Recherche en soins infirmiers
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A study on rapid routine HIV screening was mainly performed by nurses in 29 Emergency departments (EDs) of Paris urban area. Individual and collective covariates of healthcare staff participation were analyzed, along with positioning regarding the nurse autonomy for this activity. International studies confirm the interest of nurse screening. 25 interviews with nurses, nurse supervisors and physicians were performed in 5 departments. ⋯ This collaboration addresses a classic work division for nurse supervisors and doctors. However, a systematic implementation of HIV screening in EDs seems not to be executable because of structural constraints. The autonomy for nurse-initiated HIV screening enlarged to prevention and public health activities is positively considered by nurses.