护士主导的改善 HIV 孕前保健服务实施的倡议。
A Nurse-Led Initiative to Improve Implementation of HIV Preconception Care Services.
机构信息
Joanne Phillips Simone, MS, RN, is an Education Specialist, François-Xavier Bagnoud Center, School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey, USA. Mary Jo Hoyt, MS, RN, is a Clinical Evaluator, HIV Services, City of Kansas City, Missouri Health Department, Kansas City, Missouri, USA. Laura Bogert, RN, is a Clinical Coordinator, François-Xavier Bagnoud Center, School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey, USA. Deborah S. Storm, PhD, RN, was Director of Research and Evaluation, François-Xavier Bagnoud Center, School of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey, USA.
出版信息
J Assoc Nurses AIDS Care. 2021;32(1):115-126. doi: 10.1097/JNC.0000000000000212.
United States guidelines recommend preconception care (PCC) as an integral part of primary care to improve maternal and fetal/newborn outcomes and promote planned pregnancies. Persons living with HIV have additional, specialized needs for PCC. However, PCC is not reliably integrated in HIV care, and few studies have examined strategies to improve the provision of PCC services. We describe a successful, nurse-led initiative that incorporated collaborative strategic planning in conjunction with staff education and continuous quality improvement to strengthen implementation of PCC in a small urban HIV care clinic. Key features of this project included consensus building, training, and action planning with clinic staff; addressing clinic-specific barriers; and providing ongoing support/technical assistance. Continuous quality improvement reviews at 12, 18, and 36 months demonstrated improved and sustained implementation of PCC services for women and men. Our experiences serve as a model for HIV primary care clinics working to advance implementation of PCC services.
美国指南建议将孕前保健（PCC）作为初级保健的一个组成部分，以改善母婴和新生儿结局，并促进计划妊娠。HIV 感染者有额外的、专门的 PCC 需求。然而，PCC 在 HIV 护理中并没有得到可靠的整合，很少有研究探讨改善 PCC 服务提供的策略。我们描述了一项成功的、由护士主导的倡议，该倡议结合了协作战略规划、员工教育和持续质量改进，以加强在一个小型城市 HIV 护理诊所实施 PCC。该项目的主要特点包括与诊所工作人员达成共识、培训和行动计划；解决诊所特有的障碍；并提供持续的支持/技术援助。在 12、18 和 36 个月的持续质量改进审查中，PCC 服务的实施得到了改善和持续。我们的经验为努力推进 PCC 服务实施的 HIV 初级保健诊所提供了一个模式。
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