ArticleBMC nursing2025
"How much more on the nurse?:" a qualitative analysis of inpatient nurses' perspectives on offering HIV testing.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe CDC recommends that all individuals who are hospitalized be offered HIV testing. Low HIV testing rates have been reported among hospitalized patients. We investigated expanding HIV testing among hospitalized patients at our medical center, and hospital leadership consistently recommended exploring nursing-driven, universal HIV testing. The goal of this study was to use qualitative methods to evaluate Tufts Medical Center inpatient nurses' perspectives about the barriers and facilitators of implementing an inpatient nursing-based HIV testing protocol.
methodsThe study employed a qualitative research design through in-depth interviews and focus groups; these guides were developed based on Consolidated Framework for Implementation Research and the Theoretical Domains Framework. Any inpatient nurse employed at Tufts Medical Center in January 2023 was eligible to participate, including case managers and travel nurses. Nurses were recruited through in-person recruitment, email, or flyers.
results42 inpatient nurses participated in ten focus groups and two interviews. Eight primary themes emerged that were categorized into barriers and facilitators/strategies. The barriers were (1) concern that HIV testing would increase the nurse charting burden, (2) belief that HIV testing is not a priority for hospitalized patients, (3) concern that HIV testing consent is outside the scope of nursing practice, (4) misinformation about the required HIV testing consenting process, and (5) concern about offending patients. The facilitators/strategies were (6) belief that HIV testing is necessary for personal health, beneficial to public health and necessary for occupational safety; (7) ability to leverage existing systems of care support to HIV testing; and (8) ability to leverage current systems of education to increase HIV testing. Results showed that fostering trust within treatment teams and between patients and nurses would enable nurses to obtain patient consent for HIV testing without fear of negative consequences.
conclusionsWhile nurses have concerns about offering HIV testing to all hospitalized patients, there are existing systems that can be leveraged to make implementing of universal, nursing-driven HIV testing acceptable and sustainable; these include protocolization; engagement and trust; and nursing champions of expanding HIV testing.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.