Shah Shilpa M, Heylen Elsa, Srinivasan Krishnamachari, Perumpil Sheeja, Ekstrand Maria L
University of California, San Francisco, USA
Center for AIDS Prevention Studies, San Francisco, CA, USA.
West J Nurs Res. 2014 Nov;36(10):1323-37. doi: 10.1177/0193945914523685. Epub 2014 Feb 25.
HIV stigma can be devastating and is common among health care providers, particularly nurses. The objectives of this study were to (a) assess the acceptability and feasibility of a brief stigma-reduction curriculum among a convenience sample of Indian nursing students and (b) examine the preliminary effect of this curriculum on their knowledge, attitudes, and intent to discriminate. At baseline, 57% of students had at least one misconception about HIV transmission, 38% blamed people living with HIV for their infection, and 87% and 95% demonstrated intent to discriminate while dispensing medications and drawing blood, respectively. Following the curriculum, HIV-related knowledge increased while blame, endorsement of coercive policies, and intent to discriminate decreased significantly. In addition, more than 95% of participants described the curriculum as practice changing. This brief intervention resulted in decreased stigma levels and was also highly acceptable to the nursing students. Next steps include rigorous evaluation in a randomized controlled trial.
对艾滋病病毒的污名化可能具有毁灭性,在医疗服务提供者中很常见,尤其是护士。本研究的目的是:(a)在印度护理专业学生的便利样本中评估简短的减少污名化课程的可接受性和可行性;(b)研究该课程对他们的知识、态度和歧视意图的初步影响。在基线时,57%的学生对艾滋病病毒传播至少有一个误解,38%的学生将感染归咎于艾滋病病毒感染者,87%和95%的学生分别在配药和抽血时有歧视意图。课程结束后,与艾滋病病毒相关的知识增加,而指责、对强制性政策的认可和歧视意图显著减少。此外,超过95%的参与者称该课程改变了他们的做法。这种简短的干预降低了污名化程度,护理专业学生对其接受度也很高。下一步包括在随机对照试验中进行严格评估。