Siou Kaitlin, Mahan Maureen, Cartagena Rod, Chan Carusone Soo
Casey House, 9 Huntley Street, Toronto, ON M4Y 2K8, Canada.
Casey House, 9 Huntley Street, Toronto, ON M4Y 2K8, Canada.
Geriatr Nurs. 2017 May-Jun;38(3):199-206. doi: 10.1016/j.gerinurse.2016.10.014. Epub 2017 Feb 4.
As people living with HIV (PLHIV) age, knowledge of HIV and the associated care of those aging with HIV will become an increasingly important component of education for long-term care (LTC) providers. This descriptive study piloted two different approaches to distribute narrative-based HIV educational videos. Four LTC facilities were assigned to receive the videos to implement 'as usual' or to receive the videos in addition to blended learning sessions where the videos were shown with facilitated discussion with a nurse educator and a PLHIV. In LTC facilities where external educators were provided, a larger proportion of staff watched the videos. However, increases in staff comfort level providing care to PLHIV were comparable between both groups. Narratives of PLHIV, administrator engagement and coordination of online education were identified as facilitators to improving HIV knowledge and compassion in LTC, while fear of HIV transmission and limited time for education, especially when not mandated or identified as immediately applicable, were identified as barriers. From our findings, HIV-related stigma still exists in LTC and these videos may be a strategy for disseminating basic knowledge about HIV transmission and sensitizing staff to the experience of living with HIV.
随着感染艾滋病毒的人(PLHIV)年龄增长,关于艾滋病毒的知识以及对感染艾滋病毒的老年人的相关护理,将日益成为长期护理(LTC)提供者教育的重要组成部分。这项描述性研究试点了两种不同的方法来分发基于叙事的艾滋病毒教育视频。四个长期护理机构被分配接收视频,要么“照常”实施,要么除了混合学习课程外还接收视频,在混合学习课程中播放视频并与护士教育工作者和一名感染艾滋病毒者进行引导式讨论。在提供外部教育工作者的长期护理机构中,观看视频的工作人员比例更高。然而,两组在为感染艾滋病毒者提供护理时工作人员舒适度的提高程度相当。感染艾滋病毒者的叙事、管理人员的参与以及在线教育的协调被确定为改善长期护理中艾滋病毒知识和同情心的促进因素,而对艾滋病毒传播的恐惧和教育时间有限,尤其是在没有强制要求或认为并非立即适用时,被确定为障碍。根据我们的研究结果,长期护理中与艾滋病毒相关的耻辱感仍然存在,这些视频可能是传播关于艾滋病毒传播的基本知识并使工作人员对感染艾滋病毒的经历敏感化的一种策略。