Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, 30322, USA.
Curr HIV/AIDS Rep. 2021 Aug;18(4):309-327. doi: 10.1007/s11904-021-00555-0. Epub 2021 Apr 18.
This review summarizes the literature on violence screening practices within HIV care settings globally as well as identified salient multi-level barriers and facilitators for adopting and implementing violence screening within HIV care. We utilized the Consolidated Framework for Implementation Research (CFIR) to systematically identify multi-level factors related to violence screening within HIV services.
Across the 15 articles included, several highly salient CFIR constructs emerged as particularly relevant for violence screening adoption and implementation within HIV including inner setting factors, outer setting factors, as well as select constructs specific to characteristics of the violence screening process, the individuals charged with screening, and violence screening execution. This review underscores the importance of considering CFIR constructs to bolster successful violence screening implementation in HIV care settings. We describe several potential implementation strategies to overcome the most salient barriers identified across this limited body of summarized research.
本文综述了全球范围内 HIV 护理环境中暴力筛查实践的文献,并确定了在 HIV 护理中采用和实施暴力筛查的显著多层次障碍和促进因素。我们利用实施研究综合框架(CFIR)系统地确定了与 HIV 服务中暴力筛查相关的多层次因素。
在纳入的 15 篇文章中,几个高度显著的 CFIR 结构被认为与 HIV 中暴力筛查的采用和实施特别相关,包括内部环境因素、外部环境因素,以及与暴力筛查过程、负责筛查的个体以及暴力筛查执行的特定特征相关的一些特定结构。 本综述强调了考虑 CFIR 结构以增强 HIV 护理环境中成功暴力筛查实施的重要性。 我们描述了几种潜在的实施策略,以克服在这有限的总结研究中确定的最显著障碍。