Goldenberg D, Laschinger H
Faculty of Nursing, University of Western Ontario, London.
J Nurs Educ. 1991 Mar;30(3):119-26. doi: 10.3928/0148-4834-19910301-07.
Few investigators have studied nurses' or nursing students' responses to caring for AIDS patients. The purpose of this exploratory study was to test the Ajzen-Fishbein (1980) Theory of Reasoned Action in a student nurse population about AIDS patient care. This theory offers an approach to explaining individuals' intentions to engage in certain behaviors as determined by two components: attitudes toward the behavior and subjective norms. Forty-six second-year baccalaureate nursing students completed a questionnaire developed according to guidelines described by Ajzen and Fishbein (alpha reliability range was .69-.85) prior to and following an instructional unit on caring for AIDS patients. Consistent with the theory, students' attitudes and subjective norms were found to be significant predictors of intentions to care for AIDS patients in their clinical experience (R2 = .29, F[1, 43] = 6.63, p less than .003). In addition, qualitative data resembled those in previous reports of fear of contagion among health professionals. The effects of the instructional unit about caring for AIDS patients resulted in significant changes in both attitudes and subjective norms.
很少有研究者研究过护士或护理专业学生对护理艾滋病患者的反应。这项探索性研究的目的是在护理专业学生群体中检验阿杰恩 - 菲什拜因(1980年)的理性行动理论在艾滋病患者护理方面的应用。该理论提供了一种方法来解释个体参与特定行为的意图,这种意图由两个因素决定:对该行为的态度和主观规范。46名护理学本科二年级学生在一个关于护理艾滋病患者的教学单元前后,完成了一份根据阿杰恩和菲什拜因所描述的指导方针编制的问卷(内部一致性系数范围为0.69 - 0.85)。与该理论一致,学生的态度和主观规范被发现是其在临床实践中护理艾滋病患者意图的重要预测因素(R2 = 0.29,F[1, 43] = 6.63,p < 0.003)。此外,定性数据与之前关于医护人员对传染恐惧的报告中的数据相似。关于护理艾滋病患者的教学单元的效果导致了态度和主观规范的显著变化。