Date on Paper


Document Type

Doctoral Paper



Committee Chair

Sara Robertson

Committee Member

Mary DeLetter

Author's Keywords

human immunodeficiency virus; pre-exposure prophylaxis; standardized patient simulation; adult learner; prevention; primary care; sexual healthcare; knowledge; risk screening


Introduction: Incidence and prevalence for human immunodeficiency virus (HIV) has yet to experience a significant decline. Increasing provider knowledge regarding use of Pre-Exposure Prophylaxis, an HIV prevention drug, correlates with increased provider risk screening & prescribing PrEP. Standardized patient (SP) simulation is an effective teaching method for healthcare students to increase knowledge and confidence in providing sexual healthcare.

Purpose: The purpose of this project was to evaluate an educational program aimed at increasing participant knowledge attainment and self-confidence in the ability to ascertain a sexual health history and advance the participant’s ability to manage PrEP candidates in a primary care setting.

Intervention: Sixteen participants attended a didactic lecture based on CDC guidelines on the role of primary care in comprehensive sexual healthcare screening and HIV prevention and intervention using PrEP prescription. Lecture was followed by a standardized patient (SP) simulation in which participants applied didactic content to perform a patient risk assessment, comprehensive sexual health screening, and PrEP management and follow-up.

Results: Post-intervention total knowledge percent improved by 53%. Confidence in identifying PrEP candidates, eliciting a sexual health history, and synthesizing plans all improved post simulation. Participant responses reflected overall satisfaction and self-confidence in learning after conclusion of simulation.

Discussion: Implementation of a sexual healthcare screening and PrEP SP simulation is a successful adjunct to traditional didactic teaching to reinforce student knowledge and confidence.

Included in

Nursing Commons