艾滋病毒暴露前预防教育在成人-老年初级保健和家庭护士执业程序:一个横断面研究。

IF 1.6 4区 医学
Kristopher Jackson, Starr Tomlinson, Ralph Klotzbaugh
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引用次数: 0

摘要

背景:让初级保健提供者参与艾滋病毒预防,特别是通过使用暴露前预防(PrEP),对于结束艾滋病毒流行至关重要。目的:评估PrEP教育在家庭执业护士(FNP)和成人老年初级保健执业护士(AGPCNP- ag)项目课程中的纳入程度,以及项目负责人对PrEP的知识水平。方法:在2024年1月至6月期间,对美国463家提供AGPCNP和/或FNP项目的机构的项目负责人进行了网络调查。调查调查了参与者对PrEP的熟悉程度,以及PrEP是否包括在每个项目的课程中。参与者对3个探索性PrEP护理领域的声明表示同意:(1)有效性,影响和获取,(2)安全性和风险,(3)临床实践和患者管理。结果:在样本中代表的188所机构中,84%的机构报告在其课程中提到了PrEP。然而,只有67%的人能正确识别PrEP的临床适应症,只有18%的人能识别出美国食品和药物管理局批准的所有3种PrEP药物。对李克特式PrEP信念项目的探索性分析揭示了教师受访者对PrEP的看法的可变性,这可能会影响课程。结论:尽管PrEP在美国FNP和AGPCNP-AG项目中得到了解决,但教师的知识差距仍然存在,特别是关于其临床适应症和批准的药物。这些知识差距可能会阻碍将预防措施纳入初级保健实践。影响:免费提供资源,如在线模块和专家主导的网络研讨会,可能是在课堂上加强PrEP教育的有效策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HIV preexposure prophylaxis education in adult-gerontology primary care and family nurse practitioner programs: A cross-sectional study.

Background: Engaging primary care providers in HIV prevention, particularly through the use of preexposure prophylaxis (PrEP), is essential to ending the HIV epidemic.

Purpose: To assess the extent to which PrEP education is included in family nurse practitioner (FNP) and adult-gerontology primary care nurse practitioner (AGPCNP-AG) program curricula and the level of knowledge program leaders have regarding PrEP.

Methodology: An internet survey was distributed between January and June 2024 to program leaders from 463 US institutions offering AGPCNP and/or FNP programs. The survey examined participants' familiarity with PrEP and whether PrEP was included in each program's curriculum. Participants rated their agreement with statements across 3 exploratory PrEP care domains: (1) effectiveness, impact, and access, (2) safety and risks, and (3) clinical practice and patient management.

Results: Of the 188 institutions represented in the sample, 84% reported addressed PrEP in their curriculum. However, only 67% could correctly identify the clinical indications for PrEP, and just 18% identified all 3 Food and Drug Administration-approved PrEP medications. Exploratory analysis of Likert-style PrEP beliefs items revealed variability in perceptions of PrEP among faculty respondents that could affect curriculum.

Conclusions: Although PrEP is addressed in U.S. FNP and AGPCNP-AG programs, gaps in faculty knowledge remain, particularly concerning its clinical indications and approved medications. These knowledge gaps could hinder the integration of PrEP into primary care practice.

Implications: Freely available resources, such as online modules and expert-led webinars, could be an effective strategy to augment PrEP education in the classroom.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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