TY - JOUR
T1 - Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault
AU - Draughon Moret, Jessica E
AU - Hauda, William E.
AU - Price, Bonnie
AU - Rotolo, Sue
AU - Austin, Kim Wieczorek
AU - Sheridan, Daniel J.
PY - 2015/9/29
Y1 - 2015/9/29
N2 - Nonoccupational, postexposure prophylaxis (nPEP) for human immunodeficiency virus (HIV) is offered inconsistently to patients who have been sexually assaulted. This may be due to Forensic Nurse Examiner (FNE) programs utilizing diverse nPEP protocols and HIV risk assessment algorithms. This study examines factors associated with FNEs offering nPEP to patients following sexual assault at two FNE programs in urban settings. Offering nPEP is mostly driven by site-specific protocol. At Site 1, in addition to open anal or open genital wounds, the presence of injury to the head or face was associated with FNEs offering nPEP (adjusted odds ratio [AOR] 64.15, 95% confidence interval [CI] = [2.12, 1942.37]). At Site 2, patients assaulted by someone of Other race/ethnicity (non-White, non-African American) were 86% less likely to be offered nPEP (AOR 0.14, 95% CI = [.03,.72]) than patients assaulted by Whites. In addition to following site-specific protocols, future research should further explore the mechanisms influencing clinician decision making.
AB - Nonoccupational, postexposure prophylaxis (nPEP) for human immunodeficiency virus (HIV) is offered inconsistently to patients who have been sexually assaulted. This may be due to Forensic Nurse Examiner (FNE) programs utilizing diverse nPEP protocols and HIV risk assessment algorithms. This study examines factors associated with FNEs offering nPEP to patients following sexual assault at two FNE programs in urban settings. Offering nPEP is mostly driven by site-specific protocol. At Site 1, in addition to open anal or open genital wounds, the presence of injury to the head or face was associated with FNEs offering nPEP (adjusted odds ratio [AOR] 64.15, 95% confidence interval [CI] = [2.12, 1942.37]). At Site 2, patients assaulted by someone of Other race/ethnicity (non-White, non-African American) were 86% less likely to be offered nPEP (AOR 0.14, 95% CI = [.03,.72]) than patients assaulted by Whites. In addition to following site-specific protocols, future research should further explore the mechanisms influencing clinician decision making.
KW - acute care
KW - descriptive quantitative
KW - nurses
KW - obstetric-gynecology
KW - violence
UR - http://www.scopus.com/inward/record.url?scp=84938399397&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938399397&partnerID=8YFLogxK
U2 - 10.1177/0193945914530192
DO - 10.1177/0193945914530192
M3 - Article
C2 - 24733232
AN - SCOPUS:84938399397
VL - 37
SP - 1194
EP - 1213
JO - Western Journal of Nursing Research
JF - Western Journal of Nursing Research
SN - 0193-9459
IS - 9
ER -