護理系在職進修班學生照護HIV陽性患者意願之探討

An Investigation of Re-entry Nursing Students' Intentions to Care for HIV-Positive Patients

蔡芸芳(Yun-Fang Tsai) ； 熊秉荃(Ping-Chuan Hsiung)

《Journal of Medical Education》 Volume 3 Issue 4 (1999/12) Pp. 381-390

https://doi.org/10.6145/jme.199912_3(4).0006

Abstracts

本研究的目的在了解護理系在職進修班學生對照護HIV陽性病患的知識、態度、主觀規範、護理照護能力及照護意願，並運用意願預测因子模式來探討護生的知識、態度、主觀規範及護理照護能力對其照護此類病患意願之影響。隨機抽取4所醫學院二技護理系的學生為研究對象，共收得有效問卷323份。結果顯示大多數的護生缺乏有關HIV的知識，對照護HIV陽性病患抱持中立略偏正向的態度，感受到其重要他人不支持他去照護HIV陽性病患，但認為自己具有照護HIV陽性病患之護理照護能力。護生亦表示些許的負向意願來照護HIV陽性病患。此外，態度越正向、越感受到重要他人支持的壓力及越認為自己具有護理照護能力的護生，越具有照護意願。以複迴歸分析來檢測預測因子模式，結果發現知識、態度、主觀規範及護理照護能力對於照護意願的解釋力為33％，但僅有態度以及主觀規範為主要的意願預測因子。因此，未來護理教育者可藉由改善護理系在職進修班學生對照護HIV陽性病患之態度及主觀規範，以提升其照護意願，進而改善HIV陽性病患之護理照護品質。

Keywords

知識 ； 態度 ； 主觀規范 ； 護理照護能力 ； 照護意願

Parallel abstracts

The purpose of this study was to explorere-entry undergraduate nursing students'knowledge,attitudes,subjective norms,andnursing care abilities related to the care ofHIV-positive patients and to determine the extentto which these variables influence theircaregiving intentions.The research was basedon a model of predictors of intention.Subjectswere randomly selected from four medical collegesand 323 questionnaires were used toanalyze data.The findings of this study revealedthat most of these nursing students lackedsufficient knowledge about HIV.In general,participants expressed positive attitudes aboutcaring for patients who are HIV positive.Subjectivenorms about caring for HIV-positivepatients tended to be negative,but ratings ofnursing care abilities were generally positive.Participants also expressed slightly negative intentionsto care for patients who are HIV positive.In addition,attitudes,subjective norms,and nursing care abilities were significantlycorrelated with intentions.The use of a stepwiseregression revealed that knowledge,attitudes,subjective norms,and nursing care abilitiesaccounted for 33% of the variance in intentions.However,only attitudes and subjectivenorms were significant predictors of intentions.Implications for nursing education with a particularfocus on changing attitudes and subjectivenorms are discussed.(Full Text in Chinese)

Parallel keywords

knowledge ； attitudes ； subjective norms ； nursing care abilities ； caregiving intentions