Lisette P Irarrázabal1, Judith A Levy1, Kathleen F Norr2, Rosina Cianelli3, L Michele Issel4, Carlos M Pérez5, Anna Hotton6. 1. School of Public Health, University of Illinois at Chicago, Chicago, Illinois, United States of America. 2. College of Nursing, University of Illinois at Chicago, Chicago, Illinois, United States of America. 3. School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, United States of America. 4. Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, United States of America. 5. Department of Infectious Diseases, Pontifícia Universidad Católica de Chile, Santiago, Chile. 6. Division of Epidemiology and Biostatistics, University of Illinois at Chicago, Chicago, Illinois, United States of America.
Abstract
OBJECTIVE: This study identified the personal characteristics that affect Chilean health care providers' readiness to adopt HIV Oral Rapid Testing (ORT) in Chile as a new clinical evidence-based practice (EBP). METHODS: Using a cross-sectional research design, the study sampled 150 nurses, midwives, and physicians employed at four clinics within the Pontifícia Universidad Católica de Chile Health Network in Santiago. Participants completed a self-administered survey asking about their demographic background, EBP attitudes and experience, personal beliefs related to HIV, the importance of HIV testing, and perceived self-comfort in performing a rapid HIV test. RESULTS: Of the participants, 90% believed that incorporating ORT would make a positive difference in their practice and said that they would be willing to adopt the technology for that reason. Nonetheless, the providers reported a mean "readiness to implement ORT" score of 15.1 out of a possible value of 20, suggesting only moderate self-perceived readiness to adopt the EBP. Education, beliefs about evidence-based practice, perceived comfort in performing ORT, and perceived importance of HIV testing explained 43.6% of the variance in readiness to adopt ORT. CONCLUSION: The findings of this first ORT pre-implementation study in Chile can help guide policy makers and HIV stakeholders to prepare for and increase primary health care providers' readiness to successfully adopt this evidence-based technology. Successful adoption of ORT could increase Chile's capacity to reach HIV-vulnerable Chileans for testing and referral to care if infected, thus helping the country to reduce further transmission of the virus and its medical complications.
OBJECTIVE: This study identified the personal characteristics that affect Chilean health care providers' readiness to adopt HIV Oral Rapid Testing (ORT) in Chile as a new clinical evidence-based practice (EBP). METHODS: Using a cross-sectional research design, the study sampled 150 nurses, midwives, and physicians employed at four clinics within the Pontifícia Universidad Católica de Chile Health Network in Santiago. Participants completed a self-administered survey asking about their demographic background, EBP attitudes and experience, personal beliefs related to HIV, the importance of HIV testing, and perceived self-comfort in performing a rapid HIV test. RESULTS: Of the participants, 90% believed that incorporating ORT would make a positive difference in their practice and said that they would be willing to adopt the technology for that reason. Nonetheless, the providers reported a mean "readiness to implement ORT" score of 15.1 out of a possible value of 20, suggesting only moderate self-perceived readiness to adopt the EBP. Education, beliefs about evidence-based practice, perceived comfort in performing ORT, and perceived importance of HIV testing explained 43.6% of the variance in readiness to adopt ORT. CONCLUSION: The findings of this first ORT pre-implementation study in Chile can help guide policy makers and HIV stakeholders to prepare for and increase primary health care providers' readiness to successfully adopt this evidence-based technology. Successful adoption of ORT could increase Chile's capacity to reach HIV-vulnerable Chileans for testing and referral to care if infected, thus helping the country to reduce further transmission of the virus and its medical complications.
Authors: Laura G Wesolowski; Duncan A MacKellar; Shelley N Facente; Teri Dowling; Steven F Ethridge; Julia H Zhu; Patrick S Sullivan Journal: AIDS Date: 2006-08-01 Impact factor: 4.177
Authors: Kevin P Delaney; Bernard M Branson; Apurva Uniyal; Peter R Kerndt; Patrick A Keenan; Krishna Jafa; Ann D Gardner; Denise J Jamieson; Marc Bulterys Journal: AIDS Date: 2006-08-01 Impact factor: 4.177