간호사의 HIV/AIDS에 대한 태도와 낙인 및 도덕적 민감성
Attitudes, Stigma, and Moral Sensitivity of Nurses toward HIV and AIDS
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Purpose: The purpose of this study was to examine the relationships of attitudes, stigma, and moral sensitivity of nurses toward HIV/AIDS. Methods: The participants were 530 nurses working in general hospitals in South Korea. A structured questionnaire regarding attitudes, stigma toward HIV/AIDS, and moral sensitivity was used. The data were analyzed using t-tests, ANOVAs, and Pearson correlation coefficients. Results: Nurses' attitudes toward HIV/AIDS differed by job position; nurses' moral sensitivity toward HIV/AIDS differed by age, marital status, education level, clinical practice career, and job position; and nurses' stigma toward HIV/AIDS differed by age, clinical practice career, subjective economic status, HIV/AIDS education experience, and HIV/AIDS patient care experience. Attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV/AIDS was higher (r=-0.58, p<.001), these attitudes were not correlated with moral sensitivity. Conclusions: The attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV was higher, and these attitudes were not correlated with moral sensitivity. Therefore, nurses should be provided education that takes their age, marital status, clinical practice career, and experiences in HIV-related education and caregiving into account.
Abstract
Purpose: The purpose of this study was to examine the relationships of attitudes, stigma, and moral sensitivity of nurses toward HIV/AIDS. Methods: The participants were 530 nurses working in general hospitals in South Korea. A structured questionnaire regarding attitudes, stigma toward HIV/AIDS, and moral sensitivity was used. The data were analyzed using t-tests, ANOVAs, and Pearson correlation coefficients. Results: Nurses' attitudes toward HIV/AIDS differed by job position; nurses' moral sensitivity toward HIV/AIDS differed by age, marital status, education level, clinical practice career, and job position; and nurses' stigma toward HIV/AIDS differed by age, clinical practice career, subjective economic status, HIV/AIDS education experience, and HIV/AIDS patient care experience. Attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV/AIDS was higher (r=-0.58, p<.001), these attitudes were not correlated with moral sensitivity. Conclusions: The attitudes of nurses toward HIV/AIDS were more negative when stigma toward HIV was higher, and these attitudes were not correlated with moral sensitivity. Therefore, nurses should be provided education that takes their age, marital status, clinical practice career, and experiences in HIV-related education and caregiving into account.
참고문헌 (30)
- Akgun Kostak, M., "Attitudes of Turkish midwives and nurses working at hospitals towards people living with human immunodeficiency virus", acquired immune deficiency syndrome, 2012, pp.18(5), 437~444
- Chen, W., "Knowledge, attitude, perceived vulnerability of Chinese nurse and their preference s for HIV-positive individuals: A cross-sectional survey", Journal of Clinical Nursing, 19(21-22), pp.3227~3234 (2010)
- Comrie, R. W., "An analysis of undergraduate and graduate student nurses' moral sensitivity", Nursing Ethics, 19(1), pp.116~127 (2012)
- 한안나, "종합병원 간호사의 AIDS에 대한 지식, 태도 및 예방적 감염관리 행위", 한국학교·지역보건교육학회지, 15(2), pp.1~12 (2014), 한국학교·지역보건교육학회
- 한종숙, "간호사의 에이즈와 만성 B형 간염에 대한 지식과 태도 및 간호의도", 한국직업건강간호학회지, 21(3), pp.201~208 (2012), 한국직업건강간호학회
- Han, S. S., "Validation of a Korean version of the moral sensitivity questionnaire", Nursing Ethics, 17(1), pp.99~105 (2010)
- 한종숙, "HIV", AIDS 상담간호사를 위한 교육 프로그램의 개발과 적용, 2013, pp.20(2), 113~123[DOI]
- Holzemer, W. L., "Measuring HIV stigma or PLHAs and nurses over time in five African countries", Journal of Social Aspects of HIV, 2009, pp.6(2), 76~82
- 조계화, "간호사의 품위 있는 죽음태도와 도덕적 민감성 정도가 임종간호수행에 미치는 영향", 한국호스피스완화의료학회지, 16(4), pp.223~231 (2013), 한국호스피스완화의료학회
- 김해리, "병원 간호사의 도덕적 민감성과 도덕적 고뇌", 한국의료윤리학회지, 13(4), pp.321~336 (2010), 한국의료윤리학회
- Kinsler, J. J., "The effect of perceived stigma from a health care provider on access to care among a lowincome HIV-positive population", AIDS Patient Care STDs, 21(8), pp.584~592 (2007)
- "2015 Annual report on the notified HIV/AIDS in Korea" (2016)[URL]
- "National survey on HIV/AIDS, attitudes, beliefs, and behaviors in the general population, 2010" (2010)[URL]
- "National survey on HIV/AIDS, attitudes, beliefs, and behaviors in the general population, 2012" (2012)[URL]
- Lee, B., "The influence of knowledge gap on personal and attributed AIDS stigma", Health Communication Research, 6(1), pp.93~134 (2012)
- 2011 report on HIV, "AIDS educational project for health care providers and future doctors", Lee, H. J., 2011
- Lützén, K., "Developing the concept of moral sensitivity in health care practice", Nursing Ethics, 13(2), pp.187~196 (2006)
- Kim Lützén, "Moral Sensitivity in Psychiatric Practice", Nursing Ethics, 4(6), pp.472~482 (2016), SAGE Publications[DOI]
- Mill, J., "Accessing health services while living with HIV : Intersections of stigma", The Canadian Journal of Nursing Research, 41(3), pp.168~185 (2009)
- Mill, J., "Stigma in AIDS nursing care in Sub-Saharan Africa and the Caribbean", Qualitative Health Research, 23(8), pp.1066~1078 (2013)
- 노다복, "정신과 병동 간호사의 도덕적 고뇌, 도덕적 민감성 및 윤리적 환경", 정신간호학회지, 22(4), pp.307~319 (2013), 정신간호학회
- Masakazu Nishigaki, "Influences of Allocating HIV", AIDS Specialized Nurses on Clinical Outcomes in Japan, 2011, pp.5(1), 11~18[DOI]
- Rondahl G, "Nursing staff and nursing students' attitudes towards HIV-infected and homosexual HIV-infected patients in Sweden and the wish to refrain from nursing", Journal of Advanced Nursing, 41(5), pp.454~461 (2003)
- 손애리, "HIV", AIDS 감염인에 대한 사회적 거리감에 대한 연구 - 구조모형을 이용한 에이즈 낙인의 매개효과 분석, 2008, pp.(23), 31~56[DOI]
- 서경현, "간호사의 강박신념, 경험회피, 에이즈에 대한 지식 및 태도와 에이즈 공포 간의 관계", 한국심리학회지: 건강, 17(3), pp.731~746 (2012), 한국건강심리학회
- Suominen, T., "Nurses’ knowledge and attitudes to HIV", AIDS-An international comparison between Finland, Estonia and Lithuania, 2010, pp.16, 138~147
- "Attitudes towards HIV and AIDS" (2007)[URL]
- Swendeman, D., "Common elements in self-management of HIV and other chronic illnesses: An integrative framework", AIDS Care, 21, pp.1321~1334 (2009)[DOI]
- 양승애, "AIDS 환자 간호의도에 영향을 미치는 요인", 디지털융복합연구, 11(12), pp.673~683 (2013), 한국디지털정책학회[DOI]
- Waluyo, A., "Understanding HIV-related stigma among Indonesian nurses", The Journal of the Association of Nurses in AIDS Care, 26(1), pp.69~80 (2015)