Evolution of HIV Health Care Workforce Needs in the U.S. Mountain West During the COVID-19 Pandemic: A Mixed Method Study

Overview

Journal J Assoc Nurses AIDS Care

Specialties Infectious Diseases
Nursing

Date 2024 Jul 1

PMID 38949905

Authors

Claudia R Amura

Julia Thorne

Meagan Bean

Lisa Krug Avery

Laurie N Sylla

Hillary K Liss

Paul F Cook

Affiliations

Soon will be listed here.

Abstract

The COVID-19 pandemic drastically affected health care delivery for vulnerable populations. Many facilities shifted services to telemedicine, and people with HIV or at risk of acquiring HIV experienced interruptions in care. Simultaneously, traditional training approaches to help providers adapt were disrupted. Using a mixed method approach to examine changes over time, we integrated data on trainee needs collected by the Mountain West AIDS Education and Training Center (AETC): a 10-state needs assessment survey in 2020; feedback from a 2020 community of practice; aggregate training data from 2000 to 2022; and a second survey in 2022. HIV care providers' training needs evolved from wanting support on telemedicine and COVID-19 patient care issues, to a later focus on mental health and substance use, social determinants of health, and care coordination. This integrative analysis demonstrates the vital role that AETCs can play in addressing evolving and emergent public health challenges for the HIV workforce.

References

Harris P, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J . Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2008; 42(2):377-81. PMC: 2700030. DOI: 10.1016/j.jbi.2008.08.010. View

Sachs J, Graven P, Gold J, Kassakian S . Disparities in telephone and video telehealth engagement during the COVID-19 pandemic. JAMIA Open. 2021; 4(3):ooab056. PMC: 8496485. DOI: 10.1093/jamiaopen/ooab056. View

Koonin L, Hoots B, Tsang C, Leroy Z, Farris K, Jolly T . Trends in the Use of Telehealth During the Emergence of the COVID-19 Pandemic - United States, January-March 2020. MMWR Morb Mortal Wkly Rep. 2020; 69(43):1595-1599. PMC: 7641006. DOI: 10.15585/mmwr.mm6943a3. View

Tesoriero J, Swain C, Pierce J, Zamboni L, Wu M, Holtgrave D . COVID-19 Outcomes Among Persons Living With or Without Diagnosed HIV Infection in New York State. JAMA Netw Open. 2021; 4(2):e2037069. PMC: 7859843. DOI: 10.1001/jamanetworkopen.2020.37069. View

Doraiswamy S, Abraham A, Mamtani R, Cheema S . Use of Telehealth During the COVID-19 Pandemic: Scoping Review. J Med Internet Res. 2020; 22(12):e24087. PMC: 7710390. DOI: 10.2196/24087. View

Mitchell K, Dimitrov D, Silhol R, Geidelberg L, Moore M, Liu A . The potential effect of COVID-19-related disruptions on HIV incidence and HIV-related mortality among men who have sex with men in the USA: a modelling study. Lancet HIV. 2021; 8(4):e206-e215. PMC: 8045548. DOI: 10.1016/S2352-3018(21)00022-9. View

Rajasekaran K . Access to Telemedicine-Are We Doing All That We Can during the COVID-19 Pandemic?. Otolaryngol Head Neck Surg. 2020; 163(1):104-106. DOI: 10.1177/0194599820925049. View

Siegel M, Rieders M, Rieders H, Moumneh J, Asfour J, Oh J . Structural racism and racial health disparities at the state level: A latent variable approach. J Natl Med Assoc. 2023; 115(4):338-352. DOI: 10.1016/j.jnma.2023.07.003. View

Bogart L, Ojikutu B, Tyagi K, Klein D, Mutchler M, Dong L . COVID-19 Related Medical Mistrust, Health Impacts, and Potential Vaccine Hesitancy Among Black Americans Living With HIV. J Acquir Immune Defic Syndr. 2020; 86(2):200-207. PMC: 7808278. DOI: 10.1097/QAI.0000000000002570. View

10.

Cuadros D, Branscum A, Mukandavire Z, Miller F, MacKinnon N . Dynamics of the COVID-19 epidemic in urban and rural areas in the United States. Ann Epidemiol. 2021; 59:16-20. PMC: 8061094. DOI: 10.1016/j.annepidem.2021.04.007. View

11.

Emerson M, Buchanan L, Golden A . Telehealth Simulation With Graduate Nurse Practitioner Students. Nurse Educ. 2021; 46(2):126-129. DOI: 10.1097/NNE.0000000000000843. View

12.

Knopf A, Budhwani H, Logie C, Oruche U, Wyatt E, Draucker C . A Review of Nursing Position Statements on Racism Following the Murder of George Floyd and Other Black Americans. J Assoc Nurses AIDS Care. 2021; 32(4):453-466. PMC: 8710068. DOI: 10.1097/JNC.0000000000000270. View

13.

Gajarawala S, Pelkowski J . Telehealth Benefits and Barriers. J Nurse Pract. 2020; 17(2):218-221. PMC: 7577680. DOI: 10.1016/j.nurpra.2020.09.013. View

14.

Barton A, Amura C, Willems E, Medina R, Centi S, Hernandez T . Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities. J Patient Exp. 2023; 10:23743735231151546. PMC: 9893383. DOI: 10.1177/23743735231151546. View

15.

Nicholas J, Bell I, Thompson A, Valentine L, Simsir P, Sheppard H . Implementation lessons from the transition to telehealth during COVID-19: a survey of clinicians and young people from youth mental health services. Psychiatry Res. 2021; 299:113848. PMC: 9754759. DOI: 10.1016/j.psychres.2021.113848. View

16.

Godley B, Adimora A . Syndemic theory, structural violence and HIV among African-Americans. Curr Opin HIV AIDS. 2020; 15(4):250-255. DOI: 10.1097/COH.0000000000000634. View

17.

Dailey A, Satcher Johnson A, Hu X, Gant Z, Johnson Lyons S, Adih W . Trends in HIV Care Outcomes Among Adults and Adolescents-33 Jurisdictions, United States, 2014-2018. J Acquir Immune Defic Syndr. 2021; 88(4):333-339. PMC: 8621807. DOI: 10.1097/QAI.0000000000002778. View

18.

Myers C . Using Telehealth to Remediate Rural Mental Health and Healthcare Disparities. Issues Ment Health Nurs. 2018; 40(3):233-239. DOI: 10.1080/01612840.2018.1499157. View

19.

Bertagnolio S, Thwin S, Silva R, Nagarajan S, Jassat W, Fowler R . Clinical features of, and risk factors for, severe or fatal COVID-19 among people living with HIV admitted to hospital: analysis of data from the WHO Global Clinical Platform of COVID-19. Lancet HIV. 2022; 9(7):e486-e495. PMC: 9090268. DOI: 10.1016/S2352-3018(22)00097-2. View

20.

Yuvaraj A, Mahendra V, Chakrapani V, Yunihastuti E, Santella A, Ranauta A . HIV and stigma in the healthcare setting. Oral Dis. 2020; 26 Suppl 1:103-111. DOI: 10.1111/odi.13585. View