Forrester D A, Murphy P A
University of Medicine and Dentistry of New Jersey, Center for Nursing Research, Newark.
J Adv Nurs. 1992 Oct;17(10):1260-6. doi: 10.1111/j.1365-2648.1992.tb01844.x.
Three variables were experimentally manipulated by simulation measurement using six vignettes in a completely randomized, partial hierarchical, experimental design: medical diagnosis (AIDS v. non-AIDS), sexual orientation (heterosexual v. homosexual) and intravenous drug-use history (IVDU v. non-IVDU). Following each vignette, the same Prejudicial Evaluation Scale (PES) and Social Interaction Scale (SIS) were used to measure nurses' attitudes toward patients and their willingness to interact with patients. Vignette questionnaires were randomly assigned to 360 acute-care nurses. Although sexual orientation was found not to influence PES and SIS scores, an AIDS medical diagnosis and a history of intravenous drug use were found to increase nurses' negative attitudes toward patients significantly and reduce their willingness to interact with patients. Study findings did not vary according to nurses' age, academic preparation or previous practice experience with patients with AIDS.
在一项完全随机、部分分层的实验设计中,通过使用六个案例 vignettes 进行模拟测量,对三个变量进行了实验性操作:医学诊断(艾滋病与非艾滋病)、性取向(异性恋与同性恋)和静脉吸毒史(有静脉吸毒史与无静脉吸毒史)。在每个案例 vignette 之后,使用相同的偏见评估量表(PES)和社会互动量表(SIS)来测量护士对患者的态度以及他们与患者互动的意愿。案例 vignette 问卷被随机分配给 360 名急症护理护士。虽然发现性取向不会影响 PES 和 SIS 分数,但发现艾滋病医学诊断和静脉吸毒史会显著增加护士对患者的负面态度,并降低他们与患者互动的意愿。研究结果并未因护士的年龄、学术背景或之前对艾滋病患者的实践经验而有所不同。