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Development of a 10-Item Tool to Identify Advanced Practice Nurse Readiness to Prescribe Pre-exposure Prophylaxis

Carter, Gregory A., PhD, RN*; Jayawardene, Wasantha, PhD, MD; Agley, Jon, PhD; Garcia, Justin R., PhD; Miller, Wendy R., PhD, RN; Sherwood-Laughlin, Catherine, PhD; Meyerson, Beth, PhD, MDiv

Journal of the Association of Nurses in AIDS Care: May-June 2019 - Volume 30 - Issue 3 - p 312–320
doi: 10.1097/JNC.0000000000000038
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Pre-exposure prophylaxis (PrEP), a biomedical tool to prevent the acquisition of HIV, reduces the risk of HIV in high-risk individuals by more than 90%. An online questionnaire was fielded from March 2017 to May 2017 to a random sample of licensed advanced practice nurses (APNs) from the U.S. state of Indiana. Discriminant function analysis was performed to reveal willingness to prescribe PrEP. Two discriminant functions were identified: Sexual Risk Assessment (r = .686), PrEP Barriers (r = .587), Evidence-Based Practice Implementation (r = .545), Community Awareness (r = .446), Perceived Risk (r = .356), and Organizational Climate (r = .346) were loaded on the first function, whereas PrEP Skills (r = .837) was loaded on the second function. The results suggest APN's willingness to learn and knowledge about PrEP-influenced implementation. Findings demonstrated that readiness to prescribe PrEP by APNs in Indiana could be predicted with a high level of certainty using identified variables.

Gregory A. Carter, PhD, RN, is an Assistant Professor, School of Nursing, Indiana University, Bloomington, Indiana, USA. Wasantha Jayawardene, PhD, MD, is an Assistant Research Scientist, School of Public Health, Indiana University, Bloomington, Indiana, USA. Jon Agley, PhD, is an Assistant Research Scientist, School of Public Health, Indiana University, Bloomington, Indiana, USA. Justin R. Garcia, PhD, is an Associate Professor, Gender Studies, Indiana University, and is a Research Director of The Kinsey Institute, Bloomington, Indiana, USA. Wendy R. Miller, PhD, RN, is an Associate Professor, School of Nursing, Indiana University, Indianapolis, Indiana, USA. Catherine Sherwood-Laughlin, PhD, is a Clinical Assistant Professor, School of Public Health, Indiana University, Bloomington, Indiana, USA. Beth Meyerson, PhD, MDiv, is an Associate Professor, School of Public Health, Indiana University, Bloomington, Indiana, USA.

Corresponding author: Gregory A. Carter, e-mail: gracarte@indiana.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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