Evaluating the efficacy of nurse-led Pre-Exposure Prophylaxis (PrEP) administration

Disciplines

Family Practice Nursing | Nursing Administration | Public Health and Community Nursing

Abstract (300 words maximum)

Public health programs implemented to mitigate COVID-19 transmission have led to reduced access to care for people at risk of acquiring human immunodeficiency virus (HIV). It is evident from the rise in HIV transmission rates that there is a need for increased healthcare engagement in the scale-up of pre-expose prophylaxis (PrEP) and HIV services. A review of recent literature found that nurse-led PrEP delivery programs increase the incidence of initiation of PrEP care compared to physician-led prescribing. Nurse-led PrEP delivery is also supported by the current holistic nursing scope of practice at multiple levels, and evidence supports that nurses can positively affect patient perceptions of PrEP risk, the perceived inability to manage PrEP care, and patient perception of being engaged in the PrEP care continuum. This study will explore the possibility of introducing a standard nurse-initiated patient screening for PrEP use in a public health setting and subsequent nurse-led prescribing of PrEP. This will include a nurse PrEP education session followed by a questionnaire to measure the likelihood of leading a patient-centered conversation related to PrEP. The education session will be followed by the administration of a standard HIV/PrEP screening questionnaire to all patients. For interested patients, an initial nurse practitioner visit for PrEP will be made and confirmed with a follow-up telephone call to confirm successful entrance into care. Qualitative results will be achieved by evaluating the nurses' responses to the questionnaire about nurse-led PrEP conversations. Quantitative results will be achieved by measuring, over the course of six months, the number of successful initial PrEP visits confirmed by a follow-up phone call. Analysis of the success of this nurse-led PrEP delivery program is pending. This is a proposed project. Therefore there are no results.

Academic department under which the project should be listed

Wellstar School of Nursing

Primary Investigator (PI) Name

Christie Emerson

Additional Faculty

Dr. Anne White, Nursing, awhite@kennesaw.edu

Alysson Epp, Nursing, aepp@kennesaw.edu

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Evaluating the efficacy of nurse-led Pre-Exposure Prophylaxis (PrEP) administration

Public health programs implemented to mitigate COVID-19 transmission have led to reduced access to care for people at risk of acquiring human immunodeficiency virus (HIV). It is evident from the rise in HIV transmission rates that there is a need for increased healthcare engagement in the scale-up of pre-expose prophylaxis (PrEP) and HIV services. A review of recent literature found that nurse-led PrEP delivery programs increase the incidence of initiation of PrEP care compared to physician-led prescribing. Nurse-led PrEP delivery is also supported by the current holistic nursing scope of practice at multiple levels, and evidence supports that nurses can positively affect patient perceptions of PrEP risk, the perceived inability to manage PrEP care, and patient perception of being engaged in the PrEP care continuum. This study will explore the possibility of introducing a standard nurse-initiated patient screening for PrEP use in a public health setting and subsequent nurse-led prescribing of PrEP. This will include a nurse PrEP education session followed by a questionnaire to measure the likelihood of leading a patient-centered conversation related to PrEP. The education session will be followed by the administration of a standard HIV/PrEP screening questionnaire to all patients. For interested patients, an initial nurse practitioner visit for PrEP will be made and confirmed with a follow-up telephone call to confirm successful entrance into care. Qualitative results will be achieved by evaluating the nurses' responses to the questionnaire about nurse-led PrEP conversations. Quantitative results will be achieved by measuring, over the course of six months, the number of successful initial PrEP visits confirmed by a follow-up phone call. Analysis of the success of this nurse-led PrEP delivery program is pending. This is a proposed project. Therefore there are no results.