Trauma-Informed Decision-Making Among Providers and Victims of Intimate Partner Violence During HIV Testing: A Qualitative Study

Jessica R. Williams, Rosa M. Gonzalez-Guarda, Vanessa Ilias

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

We explored the process of implementing an HIV testing program at an intimate partner violence (IPV) service agency from the client and provider perspectives. A qualitative descriptive approach was used wherein semi-structured interviews were conducted with 19 key informants (i.e., women with a history of IPV, HIV service providers, IPV service providers). Interviews focused on facilitators and barriers to HIV testing implementation, the decision-making process during HIV testing, and support needs. All interviews were recorded and transcribed. The text of the interviews was analyzed using directed content analysis. Unique factors were found to influence HIV testing in victims of IPV including potential for re-traumatization, readiness for testing, competing priorities, and the influence of children. The results provided important information that can be used to improve the implementation of HIV testing, tailoring processes so they are more trauma-informed; and better support individuals with a history of IPV.

Original languageEnglish (US)
Pages (from-to)819-831
Number of pages13
JournalJournal of the Association of Nurses in AIDS Care
Volume28
Issue number5
DOIs
StatePublished - Sep 2017

Keywords

  • HIV
  • HIV screening
  • domestic violence

ASJC Scopus subject areas

  • Advanced and Specialized Nursing

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