van Servellen G, Lewis C E, Leake B
School of Nursing, UCLA Center for the Health Sciences, Los Angeles, CA 90024.
J Contin Educ Health Prof. 1990;10(3):223-36. doi: 10.1002/chp.4750100304.
Three major trends are driving the widespread need for continuing education in AIDS. First, with the spread of AIDS, increasing numbers of health care professionals are becoming involved in the care and treatment of AIDS, ARC and HIV positive individuals. Second, as the disease spreads beyond current AIDS epicenters, more persons with minimal information are required to have a baseline working knowledge of AIDS. Finally, the reluctance of many health care professionals to care for HIV-positive individuals, along with already existing staff shortages, limits access to care and makes the provision of responsive educational programs even more important. Generic programs to educate health professionals frequently lack sufficient specificity and sensitivity to address the needs of health professionals with varying levels of knowledge and role responsibility. This paper briefly summarizes the literature on the similarities and differences in knowledge and attitudes across and within professional groups. In addition, it presents specific research designed to provide initial direction for considering the circumstances under which health professionals, particularly nurses and physicians, may or may not profit from generic programs aimed at mixed levels and types of health care provider.
有三大趋势推动了对艾滋病继续教育的广泛需求。首先,随着艾滋病的传播,越来越多的医疗保健专业人员参与到艾滋病、艾滋病相关综合征(ARC)患者及艾滋病毒呈阳性者的护理和治疗工作中。其次,由于该疾病的传播范围超出了当前的艾滋病高发地区,需要更多了解信息有限的人员掌握艾滋病的基本工作知识。最后,许多医疗保健专业人员不愿护理艾滋病毒呈阳性者,再加上现有的人员短缺问题,限制了医疗服务的可及性,这使得提供针对性强的教育项目变得更加重要。针对卫生专业人员的一般性教育项目往往缺乏足够的针对性和敏感性,无法满足知识水平和职责不同的卫生专业人员的需求。本文简要总结了关于不同专业群体之间以及群体内部在知识和态度方面异同点的文献。此外,本文还介绍了一项具体研究,该研究旨在为考虑卫生专业人员,尤其是护士和医生,在何种情况下可能从面向不同层次和类型医疗保健提供者的一般性项目中受益或无法受益提供初步指导。