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Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault.
West J Nurs Res 2015; 37(9):1194-213WJ

Abstract

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.

Authors+Show Affiliations

Johns Hopkins University School of Nursing, Baltimore, MD, USA jessica.draughon@nursing.ucsf.edu.Virginia Commonwealth University, Richmond, USA.Bon Secours St. Mary's Hospital, Richmond, VA, USA.Dr. Rotolo Forensic Consulting, Leesburg, VA, USA.Virginia Commonwealth University, Richmond, USA.Johns Hopkins University School of Nursing, Baltimore, MD, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

24733232

Citation

Draughon, Jessica E., et al. "Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault." Western Journal of Nursing Research, vol. 37, no. 9, 2015, pp. 1194-213.
Draughon JE, Hauda WE, Price B, et al. Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault. West J Nurs Res. 2015;37(9):1194-213.
Draughon, J. E., Hauda, W. E., Price, B., Rotolo, S., Austin, K. W., & Sheridan, D. J. (2015). Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault. Western Journal of Nursing Research, 37(9), pp. 1194-213. doi:10.1177/0193945914530192.
Draughon JE, et al. Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault. West J Nurs Res. 2015;37(9):1194-213. PubMed PMID: 24733232.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors Associated With Forensic Nurses Offering HIV nPEP Status Post Sexual Assault. AU - Draughon,Jessica E, AU - Hauda,William E,2nd AU - Price,Bonnie, AU - Rotolo,Sue, AU - Austin,Kim Wieczorek, AU - Sheridan,Daniel J, Y1 - 2014/04/14/ PY - 2014/4/16/entrez PY - 2014/4/16/pubmed PY - 2017/1/10/medline KW - acute care KW - descriptive quantitative KW - nurses KW - obstetric-gynecology KW - violence SP - 1194 EP - 213 JF - Western journal of nursing research JO - West J Nurs Res VL - 37 IS - 9 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. SN - 1552-8456 UR - https://www.unboundmedicine.com/medline/citation/24733232/Factors_Associated_With_Forensic_Nurses_Offering_HIV_nPEP_Status_Post_Sexual_Assault_ L2 - http://journals.sagepub.com/doi/full/10.1177/0193945914530192?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -