Predictors of readiness for oral rapid HIV testing by Chilean health care providers / Factores predictivos de la disposición de los prestadores de atención de salud de Chile a realizar la prueba oral rápida de detección del VIH
Rev Panam Salud Publica
; 40(5), nov. 2016
Article
in English
| PAHO-IRIS
| ID: phr-31379
Responsible library:
US1.1
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.
Full text:
Available
Collection:
Databases of international organizations
Health context:
SDG3 - Target 3.8 Achieve universal access to health
Health problem:
Delivery Arrangements
Database:
PAHO-IRIS
Main subject:
Chile
/
HIV
/
Contingent Negative Variation
/
Delivery of Health Care
/
Disease Prevention
Type of study:
Prognostic study
/
Qualitative research
/
Risk factors
Aspects:
Social determinants of health
Country/Region as subject:
South America
/
Chile
Language:
English
Year:
2016
Document type:
Article