A Review of the State of HIV Nursing Science With Sexual Orientation, Gender Identity/Expression Peoples.
J Craig Phillips, Jufri Hidayat, Kristen D Clark and 5 others
PMID 33929977WHAT IT FOUND
Nurses can safely manage HIV post-exposure prophylaxis (PEP) and pre-exposure prophylaxis (PrEP) programs, but the evidence base lacks rigorous trials and mostly relies on expert opinion.
Care requires avoiding heteronormative assumptions and using patient-preferred names.
Key findings
01Most literature guiding HIV nursing care for sexual and gender minority people consists of expert opinions and commentaries rather than rigorous evidence syntheses.
02Nurse-led community-based PEP programs were effective in preventing HIV transmission in a small study, with no new diagnoses at four-month follow-up.
03Nurses should avoid assuming heterosexuality and automatically ascribing gender to patients and their partners during clinical interactions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review lacked a robust approach to quality appraisal due to the variety of literature types. Most included articles were expert opinions or commentaries rather than empirical studies. The research team did not fully include transgender voices. There is a scarcity of cohort studies and evidence-based clinical practice guidelines for HIV nursing with SOGI populations.
Declared interests
The authors report no real or perceived vested interests related to this article that could be construed as a conflict of interest.
The easy way to misread this
Do not interpret the success of the nurse-led PEP program as proof of superior nursing care over other models; it was a small, non-randomized evaluation within a specific community context, and most guidance in this review is based on expert opinion rather than tested interventions.