Allison Rosalie L, Ricketts Ellie J, Hartney Thomas, Nardone Anthony, Town Katy, Rugman Claire, Folkard Kate, Dunbar J Kevin, McNulty Cliodna Am
Research Assistant, Primary Care Unit, Department of Microbiology, Public Health England, Gloucester, UK.
Cancer Support Specialist, Oncology Department, Derriford Hospital, Plymouth, UK.
BJGP Open. 2018 Apr 7;2(1):bjgpopen18X101433. doi: 10.3399/bjgpopen18X101433. eCollection 2018 Apr.
In 2013, Public Health England piloted the '3Cs (chlamydia, contraception, condoms) and HIV (human immunodeficiency virus)' educational intervention in 460 GP surgeries. The educational HIV workshop aimed to improve the ability and confidence of staff to offer HIV testing in line with national guidelines.
To qualitatively assess the impact of an educational workshop on GP staff's attitudes to NICE HIV testing guidelines.
DESIGN & SETTING: Qualitative interviews with GP staff across England before and after an educational HIV workshop.
Thirty-two GP staff (15 before and 17 after educational HIV workshop) participated in interviews exploring their views and current practice of HIV testing. Interview transcripts were thematically analysed and examined, using the components of the theory of planned behaviour (TPB) and normalisation process theory (NPT) as a framework.
GPs reported that the educational HIV workshop resulted in increased knowledge of, and confidence to offer, HIV tests based on indicator conditions. However, overall participants felt they needed additional HIV training around clinical care pathways for offering tests, giving positive HIV results, and current treatments and outcomes. Participants did not see a place for point-of-care testing in general practice.
Implementation of national HIV guidelines will require multiple educational sessions, especially to implement testing guidelines for indicator conditions in areas of low HIV prevalence. Additional role-play or discussions around scripts suggesting how to offer an HIV test may improve participants' confidence and facilitate increased testing. Healthcare assistants (HCAs) may need specific training to ensure that they are skilled in offering HIV testing within new patient checks.
2013年，英国公共卫生部在460家全科医生诊所试点了“3C（衣原体、避孕、避孕套）与HIV（人类免疫缺陷病毒）”教育干预措施。HIV教育工作坊旨在提高工作人员按照国家指南提供HIV检测的能力和信心。
定性评估一个教育工作坊对全科医生工作人员对英国国家卫生与临床优化研究所（NICE）HIV检测指南态度的影响。
在一个HIV教育工作坊前后，对英格兰各地的全科医生工作人员进行定性访谈。
32名全科医生工作人员（15名在HIV教育工作坊之前，17名在之后）参与了访谈，探讨他们对HIV检测的看法和当前做法。访谈记录采用计划行为理论（TPB）和规范化过程理论（NPT）的组成部分作为框架进行主题分析和审视。
全科医生报告称，HIV教育工作坊使他们基于指标条件进行HIV检测的知识增加，且提供检测的信心增强。然而，总体而言，参与者觉得他们需要围绕提供检测、给出HIV阳性结果以及当前治疗和结果的临床护理路径接受更多HIV培训。参与者认为即时检测在全科医疗中没有立足之地。
实施国家HIV指南将需要多次教育课程，尤其是在HIV低流行地区实施指标条件检测指南。围绕如何提供HIV检测的脚本进行额外的角色扮演或讨论可能会提高参与者的信心并促进检测增加。医疗保健助理（HCAs）可能需要接受特定培训，以确保他们在新患者检查中具备提供HIV检测的技能。
