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Sustaining nurse-rapid HIV testing in the U.S. Department of Veterans Affairs: lessons learned from a comparative evaluation.
- Source :
-
Journal for healthcare quality : official publication of the National Association for Healthcare Quality [J Healthc Qual] 2014 Sep-Oct; Vol. 36 (5), pp. 26-31. Date of Electronic Publication: 2013 Jun 03. - Publication Year :
- 2014
-
Abstract
- Routine HIV testing in primary care is now recommended in the United States. The U.S. Department of Veterans Affairs (VA) has increased the number of patients tested for HIV, but overall HIV testing rates remain low. A promising intervention for increasing HIV testing is nurse-initiated rapid testing (NRT). The purpose of this study was to build upon our previous research by implementing NRT in primary care clinics at two geographically distinct VA medical centers, and then conduct an evaluation to identify the barriers and facilitators to implementing and sustaining it. Semistructured telephone interviews were conducted with providers and stakeholders at two VA medical centers, one each on the East Coast and in the Southwest. Fieldnotes were developed following each interview and qualitatively coded for emerging themes. Findings indicate NRT was well integrated in both settings. NRT took little time to conduct, was well received by patients, and did not disrupt clinical scheduling. However, there were some sustainability challenges, including difficulties using the electronic medical record, and the challenges of new care practice structures. Implementing NRT is feasible in VA primary care settings. However, organizational challenges should be taken into account for subsequent efforts to implement NRT in VA primary care settings.<br /> (© 2013 National Association for Healthcare Quality.)
- Subjects :
- Ambulatory Care Facilities
Electronic Health Records
Female
Hospitals, Veterans
Humans
Male
Program Evaluation
United States
United States Department of Veterans Affairs
Veterans
HIV Infections diagnosis
HIV Infections nursing
Mass Screening methods
Veterans Health statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1945-1474
- Volume :
- 36
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal for healthcare quality : official publication of the National Association for Healthcare Quality
- Publication Type :
- Academic Journal
- Accession number :
- 23731235
- Full Text :
- https://doi.org/10.1111/jhq.12015