Faculty of Nursing, Level 3, Edmonton Clinic Health Academy, University of Alberta, 11405 87 Avenue, Edmonton, AB, T6G 1C9, Canada.
Faculty of Health Sciences, University of Ottawa, 1 Stewart Street, Room 205, Ottawa, ON, K1N 6N5, Canada.
AIDS Behav. 2018 Dec;22(12):3836-3846. doi: 10.1007/s10461-018-2066-9.
Stigma is commonly experienced by people living with HIV/AIDS and by those providing care to HIV/AIDS patients. Few intervention studies have explored the impact of workplace policies and/or quality improvement on stigma. We examine the contribution of health care workplace policies, procedures and quality assurance initiatives, and self- and peer-assessed individual nurse practices, to nurse-reported HIV/AIDS-stigma practices toward patients living with HIV/AIDS and nurses in health care settings. Our sample of survey respondents (n = 1157) included managers (n = 392) and registered/enrolled nurses (n = 765) from 29 facilities in 4 countries (South Africa, Uganda, Jamaica, Kenya). This is one of the first studies in LMIC countries to use hierarchical linear modeling to examine the contributions of organizational and individual factors to HIV/AIDS stigma. Based on our results, we argue that organizational interventions explicitly targeting HIV/AIDS stigma are required to reduce the incidence, prevalence and morbidity of HIV/AIDS.
污名化通常发生在艾滋病毒/艾滋病感染者和为艾滋病毒/艾滋病患者提供护理的人群中。很少有干预研究探讨工作场所政策和/或质量改进对污名化的影响。我们研究了医疗保健工作场所政策、程序和质量保证举措，以及自我和同行评估的个体护士实践，对护士报告的艾滋病毒/艾滋病感染者和艾滋病毒/艾滋病感染者和护士的污名化做法的影响。我们的调查受访者样本（n=1157）包括来自 4 个国家（南非、乌干达、牙买加、肯尼亚）的 29 个设施的管理人员（n=392）和注册/注册护士（n=765）。这是在中低收入国家首次使用分层线性模型来研究组织和个人因素对艾滋病毒/艾滋病污名化的贡献的研究之一。根据我们的结果，我们认为需要针对艾滋病毒/艾滋病污名化的组织干预措施来减少艾滋病毒/艾滋病的发病率、流行率和发病率。
