{"title":"SANE Knowledge of HIV nPEP: Identifying Deficits.","authors":"Priscilla M Simms-Roberson, Piotr Broda","doi":"10.1097/TME.0000000000000524","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Discussing the risk of exposure to human immunodeficiency virus (HIV) and assessing the need for HIV nonoccupational postexposure prophylaxis (nPEP) are essential components of providing care to victims of sexual assault. Current literature on the topic of HIV nPEP for victims of sexual assault surrounds risk of exposure, patient adherence, access and barriers, current practices, and standardized order sets. A significant gap in the literature concerning sexual assault nurse examiner (SANE) knowledge of HIV infection and HIV nPEP evidence-based practice guidelines was identified. The purpose of this research was to assess SANE knowledge surrounding HIV infection and evidence-based practice recommendations for HIV nPEP use in victims of sexual assault.</p><p><strong>Methods: </strong>A 20-item knowledge survey was created using QuestionPro. The aim of the survey was to measure SANE knowledge of HIV transmission, pathophysiology, nPEP medications, and evidence-based practice guidelines for victims of sexual assault. In addition to the 20 knowledge items, 15 demographic questions were included. The study design was cross-sectional, descriptive, and comparative. A total of 411 participants completed the survey.</p><p><strong>Results: </strong>Data analysis revealed knowledge deficits for topics such as risk of HIV transmission, nPEP indications, laboratory testing, drug regimens, nPEP timing, mechanism of action, medication contraindications, and adherence issues. The overall mean score for the knowledge survey among all participants was 13.36 out of 20 (66.8%).</p><p><strong>Conclusion: </strong>A knowledge deficit among SANEs surrounding HIV infection and HIV nPEP evidence-based practice guidelines for patients who experienced sexual assault was identified. The study highlights the need for additional education for specialized nurses who are providing care to victims of sexual assault.</p>","PeriodicalId":45446,"journal":{"name":"Advanced Emergency Nursing Journal","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Advanced Emergency Nursing Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/TME.0000000000000524","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/1 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Discussing the risk of exposure to human immunodeficiency virus (HIV) and assessing the need for HIV nonoccupational postexposure prophylaxis (nPEP) are essential components of providing care to victims of sexual assault. Current literature on the topic of HIV nPEP for victims of sexual assault surrounds risk of exposure, patient adherence, access and barriers, current practices, and standardized order sets. A significant gap in the literature concerning sexual assault nurse examiner (SANE) knowledge of HIV infection and HIV nPEP evidence-based practice guidelines was identified. The purpose of this research was to assess SANE knowledge surrounding HIV infection and evidence-based practice recommendations for HIV nPEP use in victims of sexual assault.
Methods: A 20-item knowledge survey was created using QuestionPro. The aim of the survey was to measure SANE knowledge of HIV transmission, pathophysiology, nPEP medications, and evidence-based practice guidelines for victims of sexual assault. In addition to the 20 knowledge items, 15 demographic questions were included. The study design was cross-sectional, descriptive, and comparative. A total of 411 participants completed the survey.
Results: Data analysis revealed knowledge deficits for topics such as risk of HIV transmission, nPEP indications, laboratory testing, drug regimens, nPEP timing, mechanism of action, medication contraindications, and adherence issues. The overall mean score for the knowledge survey among all participants was 13.36 out of 20 (66.8%).
Conclusion: A knowledge deficit among SANEs surrounding HIV infection and HIV nPEP evidence-based practice guidelines for patients who experienced sexual assault was identified. The study highlights the need for additional education for specialized nurses who are providing care to victims of sexual assault.
背景：讨论暴露于人体免疫缺陷病毒（HIV）的风险并评估是否需要进行 HIV 非职业暴露后预防（nPEP）是为性侵犯受害者提供护理的重要组成部分。目前有关性侵犯受害者 HIV 非职业暴露后预防的文献主要围绕暴露风险、患者依从性、获取途径和障碍、当前实践以及标准化订单集。关于性侵犯护士检查员（SANE）的 HIV 感染知识和 HIV nPEP 循证实践指南的文献存在重大空白。本研究的目的是评估 SANE 对 HIV 感染的了解程度以及对性攻击受害者使用 HIV nPEP 的循证实践建议：方法： 使用 QuestionPro 制作了一份包含 20 个项目的知识调查表。调查的目的是测量 SANE 对 HIV 传播、病理生理学、nPEP 药物以及针对性侵犯受害者的循证实践指南的了解程度。除了 20 个知识项目外，还包括 15 个人口统计学问题。研究设计为横断面、描述性和比较性。共有 411 名参与者完成了调查：数据分析显示，受试者在艾滋病病毒传播风险、nPEP 适应症、实验室检测、用药方案、nPEP 用药时间、作用机制、用药禁忌症和依从性问题等方面存在知识缺陷。所有参与者的知识调查总平均分为 13.36 分（满分 20 分，占 66.8%）：结论：研究发现，医务急救人员对 HIV 感染和针对性侵犯患者的 HIV nPEP 循证实践指南缺乏了解。这项研究强调了为性侵犯受害者提供护理的专科护士接受额外教育的必要性。
期刊介绍：
Advanced Emergency Nursing Journal is a peer-reviewed journal designed to meet the needs of advanced practice clinicians, clinical nurse specialists, nurse practitioners, healthcare professionals, and clinical and academic educators in emergency nursing. Articles contain evidence-based material that can be applied to daily practice. Continuing Education opportunities are available in each issue. Feature articles focus on in-depth, state of the science content relevant to advanced practice nurses and experienced clinicians in emergency care. Ongoing Departments Include: Cases of Note Radiology Rounds Research to Practice Applied Pharmacology
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
