A Formative Evaluation of Organizational Readiness to Implement Nurse-Initiated HIV Rapid Testing in Two Veterans Health Administration Substance Use Disorder Clinics

Autor:	Hana Horns Ba, Mssw Herschel E. Knapp PhD, Joya F. Golden Msw, Mph S. Randal Henry DrPH, Hildi Hagedorn, Jamie E. Feld Ba, Henry D. Anaya
Rok vydání:	2010
Předmět:	Test strategy Health (social science) business.industry Human immunodeficiency virus (HIV) virus diseases Veterans health medicine.disease medicine.disease_cause Substance abuse Formative assessment Nursing Organizational readiness Medicine business Administration (government) Rapid testing
Zdroj:	Journal of HIV/AIDS & Social Services. 9:7-26
ISSN:	1538-151X 1538-1501
DOI:	10.1080/15381501003661513
Popis:	Within the Veterans Health Administration, substance use disorder clinics can be important locations for identifying HIV-infected patients. In this formative evaluation we assessed organizational readiness to implement a nurse-initiated HIV rapid test strategy in two Veterans Health Administration substance use disorder clinics. We conducted 34 quantitative surveys and 21 key informant interviews with front-line staff and management to assess attitudes regarding HIV testing in general and nurse-initiated HIV rapid testing specifically. We also assessed potential organizational impediments and facilitators to the implementation of nurse-initiated HIV rapid testing. Staff agreed that nurse-initiated HIV rapid testing is supported by research evidence, clinical experience, and patient need. Staff differed on the degree to which nurse-initiated HIV rapid test strategy fit within the substance use disorder clinic mission. We identified barriers to the implementation of nurse-initiated HIV rapid testing, includ...
Databáze:	OpenAIRE
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