Experiential HIV Testing Increasing Testing Related Knowledge and Practice, and Reduce Stigma Toward HIV of Nurses.

Study Overview
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Brief Summary
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This is a randomized controlled trial design. The investigators plan to recruit about 60 to 70 emergency department nurses from a medical center in Taipei, Taiwan. After completing the paper consent form, these nurses will be randomly assigned to 2 groups, which are a control group and an experimental group. The pre-test includes the demographic data sheet, HIV testing related knowledge and practice scale, and The Health Care Provider HIV/ AIDS Stigma Scale (HPASS). All nurses will receive a learning material when they finish the pre-test. In addition, the experimental group will be provided a real HIV testing and counselling by a researcher. The post-test will be finished one month later of pre-test in the control group, and one month later while the intervention completed in the experimental group. The semi-structural interview will be performed to the experimental group to collect and analyze their opinion toward the experiential HIV testing.

Detailed Description
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This project aims to develop an intervention of experiential HIV testing and to verify the following effects on emergency nurses: (1) Improve HIV testing related knowledge and practice; (2) Reduce HIV-related stigma; (3) Find out the possible demographic factors that might affect the effectiveness of experiential HIV Testing. During the intervention, nurses can directly participate in the whole process of anonymous HIV testing in the role of who need to be screened, and pre- and post-testing counselling accompanied the education and discussion will also be provided to them by a researcher. Through the above-mentioned measures, the knowledge and practices related to the HIV testing could be improved, and the stigma attitude toward HIV could be reduced through the self-reflection on the testing process.

Official Title
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The Effects of Experiential HIV Testing to Improve Knowledge and Practice, and Reduce Stigma Toward HIV of Emergency Department Nurses

Conditions
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Hiv, HIV Testing

Intervention / Treatment
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* Other: Experiential HIV Testing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - have registered nurse license and do clinical care in emergency department Exclusion Criteria: have registered nurse license but doesn't do clinical care, likes head nurse. do clinical care in emergency department but doesn't have registered nurse license, like volunteers or assistant nurse. have experienced non-occupational HIV testing. had been a nurse in HIV/AIDS-focus ward or HIV/AIDS case manager.

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Get a learning material and a experiential HIV Testing<br>These participants in the experimental group will be provided a learning material about HIV testing, then an experiential HIV Testing, which includes HIV testing and counselling, education and discussion, and a post-test interviews will be provided. | Other: Experiential HIV Testing<br>* The content of experiential HIV Testing includes HIV testing, counselling, and education and discussion.<br>|
| No Intervention: Get a learning material only<br>These participants in the control group will be provided a learning material about HIV testing only. After the post-test, the experiential HIV Testing will be provided to them. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| HIV testing related knowledge and practice | A self-development scale, HIV testing related knowledge and practice scale, is applied to measure the HIV testing related knowledge and practice. There are twenty-eight questions, including True-False questions and multiple-choice questions. One correct answer could get one point, and the total score is 28 points. Higher scores mean a better outcome (having more HIV testing related knowledge and practice) of the participants. | one month later | 
| HIV related stigma | The questionnaire of The Healthcare Provider HIV/AIDS Stigma Scale (HPASS) will be used to measure this outcome. There are thirty questions, each question is scaled from one to six points. The minimum value of the total score is 30 points; the maximum value of the total score is 180 points. Higher scores mean a worse outcome, more stigma toward people living with HIV of the participant. | one month later | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The demographic factors which affect the effectiveness of experiential HIV testing | Two-way ANOVA(mixed design) will be used to analyze this outcome. | one month later | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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stigma, knowledge, Education, nursing, situated learning