{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T14:09:33Z","timestamp":1785334173759,"version":"3.55.0"},"reference-count":17,"publisher":"Springer Publishing Company","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Doct Nurs Pract"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"\n Background:<\/jats:bold>\n People with newly acquired hepatitis C virus (HCV) infections are usually asymptomatic and unaware of the disease. Approximately 70%\u201385% of people infected with the virus develop a chronic infection causing severe long-term health problems. The incidence rate of hepatitis C infections in Kern County is higher than the State of California\u2019s overall rate. In Kern County, a 31% increase in the incidence rate of HCV infections occurred from 2014 to 2018 compared with a 3% increase in California.\n Objective:<\/jats:bold>\n This study aimed to improve HCV screening rates in patients 18\u201379 years old at a family practice clinic.\n Methods:<\/jats:bold>\n A descriptive practice change design used a retrospective and prospective method to compare HCV screening rates pre- and postintervention of an office policy implementation combined with provider education.\n Results:<\/jats:bold>\n In 400 patients in the age group of 18\u201379 years treated at the clinic in October 2020, 4 weeks before the policy change project implementation, 1.0% of the cohort was screened for HCV. In the postintervention period, 30% of the 44 eligible patients were screened. The increase in the percentage of the cohort screened from 1.0% to 29% was significant (\u03c7\n 2<\/jats:sup>\n [\n df<\/jats:italic>\n = 1] = 87.719,\n p<\/jats:italic>\n < .001).\n Conclusion:<\/jats:bold>\n The education of the health care team to ensure buy-in and understanding of the clinical practice change and the development and implementation of a new screening policy yielded an enhanced HCV screening rate at this family practice clinic.\n Implications for Nursing:<\/jats:bold>\n Advance practice registered nurses (APRNs) can significantly participate in the reduction of poor health outcomes related to chronic HCV infection by consistently screening all qualified patients between the ages of 18 and 79 years by 2030. APRNs can join the call to action by providing HCV screening services at a local level.\n <\/jats:p>","DOI":"10.1891\/jdnp-2022-0027","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T14:20:24Z","timestamp":1745590824000},"page":"127-135","source":"Crossref","is-referenced-by-count":0,"title":["Development and Implementation of Hepatitis C Virus Screening Policy to Improve Screening Rates in Adults 18\u201379 Years Old"],"prefix":"10.1891","volume":"19","author":[{"given":"Parminder","family":"Kaur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamel","family":"O'Neal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Shimizu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darlene","family":"Showalter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"793","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"2026072906350980000_19.2.127.1","unstructured":"American Association for the Study of Liver Diseases. (2019). Call to action for liver associations to advance progress towards viral hepatitis elimination: A focus on simplified approaches to HCV testing and cure . https:\/\/www.aasld.org\/sites\/default\/files\/ 2019-11\/2019-HCVElimination-CallToAction-v2.pdf"},{"key":"2026072906350980000_19.2.127.2","unstructured":"Centers for Disease Control and Prevention. (2018). Viral hepatitis surveillance\u2014United States, 2018 . https:\/\/www.cdc.gov\/ hepatitis\/statistics\/2018surveillance\/index.htm"},{"key":"2026072906350980000_19.2.127.3","unstructured":"Centers for Disease Control and Prevention. (2024). Viral hepatitis surveillance report United States, 2022 . https:\/\/www.cdc.gov\/hepatitis\/statistics\/2022surveillance\/index.htm"},{"key":"2026072906350980000_19.2.127.4","unstructured":"Department of Public Health. (2018). Chronic hepatitis C infections in California surveillance report, 2018: Data tables . https:\/\/www.cdph.ca.gov\/ Programs\/CID\/DCDC\/ CDPH%20Document%20Library\/Chronic-Hepatitis-C-Infections-in-CaliforniaSurveillance-Report-2018-Data-Tables.pdf"},{"issue":"3","key":"2026072906350980000_19.2.127.5","first-page":"193","article-title":"Innovative care models in liver disease: The role of multidisciplinary teams","year":"2018","journal-title":"Current Hepatology Reports"},{"issue":"10","key":"2026072906350980000_19.2.127.6","first-page":"e177","article-title":"Improving hepatitis C screening in the primary care outpatient setting for individuals belonging to the birth cohort 1945\u20131965","year":"2020","journal-title":"Journal for Nurse Practitioners"},{"key":"2026072906350980000_19.2.127.7","unstructured":"Lewin, K . (1958). Group decision and social change. In E. E. Maccoby , T. M. Newcomb , & E. L. Hartley (Eds.), Readings in social psychology (pp. 197\u2013211). Rinehart and Winston."},{"issue":"1","key":"2026072906350980000_19.2.127.8","article-title":"The disconnect in hepatitis screening: Participation rates, awareness of infection status, and treatment-seeking behavior","year":"2019","journal-title":"Journal of Global Health"},{"issue":"6","key":"2026072906350980000_19.2.127.9","first-page":"1850","article-title":"Individual state hepatitis C data supports expanding screening beyond baby boomers to all adults","year":"2018","journal-title":"Gastroenterology"},{"issue":"4","key":"2026072906350980000_19.2.127.10","first-page":"506","article-title":"Improving hepatitis C identification: Technology alone is not the answer","year":"2018","journal-title":"Health Promotion Practice"},{"key":"2026072906350980000_19.2.127.11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.1123"},{"issue":"3","key":"2026072906350980000_19.2.127.12","article-title":"Epidemiology of hepatitis C virus infection","year":"2021","journal-title":"Clinics and Research in Hepatology and Gastroenterology"},{"issue":"2","key":"2026072906350980000_19.2.127.13","first-page":"1","article-title":"CDC recommendations for hepatitis C screening among adults - United States, 2020","author":"Centers for Disease Control and Prevention","year":"2020","journal-title":"MMWR. Recommendations and Reports"},{"key":"2026072906350980000_19.2.127.14","first-page":"891A","article-title":"National estimates for HCV screening and diagnosis rates in the United States (2013\u20132016) based on a large real-world dataset","volume-title":"Hepatology","volume":"68","year":"2018"},{"key":"2026072906350980000_19.2.127.15","unstructured":"U.S. Department of Health and Human Services. (2020). Viral Hepatitis national strategic plan for the United States: A roadmap to elimination (2021\u20132025) [Government Printing Office]. https:\/\/www.hhs.gov\/sites\/default\/files\/Viral-Hepatitis-National-Strategic-Plan-2021-2025.pdf"},{"key":"2026072906350980000_19.2.127.16","unstructured":"World Health Organization. (2024). Hepatitis C . https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/hepatitis-c"},{"issue":"4","key":"2026072906350980000_19.2.127.17","first-page":"431","article-title":"Building a hepatitis C clinical program: Strategies to optimize outcomes","year":"2018","journal-title":"Current Treatment Options in Infectious Diseases"}],"container-title":["Journal of Doctoral Nursing Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1891\/JDNP-2022-0027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T13:35:45Z","timestamp":1785332145000},"score":1,"resource":{"primary":{"URL":"http:\/\/connect.springerpub.com\/lookup\/doi\/10.1891\/JDNP-2022-0027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,25]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,7,28]]},"published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.1891\/JDNP-2022-0027"],"URL":"https:\/\/doi.org\/10.1891\/jdnp-2022-0027","relation":{},"ISSN":["2380-9418","2380-9426"],"issn-type":[{"value":"2380-9418","type":"print"},{"value":"2380-9426","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,25]]}}}