Date of Award

Spring 5-3-2024

Document Type

DNP Project

Project Team Faculty Member

Dr. A. Imboden

Project Team Faculty Member

Dr. M. Garner

Keywords

Hepatitis C Virus, HCV Management, HCV Education, Individuals in Custody, Vulnerable Populations, Hepatitis C in Prisons

Abstract

The hepatitis C virus (HCV) is a pathogen that spreads through blood and causes hepatitis C disease, a liver infection. Early infection symptoms are rare, making it a silent killer. HCV, the chronic liver disease accounts for half of all hepatocellular carcinoma cases and is the leading cause of liver transplantation in the US. This quality improvement project aimed to create an educational toolkit for the Department of Correction staff working with individuals in custody refusing HCV treatment. The education tools comprised an infographic flyer (English and Spanish) to teach individuals in custody about HCV treatment and a PowerPoint presentation to educate staff who work with this population on how to deal with HCV treatment refusals. The total number of nurses who participated in the intervention was 15, and 100% of them completed the post-survey. Statistical analysis showed that 86.6% of the participants (n=13) strongly agreed that the presentation provided a clear understanding of risks associated with incarceration and HCV, including the impact of untreated HCV. Participants were asked to score their confidence level to assess the effect of the presentation based on the knowledge received; 73.3% of the participants (n=11) felt confident in their knowledge of strategies to address HCV treatment refusals in this population, although only 46.6% (n=7) reported they would be making changes to their current practices as a result of the presentation.

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DNP Final Project (PDF)

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