Initiation of a HIV Screening Protocol and Pathway in the Emergency Department: A Quality Improvement Initiative

2.50
Hdl Handle:
http://hdl.handle.net/10755/623553
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Initiation of a HIV Screening Protocol and Pathway in the Emergency Department: A Quality Improvement Initiative
Author(s):
Davis, Kristina Anne
Lead Author STTI Affiliation:
Zeta Gamma
Author Details:
Kristina A. Davis, DNP, FNP-C, AGACNP-BC, ENP-C
Abstract:

There is currently a nationwide campaign to address human immunodeficiency virus (HIV) prevention and treatment. The emergency department (ED) is a significant venue in the HIV prevention and treatment campaign. The quality improvement (QI) project was based on the multiple national HIV/AIDS agencies advocacy, as well as the Centers for Disease Control and Prevention’s (CDC’s) HIV screening recommendations. The project goal was to increase HIV screening in the emergency department (ED) at Cape Fear Valley by utilizing a targeted screening approach. Patients between the ages of 19 to 64 with a sexually-transmitted related disease complaint were offered screening. The ED is an 80-bed adult department that serves Cumberland County, NC. Patient-centeredness and accountability were the foundation of the project’s aims. A retrospective chart review was completed to verify the need for an HIV screening protocol and pathway. Originally the project was designed for HIV screening to occur in secondary triage; however, due to concerns related to patient privacy the project was adapted to allow screening to occur in the patient treatment room. Twenty-eight patients were offered screening with 13 patients accepting HIV screening; one patient had a reactive result. Additionally, the project identified the various aspects of provider perspectives related to HIV screening. Understanding provider perspectives contributes to knowledge necessary to combat bias and screening hesitance. Although the project increased HIV screening in the ED, the need to comply with the CDC’s recommendations remains present. Provider and staff bias, financial burdens, systems processes, and time burdens are obstacles that must be addressed before a successful HIV screening protocol can be initiated in an ED.

Keywords:
Human Immunodeficiency Virus (HIV); Prevention of HIV/AIDS; Acquired Immunodeficiency Syndrome (AIDS); Quality Improvement Project; Emergency Department; Emergency Department and Health Care Providers
CINAHL Headings:
HIV Infections; HIV Infections--Prevention and Control; Acquired Immunodeficiency Syndrome; Acquired Immunodeficiency Syndrome--Prevention and Control; Program Implementation; Quality Improvement; Emergency Service; Health Personnel
Repository Posting Date:
9-Nov-2017
Date of Publication:
9-Nov-2017
Note:
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeDNP Capstone Projecten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.titleInitiation of a HIV Screening Protocol and Pathway in the Emergency Department: A Quality Improvement Initiativeen_US
dc.contributor.authorDavis, Kristina Anneen
dc.contributor.departmentZeta Gammaen
dc.author.detailsKristina A. Davis, DNP, FNP-C, AGACNP-BC, ENP-Cen
dc.identifier.urihttp://hdl.handle.net/10755/623553-
dc.description.abstract<p>There is currently a nationwide campaign to address human immunodeficiency virus (HIV) prevention and treatment. The emergency department (ED) is a significant venue in the HIV prevention and treatment campaign. The quality improvement (QI) project was based on the multiple national HIV/AIDS agencies advocacy, as well as the Centers for Disease Control and Prevention’s (CDC’s) HIV screening recommendations. The project goal was to increase HIV screening in the emergency department (ED) at Cape Fear Valley by utilizing a targeted screening approach. Patients between the ages of 19 to 64 with a sexually-transmitted related disease complaint were offered screening. The ED is an 80-bed adult department that serves Cumberland County, NC. Patient-centeredness and accountability were the foundation of the project’s aims. A retrospective chart review was completed to verify the need for an HIV screening protocol and pathway. Originally the project was designed for HIV screening to occur in secondary triage; however, due to concerns related to patient privacy the project was adapted to allow screening to occur in the patient treatment room. Twenty-eight patients were offered screening with 13 patients accepting HIV screening; one patient had a reactive result. Additionally, the project identified the various aspects of provider perspectives related to HIV screening. Understanding provider perspectives contributes to knowledge necessary to combat bias and screening hesitance. Although the project increased HIV screening in the ED, the need to comply with the CDC’s recommendations remains present. Provider and staff bias, financial burdens, systems processes, and time burdens are obstacles that must be addressed before a successful HIV screening protocol can be initiated in an ED.</p>en
dc.subjectHuman Immunodeficiency Virus (HIV)en
dc.subjectPrevention of HIV/AIDSen
dc.subjectAcquired Immunodeficiency Syndrome (AIDS)en
dc.subjectQuality Improvement Projecten
dc.subjectEmergency Departmenten
dc.subjectEmergency Department and Health Care Providersen
dc.subject.cinahlHIV Infectionsen
dc.subject.cinahlHIV Infections--Prevention and Controlen
dc.subject.cinahlAcquired Immunodeficiency Syndromeen
dc.subject.cinahlAcquired Immunodeficiency Syndrome--Prevention and Controlen
dc.subject.cinahlProgram Implementationen
dc.subject.cinahlQuality Improvementen
dc.subject.cinahlEmergency Serviceen
dc.subject.cinahlHealth Personnelen
dc.date.available2017-11-09T15:06:18Z-
dc.date.issued2017-11-09-
dc.date.accessioned2017-11-09T15:06:18Z-
dc.description.noteThis work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
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