School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.
NorthWestern Mental Health, Melbourne Health, Parkville, Victoria, Australia.
Int J Ment Health Nurs. 2019 Oct;28(5):1065-1077. doi: 10.1111/inm.12634. Epub 2019 Jul 23.
Undergraduate nursing students have been reported to hold negative and stigmatizing attitudes towards mental health consumers and to be under-prepared for mental health clinical placement. This study aimed to investigate undergraduate nurses' stigma and recovery attitudes to mental illness, and describe their understandings of personal recovery on entry and exit to traditional mental health clinical placement. A pre/post-test survey was administered to N = 249 nursing students in Australia. Demographic data, attitudes towards mental health nursing and clinical placement, the Opening Minds Scale for Healthcare Providers (OMS-HC), Recovery Attitudes Questionnaire (RAQ-7), and an open-ended question on understandings of personal recovery from mental illness were collected on entry (T1) and exit (T2) to placement. At T1, students reported moderate stigma and positive attitudes towards recovery (OMS-HC mean = 34.6; RAQ-7 mean = 4.0). At T2, there was a reduction in stigma (social distance P = 0.02, d = 0.26) and improvement in recovery attitudes (P < 0.01, d = 0.40). Attitudes towards mental health nursing and placement also improved (P < 0.01). Having a family member with mental illness predicted improvements in stigma and recovery attitudes. On entry to placement, most students described accurate understandings of personal recovery, which were maintained during placement. The findings indicate that mental health clinical placements are effective in improving students' mental health stigma and recovery attitudes and provide a prime opportunity to attract students into the field. Co-produced or consumer-led education provided by peer workers during clinical placements may improve students' stigmatizing attitudes and stimulate their interest to work in the field.
本科护理学生被报道对心理健康消费者持有负面和污名化的态度，并且对心理健康临床实习准备不足。本研究旨在调查本科护士对精神疾病的污名化和康复态度，并描述他们在进入和离开传统心理健康临床实习时对个人康复的理解。在澳大利亚，对 N=249 名护理学生进行了一项前后测试调查。收集了人口统计学数据、对心理健康护理和临床实习的态度、医疗保健提供者开放思维量表（OMS-HC）、康复态度问卷（RAQ-7），以及对精神疾病个人康复的理解的开放式问题，在进入（T1）和离开（T2）实习时进行。在 T1 时，学生报告了中度污名化和对康复的积极态度（OMS-HC 平均值=34.6；RAQ-7 平均值=4.0）。在 T2 时，污名化程度降低（社会距离 P=0.02，d=0.26），康复态度改善（P<0.01，d=0.40）。对心理健康护理和实习的态度也有所改善（P<0.01）。有精神疾病家族史的学生预测污名化和康复态度的改善。在进入实习时，大多数学生对个人康复的理解描述准确，并且在实习期间得到了维持。研究结果表明，心理健康临床实习在改善学生的心理健康污名化和康复态度方面非常有效，并为吸引学生进入该领域提供了一个绝佳机会。在临床实习期间，由同伴工作人员提供的共同制定或消费者主导的教育可能会改善学生的污名化态度，并激发他们对该领域工作的兴趣。
