Moxham Lorna, Taylor Ellie, Patterson Christopher, Perlman Dana, Brighton Renee, Sumskis Susan, Keough Emily, Heffernan Tim
School of Nursing, University of Wollongong, New South Wales, Australia.
Global Challenges Program, University of Wollongong, New South Wales, Australia.
Nurse Educ Today. 2016 Sep;44:170-4. doi: 10.1016/j.nedt.2016.06.003. Epub 2016 Jun 11.
The way people who experience mental illness are perceived by health care professionals, which often includes stigmatising attitudes, can have a significant impact on treatment outcomes and on their quality of life.
To determine whether stigma towards people with mental illness varied for undergraduate nursing students who attended a non-traditional clinical placement called Recovery Camp compared to students who attended a 'typical' mental health clinical placement.
Quasi-experimental.
Seventy-nine third-year nursing students were surveyed; n=40 attended Recovery Camp (intervention), n=39 (comparison group) attended a 'typical' mental health clinical placement.
All students completed the Social Distance Scale (SDS) pre- and post-placement and at three-month follow-up. Data analysis consisted of a one-way repeated measures analysis of variance (ANOVA) exploring parameter estimates between group scores across three time points. Two secondary repeated measures ANOVAs were performed to demonstrate the differences in SDS scores for each group across time. Pairwise comparisons demonstrated the differences between time intervals.
A statistically significant difference in ratings of stigma between the intervention group and the comparison group existed. Parameter estimates revealed that stigma ratings for the intervention group were significantly reduced post-placement and remained consistently low at three-month follow-up. There was no significant difference in ratings of stigma for the comparison group over time.
Students who attended Recovery Camp reported significant decreases in stigma towards people with a mental illness over time, compared to the typical placement group. Findings suggest that a therapeutic recreation based clinical placement was more successful in reducing stigma regarding mental illness in undergraduate nursing students compared to those who attended typical mental health clinical placements.
医疗保健专业人员对患有精神疾病者的认知方式，通常包括污名化态度，这可能会对治疗结果及其生活质量产生重大影响。
确定与参加“典型”心理健康临床实习的学生相比，参加名为“康复营”的非传统临床实习的本科护理学生对患有精神疾病者的污名化程度是否有所不同。
准实验性研究。
对79名三年级护理学生进行了调查；40人参加了康复营（干预组），39人（对照组）参加了“典型”心理健康临床实习。
所有学生在实习前、实习后以及三个月随访时均完成了社会距离量表（SDS）。数据分析包括单向重复测量方差分析（ANOVA），以探索三个时间点上各组分数之间的参数估计。进行了两项二次重复测量方差分析，以证明每组SDS分数随时间的差异。成对比较显示了时间间隔之间的差异。
干预组和对照组在污名化评分上存在统计学上的显著差异。参数估计显示干预组的污名化评分在实习后显著降低，并且在三个月随访时一直保持在较低水平。对照组的污名化评分随时间没有显著差异。
与典型实习组相比，参加康复营的学生报告称，随着时间的推移，他们对患有精神疾病者的污名化程度显著降低。研究结果表明，与参加典型心理健康临床实习的学生相比，基于治疗性娱乐的临床实习在降低本科护理学生对精神疾病的污名化方面更为成功。
