School of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, Ireland.
J Adv Nurs. 2011 Mar;67(3):598-608. doi: 10.1111/j.1365-2648.2010.05516.x. Epub 2010 Dec 12.
This paper is a report of a study measuring attitudes of primary care nurses towards caring for people with hepatitis C.
Hepatitis C is a major public health problem. Attitudes to caring for people with hepatitis C vary and can have an impact on nursing care practices. International literature has identified discriminating practices amongst healthcare professionals including nurses. There is limited research examining primary care nurses' attitudes to caring for people with hepatitis C.
A cross-sectional postal census survey of 981 nurses working in one health board region in the Republic of Ireland was conducted during the period March 2006 to June 2006.
A response rate of 57.1% (n=560) was achieved. Exploratory factor analysis of an attitude scale identified three latent variables: 'infection control behaviour', 'caring' and 'fear'. Attitudes were generally positive towards caring for persons with hepatitis C; however, 51.7% of respondents would use additional infection control precautions if caring for someone with known hepatitis C. Younger nurses and those educated to degree level and above held significantly more positive attitudes to caring. Nurses agreed that they have a central role in managing and treating people with hepatitis C; however, many agreed that they lack the knowledge and skills to care for persons with hepatitis C.
Negative attitudes can result in discriminatory experiences for persons with hepatitis C or at risk. Nurses require ongoing education on hepatitis C to improve knowledge, to limit concerns and ensure adherence to infection control guidelines.
本文是一项研究报告，旨在测量初级保健护士对护理丙型肝炎患者的态度。
丙型肝炎是一个重大的公共卫生问题。对护理丙型肝炎患者的态度存在差异，可能会对护理实践产生影响。国际文献已经确定了包括护士在内的医疗保健专业人员的歧视行为。关于初级保健护士对护理丙型肝炎患者的态度的研究有限。
在 2006 年 3 月至 6 月期间，对爱尔兰共和国一个卫生委员会区域的 981 名护士进行了横断面邮政普查调查。
实现了 57.1%（n=560）的应答率。对态度量表的探索性因子分析确定了三个潜在变量：“感染控制行为”、“关怀”和“恐惧”。对护理丙型肝炎患者的态度总体上是积极的；然而，51.7%的受访者如果照顾已知患有丙型肝炎的人，会采取额外的感染控制预防措施。年轻护士和接受过学位及以上教育的护士对护理持有更积极的态度。护士们一致认为他们在管理和治疗丙型肝炎患者方面发挥着核心作用；然而，许多人认为他们缺乏护理丙型肝炎患者的知识和技能。
消极的态度可能导致丙型肝炎患者或有风险的患者受到歧视。护士需要接受丙型肝炎的持续教育，以提高知识，减少担忧并确保遵守感染控制指南。
