This research project examined the views and perceptions of healthcare provider staff regarding HIV testing and the implementation of HIV testing as a routine part of medical practice in a university student health center at a Historically Black College or University (HBCU). This study further explored whether healthcare provider staff promoted HIV testing and the ways they made it a part of their normal medical practice. The study was guided by three research questions: (1) What are healthcare provider staff's views and perceptions regarding HIV testing? (2) What are healthcare provider staff's views and perceptions regarding the implementation of HIV testing as a routine, normal part of the medical visit? (3) What are some of the barriers healthcare provider staff's identify that prevent implementing this recommendation within their healthcare practices and healthcare settings? Weick's (1995) sensemaking theory was applied to the research data of this study to help gain an understanding of how the participants communicate via their behaviors and actions about HIV testing and their views and perceptions about the recommendation to make HIV testing a normal part of the medical routine. According to Weick (1995), people in organizational groups are able to link their thoughts and perceptions so that some form of collective action is possible through belief-driven processes and action-driven processes. He suggested that "sensemaking is an effort to tie beliefs and actions more closely together..." (pg. 135). Weick posits that people make sense of things by seeing a world on which they already impose what they believe. The HIV testing experiences of the participants were recorded through in-depth interviews to understand how sensemaking principles characterized the testing beliefs in the healthcare setting. This study shows the ways that healthcare provider staff at a university student health center at an HBCU communicated about HIV testing to their patient population. The findings suggest that healthcare provider staff who believes HIV testing is beneficial to patients demonstrate that through their interpersonal communication in their patient interviews in the healthcare setting. This study offers insight into the need for improving and developing organizational processes and policies to incorporate HIV testing as a normal part of the medical practice for all healthcare settings. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]