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Advancing the case for nurse practitioner‐based models to accelerate scale‐up of HIV pre‐exposure prophylaxis

Author

Listed:
  • LaRon E. Nelson
  • James M. McMahon
  • Natalie M. Leblanc
  • Amy Braksmajer
  • Hugh F. Crean
  • Kristin Smith
  • Ying Xue

Abstract

Aims To explore the factors that position nurse practitioners (NPs) to lead the implementation of HIV pre‐exposure prophylaxis. Background The HIV epidemic represents a global health crisis. Reducing new HIV infections is a public health priority, especially for Black and Latino men who have sex with men (MSM). When taken as directed, co‐formulated emtricitabine and tenofovir have over 95% efficacy in preventing HIV; however, substantial gaps remain between those who would benefit from pre‐exposure prophylaxis (PrEP) and current PrEP prescribing practices. Design This is a position paper that draws on concurrent assessments of research literature and advanced practice nursing frameworks. Method The arguments in this paper are grounded in the current literature on HIV PrEP implementation and evidence of the added value of nurse‐based models in promoting health outcomes. The American Association of Colleges of Nursing's advanced nursing practice competencies were also included as a source of data for identifying and cross‐referencing NP assets that align with HIV PrEP care continuum outcomes. Conclusions There are four main evidence‐based arguments that can be used to advance policy‐level and practice‐level changes that harness the assets of nurse practitioners in accelerating the scale‐up of HIV PrEP. Relevance to clinical practice Global public health goals for HIV prevention cannot be achieved without the broader adoption of PrEP as a prevention practice among healthcare providers. NPs are the best hope for closing this gap in access for the populations that are most vulnerable to HIV infection.

Suggested Citation

  • LaRon E. Nelson & James M. McMahon & Natalie M. Leblanc & Amy Braksmajer & Hugh F. Crean & Kristin Smith & Ying Xue, 2019. "Advancing the case for nurse practitioner‐based models to accelerate scale‐up of HIV pre‐exposure prophylaxis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(1-2), pages 351-361, January.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:1-2:p:351-361
    DOI: 10.1111/jocn.14675
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    References listed on IDEAS

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    1. Karen Donelan & Catherine M. DesRoches & Robert S. Dittus & Peter Buerhaus, 2013. "Perspectives of Physicians and Nurse Practitioners on Primary Care Practice," Mathematica Policy Research Reports b66c95bc1f9d4d5483168c4be, Mathematica Policy Research.
    2. Brewer, R.A. & Magnus, M. & Kuo, I. & Wang, L. & Liu, T.-Y. & Mayer, K.H., 2014. "The high prevalence of incarceration history among black men who have sex with men in the United States: Associations and implications," American Journal of Public Health, American Public Health Association, vol. 104(3), pages 448-454.
    3. repec:mpr:mprres:7786 is not listed on IDEAS
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    Cited by:

    1. Guillermo López-Díaz & Almudena Rodríguez-Fernández & Eva María Domínguez-Martís & Diego Gabriel Mosteiro-Miguéns & David López-Ares & Silvia Novío, 2020. "Knowledge, Attitudes, and Intentions towards HIV Pre-Exposure Prophylaxis among Nursing Students in Spain," IJERPH, MDPI, vol. 17(19), pages 1-15, September.
    2. S. Raquel Ramos & Geetha Beauchamp & Darrell P. Wheeler & Leo Wilton & Darren L. Whitfield & Donte T. Boyd & Lisa Hightow-Weidman & Sheldon D. Fields & LaRon E. Nelson & on behalf of the HPTN 073 Team, 2022. "Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073," IJERPH, MDPI, vol. 19(8), pages 1-10, April.

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