Influence of HIV mode of transmission on nurses' willingness to care
Review TypeNone: Degree-based Submission
Repository Posting Date2019-09-06T15:03:43Z
Author(s)Bormann, Jill E.
Author DetailsJill E. Bormann, PhD, RN, FAAN
Lead Author Sigma AffliationGamma Gamma
Level of EvidenceRandomized Controlled Trial
Research ApproachQuantitative Research
CINAHL HeadingsHIV Infections; Nurse Attitudes; Attitude to AIDS; Staff Nurses; HIV Infections--Nursing; Nurse Attitudes--Evaluation; Attitude to AIDS--Evaluation
This quasi-experimental study was designed to determine the extent to which nurses' willingness to care is influenced by mode of HIV transmission. A reformulation of King's Model of Human Interactions was used to theoretically guide the research. The study examined the willingness to provide care of 189 staff nurses from three hospitals. They were randomly assigned to one of three intervention groups identified by mode of HIV transmission (i.e., blood transfusion, injecting drugs, or gay sex) and were shown a 3-minute video of a male patient with HIV. Demographic, HIV-related experience and attitudes including willingness, comfort in touching and talking about death and dying were measured before the intervention; evaluative judgment of the patient, perceived occupational risk of contagion, willingness to care, comfort in touching, and talking about death and dying were measured after the intervention. Descriptive statistics, Analysis of Variance (ANOVA) and chi-square were done to compare the nurse characteristics and attitude variables across hospital sites. Hospital groups were found to be equivalent except that nurses at Hospital A reported less comfort in talking about death and dying. One-way ANOVA and hierarchial multiple regression were used to determine the influence of nurse characteristics, HIV-related attitude (i.e., AIDS knowledge, affect, and willingness), and mode of transmission on nurses' willingness to care. No statistically significant differences in nurses' willingness were found as a function of how the patient acquired HIV. However, nurses held significantly harsher judgments toward persons who acquired HIV from injecting drug use or gay sex. Significant predictors of willingness included: (a) nurses' positive feelings toward the patient, (b) kinder judgments, and (c) lower perceived risk of contagion for acquiring HIV. Recommendations for King's model and future nursing research are provided. Suggestions for nursing education and practice are given.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9613442; ProQuest document ID: 304231919. The author still retains copyright.
Degree GrantorWayne State University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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