全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Medical and Nursing Students Perceived Knowledge, Attitudes, and Practices concerning Human Immunodeficiency Virus

DOI: 10.1155/2014/975875

Full-Text   Cite this paper   Add to My Lib

Abstract:

Objective. To assess medical and nursing students’ knowledge, attitudes, and practices (KAP) regarding human immunodeficiency virus (HIV) in Fiji. Methods. A cross-sectional study of 275 medical and 252 nursing students that participated in a questionnaire survey on HIV KAP. Data was analysed according to their gender, program of study, and academic year. Results. The mean HIV knowledge (HK) and attitude scores were 16.0 and 41.3, respectively. Mean HK score was significantly higher in males compared to females. Significant positive correlations were found between HK and academic year for medical ( ) and nursing ( ) students and between HK and attitude scores ( ). The majority of students indicated fear in contracting HIV through clinical practice and felt that health care workers have the right to know a patients HIV status for their own safety. The majority would wear gloves to touch a patient if suspected of HIV. Conclusions. The study found a high level of HIV knowledge and positive attitude towards HIV patients. However, respondents also displayed negative attitudes and unacceptable practices probably due to fear. Training institutions need to ensure that students gain accurate knowledge on HIV especially on transmission routes to allay the fear of caring for HIV-infected patients. 1. Introduction Human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) are global public health problems and are becoming a threat to the South Pacific region because more than 97.0% of all infections are occurring in the developing countries and increasing every year [1]. Although the prevalence of HIV in most Pacific islands was low, the incidence of HIV in most Pacific islands continued to increase [2]. In Fiji, by the end of 2012, 482 confirmed HIV cases had been reported since the first case was diagnosed in January 1989. Adults aged 20–39 years accounted for almost 77.0% of HIV cases and heterosexual transmission reported for 91.0% of all cases [3]. The main goal of HIV and AIDS education in medical and nursing training is to equip them with the right information needed to provide effective and culturally appropriate care to their patients and at the same protect themselves against infection [4]. A number of studies have highlighted the need to enhance and integrate HIV education into the core curriculum in medical and nursing schools [4–12]. A study among Turkish nursing students found high levels of negative attitude and fear of contagion of HIV as a reason for being unwilling to care for HIV-infected patients [5]. A study among nursing

References

[1]  UNAIDS, “Global report: UNAIDS report on the global AIDS epidemic 2012,” Geneva, Switzerland, 2012, http://www.unaids.org/en/resources/publications/2012/name,76121,en.asp.
[2]  UNAIDS, “HIV in Asia and the Pacific, UNAIDS report 2013,” Bangkok, Thailand, 2013, http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2013/2013_HIV-Asia-Pacific_en.pdf.
[3]  Fiji National AIDS Committee, “Fiji global AIDS response progress report 2012,” Geneva, Switzerland, 2012, http://www.unaids.org/en/dataanalysis/knowyourresponse/countryprogressreports/2012countries/ce_FJ_Narrative_Report.pdf.
[4]  V. C. Li, B. L. Cole, S. Z. Zhang, and C. Z. Chen, “HIV-related knowledge and attitudes among medical students in China,” AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, vol. 5, no. 3, pp. 305–312, 1993.
[5]  H. A. Bekta? and ?. Kulaka?, “Knowledge and attitudes of nursing students toward patients living with HIV/AIDS (PLHIV): a Turkish perspective,” AIDS Care: Psychological and Socio-Medical Aspects of AIDS/HIV, vol. 19, no. 7, pp. 888–894, 2007.
[6]  V. Prodanovska-Stoj?evska, R. Isjanovska, and E. Popova-Ramova, “Knowledge of HCV infection among nursing students of the medical college of bitola,” Arhiv za Higijenu Rada i Toksikologiju, vol. 61, no. 2, pp. 197–201, 2010.
[7]  C. Ouzouni and K. Nakakis, “HIV/AIDS knowledge, attitudes and behaviours of student nurses,” Health Science Journal, vol. 6, no. 1, pp. 129–150, 2012.
[8]  S. Akin, B. Mendi, O. Mendi, and Z. Durna, “Turkish nursing students' knowledge of and attitudes towards patients with HIV/AIDS,” Journal of Clinical Nursing, vol. 22, no. 23-24, pp. 3361–3371, 2013.
[9]  O. Sehume, L. Zungu, and M. Hoque M, “Attitudes and willingness of nursing students towards caring for patients infected with HIV in South Africa,” IFE PsychologIA, vol. 20, no. 2, pp. 12–20, 2012.
[10]  K. K. Choy, T. J. Rene, and S. A. Khan, “Beliefs and attitudes of medical students from public and private universities in Malaysia towards individuals with HIV/AIDS,” The Scientific World Journal, vol. 2013, Article ID 462826, 8 pages, 2013.
[11]  N. Han and A. Htet, “Knowledge and attitude of HIV/AIDS infection among medical students,” International Journal of Collaborative Research on Internal Medicine and Public Health, vol. 4, no. 4, pp. 317–326, 2012.
[12]  D. A. Bikmukhametov, V. A. Anokhin, A. N. Vinogradova, W. R. Triner, and L.-A. McNutt, “Bias in medicine: a survey of medical student attitudes towards HIV-positive and marginalized patients in Russia, 2010,” Journal of the International AIDS Society, vol. 15, no. 2, Article ID 17372, 2012.
[13]  P. Weerakoon, M. K. Jones, R. Pynor, and E. Kilburn-Watt, “Allied health professional students' perceived level of comfort in clinical situations that have sexual connotations,” Journal of Allied Health, vol. 33, no. 3, pp. 189–193, 2004.
[14]  S. Malhotra, A. Khurshid, K. A. Hendricks, and J. R. Mann, “Medical school sexual health curriculum and training in the United States,” Journal of the National Medical Association, vol. 100, no. 9, pp. 1097–1106, 2008.
[15]  S. A. Vollmer and K. B. Wells, “How comfortable do first-year medical students expect to be when taking sexual histories?” Medical Education, vol. 22, no. 5, pp. 418–425, 1988.
[16]  WHO, “Enhancing the role of medical schools in STI/HIV and TB control,” Chennai, India, 2000, http://whqlibdoc.who.int/searo/2000/SEA_TB_228.pdf.
[17]  C. A. Daniyam, P. A. Agaba, and E. I. Agaba, “Acceptability of voluntary counselling and testing among medical students in Jos, Nigeria,” Journal of Infection in Developing Countries, vol. 4, no. 6, pp. 357–361, 2010.
[18]  M. P. Carey and K. E. E. Schroder, “Development and psychometric evaluation of the brief HIV knowledge questionnaire,” AIDS Education and Prevention, vol. 14, no. 2, pp. 172–182, 2002.
[19]  J. E. Hair, R. E. Anderson, R. L. Tatham, and W. C. Black, Multivariate Data Analysis, Prentice-Hall, New Jersey, NJ, USA, 5th edition, 1998.
[20]  H. Robb, E. D. Beltran, D. Katz, and B. Foxman, “Sociodemographic factors associated with AIDS knowledge in a random sample of university students,” Public Health Nursing, vol. 8, no. 2, pp. 113–118, 1991.
[21]  B. H. Chew BH and A. T. Cheong, “Assessing HIV/AIDS knowledge and stigmatizing attitudes among medical students in Universiti Putra Malaysia,” The Medical Journal of Malaysia, vol. 68, no. 1, pp. 24–29, 2013.
[22]  O. Turhan, Y. Senol, T. Baykul, R. Saba, and A. Yal?in, “Knowledge, attitudes and behaviour of students from a medicine faculty, dentistry faculty, and medical technology Vocational Training School toward HIV/AIDS,” International Journal of Occupational Medicine and Environmental Health, vol. 23, no. 2, pp. 153–160, 2010.
[23]  A. S. Chauhan, M. A. Hussain, S. Pati, S. Nallala, and J. Mishra, “Knowledge and attitudes related to HIV/AIDS among medical and allied health sciences students,” Indian Journal of Community Health, vol. 23, no. 2, pp. 96–98, 2011.
[24]  G. R. Najem and E. I. Okoye Okuzu, “International comparison of medical students' perceptions of HIV infection and AIDS,” Journal of the National Medical Association, vol. 90, no. 12, pp. 765–774, 1998.
[25]  S. Pita-Fernández, B. Rodríguez-Vazquez, and S. Pertega-Diaz, “Attitudes of nursing and auxiliary hospital staff toward HIV infection and AIDS in Spain,” Journal of the Association of Nurses in AIDS Care, vol. 15, no. 3, pp. 62–69, 2004.
[26]  O. O. Rotimi and O. O. Oluwafemi, “Knowledge and attitudes of students in a Caribbean medical school towards HIV/AIDS,” African Journal Biomedical Research, vol. 11, no. 2, pp. 137–143, 2008.
[27]  Y. Samant, R. Manheshwar, L. Sankhe, and D. L. Parker, “HIV-related knowledge and attitude among first year medical students in Mumbai, India,” International Electronic Journal of Health Education, vol. 9, pp. 13–24, 2005.
[28]  J. A. Johnson, A. E. Campbell, C. H. Toewe, and B. J. Bell, “Knowledge and attitudes about AIDS among first- and second-year medical students,” AIDS Education and Prevention, vol. 2, no. 1, pp. 48–57, 1990.
[29]  S. Hoffart, G. M. Ibrahim, R. A. Lam, E. P. Minty, M. Theam, and J. P. Schaefer, “Medical students' attitudes towards treating patients with HIV: a 12-year follow-up study,” Medical Teacher, vol. 34, no. 3, p. 254, 2012.
[30]  E. Nazik, S. Arslan, F. ?zdemir, and S. Apay, “Turkish nursing students' attitudes about patients living with HIV/AIDS,” Sexuality and Disability, vol. 30, no. 4, pp. 433–439, 2012.
[31]  Y. Li, C. S. Scott, and L. Li, “Chinese nursing students' HIV/AIDS knowledge, attitudes, and practice intentions,” Applied Nursing Research, vol. 21, no. 3, pp. 147–152, 2008.
[32]  B. Qu, Y. Zhang, H. Guo, and G. Sun, “Relationship between HIV/AIDS knowledge and attitude among student nurses: a structural equation model,” AIDS Patient Care and STDs, vol. 24, no. 1, pp. 59–63, 2010.
[33]  P. S. Lui, J. Sarangapany, K. Begley, R. Musson, S. Ram S, and K. Kishore, “Knowledge, attitudes and behaviours of health care workers towards clients of sexual health services in Fiji,” Sexual Health, vol. 9, no. 4, pp. 323–327, 2012.
[34]  The Government of Fiji, “HIV/AIDS decree 2011 (Decree no. 5 of 2011),” Suva, fiji, 2011, http://www.fiji.gov.fj/getattachment/65656c4b-cbc9-4a48-97a4-6ce35f2612fd/Decree-No-38_2011–-HIV-AIDS-(Amendment)-Decree-20.aspx.
[35]  S. B. Hulley, S. R. Cummings, W. S. Browner, D. B. Grady, and T. B. Newman, Designing Clinical Research, Lippincott Williams and Wilkins, Philadelphia, Pa, USA, 4th edition, 2001.
[36]  K. R. Murphy and C. O. Davidschofer, Psychological Testing: Principles and Applications, Pearson/Prentice Hall, Upper Saddle River, NJ, USA, 6th edition, 2005.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133