PrEP initiation in the primary care setting: An integrative review
View File(s)
- Author(s)
- Details
-
Tia L. Harper, BSN, RN, DNP Candidate - Nell Hodgson Woodruff School of Nursing, Emory University- tia.harper627@gmail.com and Sharon Leslie, MSLS, AHIP - Woodruff Health Sciences Center Library, Emory University
- Sigma Affiliation
- Theta Tau
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Harper, Tia L. by View
Title | Page Views |
---|
Popular Works for Harper, Tia L. by Download
Title | Downloads |
---|
View Citations
Citations
Guideline-driven initiation of pre-exposure prophylaxis (PrEP) is a safe and effective strategy for reducing the incidence of human immunodeficiency virus (HIV). Yet, PrEP initiation is generally inadequate allowing for a persistently high HIV prevalence in the United States. The aims of this integrative review were to identify and examine barriers contributing to suboptimal PrEP prescribing by primary care providers (PCPs), establish which practice-based intervention(s) are most effective in improving PCP PrEP prescribing practices, and guide implementation of such intervention(s) via hypothetical case study provision. Review objectives were intended to result in answering how implementing practice-based interventions affects PCP PrEP prescribing compared to no intervention implementation. For this integrative literature review, six bibliographic databases were searched (e.g., CINAHL, PsychINFO, and MEDLINE). Data extraction and analysis using appraisal tools were completed for included studies. Primary themes emerged regarding factors contributing to inadequate PrEP prescribing in primary care: Insufficient PCP PrEP knowledge, lacking HIV risk and/or PrEP eligibility screening, and challenges regarding provider-patient discussions related to PrEP and associated aspects. However, researchers of several studies examined the effect of practice-based interventions intended to improve PrEP-related practices in primary care with subsequent positive results. Review findings elucidate the need for enhanced PCP knowledge regarding PrEP to lessen the PrEP utilization gap and reveal fulfillment of such need is feasible. Practice-level education-based interventions aimed at increasing knowledge regarding PrEP and related factors (e.g., initiation guidelines, sexual history taking, and LGBTQIA+ cultural awareness) are recommended to improve and optimize PCP PrEP prescribing practices. To facilitate implementation of recommended interventions, an evidence-based hypothetical case study was developed to serve as a framework.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Literature Review |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Pre-Exposure Prophylaxis; Primary Care; Knowledge; Intervention |
Grantor | Emory University |
Advisor | Cook, Calli |
Level | DNP |
Year | 2022 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
License
The following license files are associated with this item:
Related items
Showing items related by title, author, creator and subjects.
-
Pre-exposure prophylaxis (PrEP) in primary care settings: Current problems and proposed solutions
Ng, Yeow Chye; Caires, Angela; Mayeux, Jack J. (2018-06-21)Pre-exposure prophylaxis (PrEP) is a lifesaving HIV prevention medication that should not be solely introduced by primary care providers in a primary care setting. Urgent Care centers, hospitals, and community free clinics ... -
Implementation interventions for pre-exposure prophylaxis (PrEP) in public health sexually transmitted infections clinic and related PrEP minority trends
Schexnayder, JuliePre-exposure prophylaxis (PrEP) effectively reduces the risk of Human Immunodeficiency Virus (HIV) infection. PrEP implementation in public health clinics is suggested for increasing PrEP access; However, it is unclear if ... -
Improving HIV prevention in the urgent care setting: Outcomes of a pre-exposure prophylaxis (PrEP) protocol
Mayeux, Jack J.; Ng, Yeow ChyeThe purpose of this presentation is to provide the audience with the outcomes from disseminating a Pre-exposure Prophylaxis (PrEP) protocol for use within the urgent care settings. The presentation aims to discuss the ... -
The need for pre-exposure prophylaxis (PrEP) in the urgent care setting
Mayeux, Jack J.; Ng, Yeow Chye; Caires, Angela (2018-06-21)The role of urgent care clinics in facilitating PrEP service for prevention in HIV is under-explored. There is a lack of guidelines for initiating PrEP in the UC setting which delivers care to an increasing number of ... -
Pre-exposure prophylaxis (PrEP) protocol for the urgent care setting
Mayeux, Jack J.; Ng, Yeow ChyePre-exposure prophylaxis (PrEP) is an excellent HIV prevention medication. While PrEP use has increased, the urgent care has been reluctant and slow to embrace this prevention method due to a lack of guidance. This ...