。]
