1. A five-year self-sustainability analysis of nurse-administered HIV rapid testing in Veterans Affairs primary care.
- Author
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Knapp H, Hagedorn H, and Anaya HD
- Subjects
- AIDS Serodiagnosis methods, Ambulatory Care Facilities, Hospitals, Veterans, Humans, Interviews as Topic, Los Angeles, Mass Screening methods, Mass Screening statistics & numerical data, Primary Care Nursing, Program Evaluation, Qualitative Research, United States, United States Department of Veterans Affairs, Veterans Health statistics & numerical data, AIDS Serodiagnosis statistics & numerical data, HIV Infections diagnosis, Nurse's Role, Point-of-Care Systems, Primary Health Care organization & administration
- Abstract
In 2008, nurse-administered HIV oral rapid testing (RT) was introduced at the Veterans Affairs Primary Care Clinic in Downtown Los Angeles. Analysis at five years revealed variable yet increasing rates of HIV RT at that facility despite the fact that no post-launch support was provided by the implementation team. Qualitative interviews among stakeholders conducted at five years revealed the pre-existing implementation practices endemic to this clinic that facilitated this unprecedented success (e.g. history of positive quality improvement implementations, leadership support, clinician involvement at each step of the process to facilitate empowerment, ownership and feasible customisation of the implementation, cohesive communication among clinicians and leadership, training, efficient supply pathway, progressive performance feedback and ongoing encouragement)., (© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.)
- Published
- 2014
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