DOI QR코드

DOI QR Code

Factors Affecting the Nursing Intention of Nurses for AIDS Patients

AIDS 환자 간호의도에 영향을 미치는 요인

  • Received : 2013.12.01
  • Accepted : 2013.12.20
  • Published : 2013.12.28

Abstract

Purpose : This study aimed to examine the causal relationships among knowledge, stigma prejudice, attitude, social interaction which are factors affecting the Nursing Intention for AIDS patients. Method : Data were collected from June 20 to August 10, 2012, 268 nurses in general hospital located in and outside of Seoul, who were selected using convenience sampling. For hypothesis testing, the collected data were analyzed using AMOS 19. Results : Analysis of the path coefficients in this study showed that 41% of the variation in Nursing Intention could be explained by variation in the model. Social Interaction and Attitude directly affected the Nursing Intention. Social Interaction was found to be the most important predictive factor to explain Nursing Intention. Conclusion : This study found that there are need to increase possibility of social interaction and make positive changes in attitude toward AIDS patient care in order to improve Nursing Intention.

본 연구는 AIDS환자 간호의도에 영향을 미치는 요인들, 즉 지식, 낙인, 편견, AIDS환자 간호에 대한 태도, 사회적 상호작용 간의 인과관계를 확인하고자 시도하였다. 대상자는 서울 및 경기도에 소재한 300병상 이상규모 3개의 종합병원에 근무하고 있는 간호사268명이었고 자료수집 기간은 2012년 6월 20일부터 8월 10일까지였다. AIDS환자 간호의도 가설적 모형에 대한 경로분석을 위해 수집된 자료는 SPSS Window18.0과 AMOS19.0을 이용하여 전산처리하였다. 본 연구에서 지식, 편견, 낙인, AIDS 환자간호에 대한 태도, 사회적 상호작용이 AIDS환자 간호의도 41%를 설명하였다. 간호의도에 직접적으로 영향을 주는 요인은 사회적 상호작용과 AIDS 환자간호에 대한 태도로 확인되었으며 그 중 사회적 상호작용이 가장 큰 직접효과를 주는 것으로 나타났다. 이상의 결과를 종합하여 볼 때 간호의도 제고를 위하여 사회적 상호작용 가능성을 높이고 AIDS 환자간호에 대한 태도를 긍정적으로 변화시키는 방안이 가장 효과적이라고 할 수 있다.

Keywords

References

  1. Byeon, Y.S., Lee, K.H.,"The life change events of patients with AIDS in Korea", Journal of Qualitative Research, vol.7, no.2,pp. 16-26, 2006
  2. Han, J.S., Cho,H., Kim,Y.M., Kim, O.H. "Nurses' Knowledge, Attitudes and Nursing Intention toward AIDS and Chronic Hepatitis B", Korean Journal of Occupational Health Nursing, vol.21, no.3, pp. 201-208, 2012. https://doi.org/10.5807/kjohn.2012.21.3.201
  3. Held, S.L. "The Effect of an AIDS Education Program on the knowledge and Attitudes of a Physical Therapy Class", Physical Therapy, vol.73, no.3, pp. 156-164, 1993 https://doi.org/10.1093/ptj/73.3.156
  4. Hu, L. T., Bentler, P.M.,"Cutoff criteria for fit indices in covariance structure analysis: conventional criteria versus new alternatives", Structural Equation Modeling, vol.6, pp. 1-55, 1999 https://doi.org/10.1080/10705519909540118
  5. Manganye, B.S., Maluleke, T.X., Lebese, R. T.,"Professional nurses'view regarding stigma and discrimination in the care of HIV and AIDS patients in rural hospitals of the Limpopo province, South Africa ", African Journal of AIDS Research, vol.12, no.1,pp. 33-40, 2013 https://doi.org/10.2989/16085906.2013.815411
  6. Mill, J., Harrowing, J., Rae,T., Richter, S., Minnie, K., Mbalinda, S. & Hepburn-Brown, C., "Stigma inAIDS Nursing Care in Sub-Saharan Africa and the Caribbean", Qualitative Health Research. vol.23, no.8,pp.1066-78, 2013 https://doi.org/10.1177/1049732313494019
  7. Kelly, J.A., Lawrence. J.S., Hood, H,V., Smith. S.,Cook. D.J., "Nurses' Attitudes toward AIDS", The Journal of Continuing Education in Nursing. vol.19, no.2,pp. 78-83, 1998
  8. Kemppainen, J., St. Lawrence, J.S., Irizarry, A., Weidema, D., Benne, C., Fredericks, C., "Nurses' willingness to perform AIDS patient care", The Journal of continuing Education in Nursing, vol.23,pp. 11-117, 1992.
  9. Kline, R.X., Principals and practice of structural equation modeling (2nd ed.), Guilford Press, New York, 2005
  10. Lee, J.K., "A Study for Investigating Predictors of AIDS and Patients Care Intention among Nursing Students", Journal of Korean Academy of Nursing, vol.31, no.2,pp. 292-303, 2001. https://doi.org/10.4040/jkan.2001.31.2.292
  11. Lee, J.S., Park, S.K, HIV/AIDS knowledge, attitudes, belief, and behaviors. Centers for Disease Control and Prevention, Seoul: Korea, 2007.
  12. Loehlin, J. C., Latent variable models: An introduction to factor, path, and structural analysis, Hilsdale, New Jersey: Lawrence Erlbaum, 1997.
  13. Newman, C., DuRant, R.H., Ashworth, C.S.,Gaillard, G. "An evaluation of school based AIDS/HIV education program for young adolescents", AIDS Education & Prevention, vol.5, no.4,pp. 327-339, 1993.
  14. Oh, H.S., Kang, Y.S.," Survey on Nurses's Knowledge and Attitude Regarding AIDS", Journal of Korean Public Health Association, vol.21, no.2,pp. 27-41, 1995.
  15. Ross, M.W.,Caudle,C.,Taylor, J. "Relationship of AIDS education and knowledge to AIDS- related social skill in adolescents", The Journal of school health,vol.61, no.8,pp. 351-354, 1991. https://doi.org/10.1111/j.1746-1561.1991.tb07415.x
  16. Shin, Y.H., Hong, Y.H., "College students' knowledge and Attitudes toward AIDS in Pusan and Ulsan areas", Journal of Korean Academy of Nursing, vol.26, no.1,pp. 33-42, 1996.
  17. Sohn, A.R., Moon, J.S., Shin, S.B. Chun, S.S., Kim, S.Y.," Discriminatory Attitudes towards Person with HIV/AIDS (PWHAs) among Adolescents in Seoul, Korea"Health and Social Science, vol.23, pp. 31-56, 2008.
  18. Son, J.T., Suh, S.R.,Cho, E.J.,"A Descriptive Survey of University Students's Prejudice toward AIDS, Social Interaction with AIDS Patients, Intention for AIDS Prevention, and Knowledge", Journal of Korean Academy of Fundamentals of Nursing, vol.10, no.3, pp. 383-391, 2003.
  19. Son, J.T., Lee, E.J., Kim, H.M.," Effect of Discussion Centered AIDS Education on Knowledge, Prejudice, Social Interaction, and Intention for Prevention in College Students ", Journal of Korean Academy of Fundamentals of Nursing , vol.14,no.4, pp. 515-523, 2007.
  20. Suh, U.H., Oh, H.Y., "Knowledge, perception, safety clinate, and compliance with hospital infection standard precautions among hospital nurses", Journal of Korean Clinical Nursing Research, vol.16, no.1,pp. 61-70, 2010.
  21. Suominen, Tarja, KaranJa-Pernu, Caroline, Kylama, Jari, Houtsonen, Jarmo,Valimaki, Maritta, "Knoweldge, Attitudes and Risk Behavior Related to HIV and AIDS: The Case of International Students in a Finnish University", Journal of Community Health, vol.36,pp. 910-918, 2011. https://doi.org/10.1007/s10900-010-9353-3
  22. Tyer-Viola, L.A., "Obstetric Nurses'Attitude and Nursing Care Intentions Regarding Care of HIV-Positive Pregnant Women", Journal of Obstetric, Gynecologic, & Neonatal Nursing ,vol.36, no.5, pp.398-409, 2007 https://doi.org/10.1111/j.1552-6909.2007.00172.x
  23. www.cdc.go.kr/CDC/info/CdcKrInfo0302.jsp?menuIds=HOME001-MNU0004-MNU0739-MNU0038&fid=32&q_type=&q_value=&cid=19359&pageNum=http://
  24. www.unaids.org/en/media/unaids/contentassets/documents/epidemiology/2013/gr2013/201309_epi_core_en.pdf
  25. Yoo, H.R.,"Attitude, Subjective Norm, and Belief of Korean Nursing Students as Predictors of Intentions to care for HIV Disease Patients: a Test of Theory of Reasoned Action", Journal of Korean Academy of Nursing, vol.27, no.3,pp.660-672, 1997.
  26. Yoo, M.H., A study on the effect of HIV/AIDS related stigma on the social adjustment of people living with HIV/AIDS, Unpublished master's thesis, Chung-Ang University, Seoul, 2002.
  27. Yun, M.J., The study of HIV/AIDS stigma influencing prevention treatment interaction with people living with HIV/AIDS, Unpublished master's thesis, Hanyang University, Seoul, 2006.