{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:51:29Z","timestamp":1787014289750,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Opt\u2010out screening for blood\u2010borne viruses (BBVs) in emergency departments (EDs) has been established in areas with a high prevalence of HIV diagnoses in England. This multi\u2010site study explored the attitudes of healthcare workers (HCWs) towards BBV screening in EDs post\u2010implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a cross\u2010sectional electronic survey of HCWs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between November 2023 and February 2024, HCWs across 33 EDs in England participating in opt\u2010out BBV screening were invited to complete a survey about the feasibility and acceptability of screening, including the opt\u2010out consent process. Factors independently associated with acceptability of opt\u2010out screening were identified using multivariable logistic regression. Free\u2010text responses were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Responses from 610 HCWs in 19 EDs were provided: 50.4% were nurses, 43.1% doctors, and 6.5% other healthcare professionals. Acceptability of the screening programme and opt\u2010out consent was high (90.3% and 77.7%, respectively), with some variation between EDs. Acceptability of opt\u2010out consent was greater among doctors than among other HCWs, and among HCWs who proactively discussed screening further with patients who opted out. However, 50.8% of HCWs felt that patients should be verbally reminded at blood draw, and 44.3% of HCWs wanted more training in discussing opt\u2010out screening with patients. Free\u2010text answers suggested changes to test\u2010ordering systems, including simple integration of tick boxes to document whether patients opted out and to block repeated testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was substantial support from ED HCWs for routine opt\u2010out ED BBV screening, including opt\u2010out consent. Key areas suggested for improvement included changes to test\u2010ordering systems and additional training for HCWs. Frequent preference for verbal reminders at the point of blood draw suggests continued HIV testing exceptionalism.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.13735","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T02:29:24Z","timestamp":1731551364000},"page":"326-332","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Clinical staff attitudes towards opt\u2010out consent for blood\u2010borne virus screening in emergency departments in England"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3619-5492","authenticated-orcid":false,"given":"Esther G.","family":"Blakey","sequence":"first","affiliation":[{"name":"North Middlesex University Hospital NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5306-6965","authenticated-orcid":false,"given":"Cassandra E. L.","family":"Fairhead","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8817-4651","authenticated-orcid":false,"given":"Alison J.","family":"Rodger","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust  London UK"},{"name":"Institute for Global Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona M.","family":"Burns","sequence":"additional","affiliation":[{"name":"Royal Free London NHS Foundation Trust  London UK"},{"name":"Institute for Global Health University College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucie","family":"Ralph","sequence":"additional","affiliation":[{"name":"British HIV Association, Medivents Ltd  UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7955-9610","authenticated-orcid":false,"given":"David R.","family":"Chadwick","sequence":"additional","affiliation":[{"name":"James Cook University Hospital  Middlesbrough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(23)00117-0"},{"key":"e_1_2_7_3_1","unstructured":"Gov.UK.Emergency department bloodborne virus opt\u2010out testing: 12\u2010month interim report 2023. Available at:https:\/\/www.gov.uk\/government\/publications\/bloodborne\u2010viruses\u2010opt\u2010out\u2010testing\u2010in\u2010emergency\u2010departments\/emergency\u2010department\u2010bloodborne\u2010virus\u2010opt\u2010out\u2010testing\u201012\u2010month\u2010interim\u2010report\u20102023."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-2009-002"},{"key":"e_1_2_7_5_1","article-title":"British HIV association (BHIVA), British Association for Sexual Health and HIV (BASHH), British Infection Association (BIA) and Royal College of emergency medicine (RCEM) joint working group: rapid guidance on opt\u2010out blood\u2010borne virus testing in high\u2010prevalence and extremely high\u2010 prevalence acute medical settings and emergency departments","author":"Chadwick D","year":"2024","journal-title":"Rapid Guidance"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-3018(21)00276-9"},{"key":"e_1_2_7_7_1","unstructured":"World Hepatitis Alliance.The Impact of Stigma and Discrimination Affecting People with Hepatitis B. 2021. Available at:https:\/\/www.worldhepatitisalliance.org\/wp\u2010content\/uploads\/2021\/11\/WHA\u2010Report\u20102021\u2010Final.pdf."},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2021.103320"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.14273.1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S226936"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7322.1188b"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0039530"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-015373"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13555"},{"key":"e_1_2_7_15_1","article-title":"Knowledge of HIV and attitudes towards people living with HIV amongst hospital healthcare workers","author":"Vaccari LC","year":"2023","journal-title":"BHIVA"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-024085"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.13328"},{"key":"e_1_2_7_18_1","first-page":"959","article-title":"Ethics in consent for HIV testing","volume":"11","author":"Stein N","year":"2009","journal-title":"Virtual Mentor"},{"issue":"3","key":"e_1_2_7_19_1","first-page":"91","article-title":"Public and healthcare practitioner attitudes towards HIV testing: review of evidence from the United Kingdom (UK)","volume":"3","author":"Davies CF","year":"2015","journal-title":"IntSTD Res & Reviews"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019936"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2020.03.014"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.13735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T08:21:54Z","timestamp":1738398114000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.13735"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,13]]},"references-count":20,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/hiv.13735"],"URL":"https:\/\/doi.org\/10.1111\/hiv.13735","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,13]]},"assertion":[{"value":"2024-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}