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护理学生的个人信仰与专业护理价值观之间的冲突。

Conflict between nursing student's personal beliefs and professional nursing values.

机构信息

Flinders University, Australia.

出版信息

Nurs Ethics. 2019 Jun;26(4):1087-1100. doi: 10.1177/0969733017738132. Epub 2017 Nov 19.

Abstract

BACKGROUND

Studies have established that negative perceptions of people living with HIV/AIDS exist among nursing students throughout the world, perceptions which can be detrimental to the delivery of high-quality nursing care.

OBJECTIVES

The purpose of this research was to explore socio-cultural influences on the perceptions of nursing students towards caring for people living with HIV/AIDS.

RESEARCH DESIGN

The study was guided by stigma theory, a qualitative descriptive research approach was adopted. Data collected via semi-structured interviews were thematically analysed.

PARTICIPANTS AND RESEARCH CONTEXT

Participants were 21 international and Australian undergraduate nursing students enrolled in a Bachelor of Nursing programme at an Australian university.

ETHICAL CONSIDERATIONS

Ethical approval was granted by the Social and Behavioural Research Ethics Committee at the study university. Participation was entirely voluntary; informed consent was obtained before the study commenced; confidentiality and anonymity were assured.

FINDINGS

Three major themes were found: blame, othering and values. Complex and interrelated factors constructed participant perceptions of people living with HIV/AIDS, perceptions underscored by the prevailing culturally construed blame and othering associated with HIV/AIDS. The study found discordance between the negative personal beliefs and perceptions some nursing students have towards people living with HIV/AIDS, and the professional values expected of them as Registered Nurses.

DISCUSSION

There was considerable commonality between this and previous studies on how homosexuality and illicit drug use were perceived and stigmatised, correlating with the blame directed towards people living with HIV/AIDS. These perceptions indicated some nursing students potentially risked not fulfilling the ethical and professional obligations the Registered Nurse.

CONCLUSION

Nursing curriculum should be strengthened in relation to comprehending the meaning of being stigmatised by society. Educational institutions need to work towards enhancing strategies that assist nursing students to reconcile any incongruity between their personal beliefs and requisite professional nursing values.

摘要

背景

研究表明,全世界的护理学生对艾滋病毒/艾滋病感染者都存在负面看法,这些看法可能会对提供高质量的护理服务产生不利影响。

目的

本研究旨在探讨社会文化因素对护理学生对艾滋病毒/艾滋病感染者护理看法的影响。

研究设计

本研究以污名理论为指导,采用定性描述性研究方法。通过半结构化访谈收集数据,并进行主题分析。

参与者和研究背景

参与者为 21 名国际和澳大利亚本科护理学生,他们在澳大利亚一所大学的护理学士学位课程中注册。

伦理考虑

该研究得到了研究大学社会和行为研究伦理委员会的伦理批准。参与完全是自愿的;在研究开始前获得了知情同意;保证了保密性和匿名性。

结果

发现了三个主要主题:指责、排斥和价值观。复杂且相互关联的因素构成了参与者对艾滋病毒/艾滋病感染者的看法,这些看法受到与艾滋病毒/艾滋病相关的普遍文化构建的指责和排斥的影响。研究发现,一些护理学生对艾滋病毒/艾滋病感染者的负面个人信念和看法与他们作为注册护士所期望的专业价值观之间存在不一致。

讨论

这与之前关于同性恋和非法药物使用的看法和污名化的研究有很大的相似之处,与指向艾滋病毒/艾滋病感染者的指责相关。这些看法表明,一些护理学生可能无法履行注册护士的道德和职业义务。

结论

护理课程应加强对被社会污名化的意义的理解。教育机构需要努力加强策略,帮助护理学生协调他们的个人信仰和必要的专业护理价值观之间的任何不和谐。

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