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Abstract Details
Evaluating the Impact of an Educational Intervention on Hepatitis C Screening in a Midwest Regional Psychiatric Unit
J Am Psychiatr Nurses Assoc. 2022 Aug 5;10783903221115741.doi: 10.1177/10783903221115741. Online ahead of print.
1Amy D. Northrup, DNP, RN, PMHNP-BC, University of Michigan-Flint, Flint, MI, USA.
2Courtney R. Gignac, DNP, RN, FNP-BC, University of Michigan-Flint, Flint, MI, USA.
3Hiba Wehbe-Alamah, PhD, RN, FNP-BC, CTN-A, FAAN, University of Michigan-Flint, Flint, MI, USA.
4Denise Cooper, DNP, RN, ANP-BC, University of Michigan-Flint, Flint, MI, USA.
Abstract
Introduction: Affecting more than 3.9 million Americans, the hepatitis C virus (HCV) attacks the liver by causing inflammation. Left untreated, HCV can lead to serious consequences. Targeting high-risk individuals in the inpatient psychiatric setting can lead to increased testing and referral.
Aims: This quality improvement project determined whether an intervention-consisting of a pretest, educational session, posttest, and screening implementation-increased staff knowledge about HCV screening recommendations, identified at-risk individuals, and increased the number of patients screened and referred for treatment.
Method: An online HCV educational session was provided to 30 staff at a Midwest regional psychiatric unit. An online pre/posttest was conducted to determine staff knowledge and understanding prior to and after the educational session. An HCV screening tool checklist was incorporated into the electronic health record (EHR) system. A 3-month pre/post-intervention chart review was completed to determine the number of patients identified and screened for HCV.
Results: A comparison of the 30 staff members' mean pre/posttest scores were calculated using an unpaired t test, showing a prescore mean of 55.15 ± 19.09 and a postscore mean of 85.75 ± 13.44, p < .001. A chi-square analysis indicated that there was a statistically significant post-intervention increase in the percentage of high-risk patients identified (5.6%-36.4%, p < .001) and screened (5.6%-31.4%, p < .001) for HCV compared with pre-intervention.
Conclusion: The study intervention increased staff knowledge of HCV guidelines and the number of at-risk patients identified and screened for the disease.