Tyer-Viola Lynda A
Department of Patient Care Services in the Massachusetts General Hospital, Boston, MA 02114, USA.
J Obstet Gynecol Neonatal Nurs. 2007 Sep-Oct;36(5):398-409. doi: 10.1111/j.1552-6909.2007.00172.x.
To define attitudes toward pregnant women with HIV and how these attitudes correlate with and affect prejudice and nursing care intentions.
Cross-sectional descriptive correlational study of obstetric nurses.
Eight hundred (800) mailed surveys in the United States (N = 350).
A random sample of nurses certified in inpatient obstetrics.
Background information tool, the Pregnant Women with HIV Attitude Scale, the Prejudice Interaction Scale in response to four vignettes, and the Marlowe-Crowne Social Desirability Scale-Form C.
Obstetric nurses had more positive Mothering-Choice attitudes than Sympathy-Rights attitudes (p= .000). Nurses who knew more than four people affected by HIV/AIDS had more positive attitudes (p<or= .05). Nurses with more positive attitudes were less prejudiced and more willing to care for pregnant women with HIV (p= .05). Nurses were significantly more prejudiced and less willing to care for women with than without HIV (p<or= .0001).
Nurses' clinical care may be influenced by their attitudes and prejudice toward pregnant women with HIV. Nursing education should include how prejudice can affect our clinical decision making and behaviors. Research is needed to explicate the effects on patient outcomes.
确定对感染艾滋病毒的孕妇的态度，以及这些态度如何与偏见和护理意愿相关联并对其产生影响。
针对产科护士的横断面描述性相关性研究。
在美国邮寄800份调查问卷（N = 350）。
随机抽取的住院产科认证护士样本。
背景信息工具、感染艾滋病毒孕妇态度量表、针对四个 vignette 的偏见互动量表，以及马洛-克劳恩社会期望量表C型。
产科护士对“母亲选择”的态度比“同情权利”的态度更积极（p = .000）。认识超过四个受艾滋病毒/艾滋病影响的人的护士态度更积极（p≤.05）。态度更积极的护士偏见更少，更愿意护理感染艾滋病毒的孕妇（p = .05）。与未感染艾滋病毒的女性相比，护士对感染艾滋病毒的女性偏见明显更大，护理意愿更低（p≤.0001）。
护士的临床护理可能会受到他们对感染艾滋病毒的孕妇的态度和偏见的影响。护理教育应包括偏见如何影响我们的临床决策和行为。需要开展研究以阐明对患者结局的影响。
