Stigmatizing attitudes of nursing students towards people with severe acute respiratory syndrome
Keywords:
Post-pandemic conceptions, attitudes of nursing students, nursing, stigma in care, patient with SARS.Abstract
Introduction: Marked discrimination against people affected by respiratory infections persists due to the myths that have been developed in society following the pandemic itself. In this context, the attitudes generated by the nursing care for patients with SARS, especially after the COVID-19 pandemic, warrant further study.
Objective: To explore nursing students' conceptions and attitudes associated with stigma in the care of people with SARS.
Material and Methods: A descriptive, cross-sectional and analytical study was conducted. The sample was selected from a population of 239 nursing students in their last two academic terms (cycles) at two Health Sciences faculties.
Results: For the stigma scale developed, the most representative scores were found for questions 10, 6, and 1, in decreasing order. Item 10 is associated with the risk of infection (61.3%), while items 6 (55.8%) and 1 (52.3%) relate to the individualized treatment that would be provided to people with SARS. Regarding the scale with a directionality from positive attitudes towards "strongly disagree," item P5 is the one with the highest mean score ("I would not care for a person with SARS").
Conclusions: The results obtained imply that it is necessary to incorporate content related to managing the stigma of patients suffering from this type of infection into the nursing curriculum.
Downloads
References
1. Link BG, Phelan JC. Stigma and its public health implications. Lancet [Internet]. 2006 [Citado 23/01/2024];367(9509):528–9. Disponible en: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(06)68184-1/abstract
2. Rosa GM. Experiencia de enfermería en la atención de pacientes con COVID-19 en primer nivel de atención. Peruvian Journal of Health Care and Global Health [Internet]. 2020 [Citado 23/01/2024];4(1):37-42. Disponible en: http://portal.amelica.org/ameli/jatsRepo/579/5792494008/
3. Rojas JG, Lopera Betancur MA, Forero Pulido C, García Aguilar LC. Cuidar al paciente con COVID-19: entre la incertidumbre y el deseo de salir adelante. Rev Colomb Enferm [Internet]. 2021 [Citado 23/01/2024];20(2):e035. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8064327
4. Tsukuda M, Kayano T, Yoshiyasu ITO. Experiences of COVID-19-related stigma: A qualitative study on nurses caring for patients with COVID-19. Journal of Nursing Research [Internet].2022 [Citado 23/01/2024];30(6):e241. Disponible en: https://journals.lww.com/jnr-twna/fulltext/2022/12000/experiences_of_covid_19_related_stigma__a.4.aspx
5. Aguilera A. Conductas y actitudes del personal de enfermería en el cuidado de pacientes HIV/Sida: Acercamiento a la Realidad Social. Artículo Enfermería Docente [Internet]. 2008 [Citado 23/01/2024];88. Disponible en: https://www.index-f.com/edocente/88pdf/883135.pdf
6. Infante C, Zarco Á, Cuadra SM, Morrison K, Caballero M, Bronfman M, et al. El estigma asociado al VIH/SIDA: el caso de los prestadores de servicios de salud en México. Salud pública de México [Internet].2006 [Citado 23/01/2024];48(2):141-50. Disponible en: https://www.scielosp.org/pdf/spm/v48n2/29726.pdf
7. Rodríguez A. Actitudes estigmatizantes del personal de enfermería hacia pacientes de salud mental según el nivel de formación, sexo, edad antigüedad laboral en años, en una sala de clínica de un hospital público de la ciudad de Rosario [Tesis]. Argentina: Universidad Nacional de Rosario; 2020. Disponible en: https://rephip.unr.edu.ar/server/api/core/bitstreams/31c08456-0ecb-44b0-bdc8-a62f9ce2b5b8/content
8. Gholamrezaei A, Rezapour Nasrabad R, Ghalenoei M, Nasiri M. Correlation between suicide literacy and stigmatizing attitude of nurses toward patients with suicide attempts. Revista Latinoamericana de Hipertensión [Internet].2019 [Citado 23/01/2024]; 14(3). Disponible en: http://saber.ucv.ve/ojs/index.php/rev_lh/article/view/16760
9. Villanueva MS, Ferrando DB, Vilella SG, Pumarola CF, Hernán CR. El estigma de los trastornos mentales en los estudiantes de enfermería. Revista de enfermería y salud mental. 2015; (2):7-15.
10. UNICEF, World Health Organization, International Federation of Red Cross, Red Crescent Societies. Social stigma associated with COVID-19: A guide to 555 preventing and addressing social stigma [Internet].Geneva: World Health Organization; 2020 [Citado 23/01/2024]. Disponible en: https://www.who.int/publications/i/item/social-stigmaassociated-with-covid-19
11. Simeone S, Rea T, Guillari A, Vellone E, Alvaro R, Pucciarelli G. Nurses and stigma at the time of COVID-19: a phenomenological study. In Healthcare [Internet]. 2021 [Citado 23/01/2024];10(1):25. Disponible en: https://www.mdpi.com/2227-9032/10/1/25
12. Yuan K, Huang XL, Yan W, Zhang YX, Gong YM, Su SZ, et al. A systematic review and meta-analysis on the prevalence of stigma in infectious diseases, including COVID-19: a call to action. Molecular psychiatry [Internet]. 2022 [Citado 23/01/2024]; 27(1):19-33. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34580416/
13. Yuan K, Huang XL, Yan W, Zhang YX, Gong YM, Su SZ, et al. A systematic review and meta-analysis on the prevalence of stigma in infectious diseases, including COVID-19: a call to action. Molecular psychiatry [Internet].2022 [Citado 23/01/2024];27(1):19-33. Disponible en: https://www.nature.com/articles/s41380-021-01295-8
14.Nuckchady DC. Stigma linked to COVID-19. International Neuropsychiatric Disease Journal [Internet]. 2021 [Citado 23/01/2024];15(1):29-38. Disponible en: http://publish7promo.com/id/eprint/219/
15. Ando S, Yamaguchi S, Aoki Y, Thornicroft G. Review of mental-health-related stigma in Japan. Psychiatry and Clinical Neuroscience [Internet]. 2013 [Citado 23/01/2024]; 67(7):471-82. Disponible en: https://doi.org/10.1111/pcn.12086
16. Nabavian M, Rahmani N, Seyed Nematollah Roshan F, Firouzbakht M. Nurses’ experiences of the social stigma caused by the COVID-19 pandemic: a qualitative study. Journal of Research in Nursing [Internet]. 2023 [Citado 23/01/2024]; 28(2):104. Disponible en: https://journals.sagepub.com/doi/abs/10.1177/17449871231159604
17. Angulo Ramos M, Merino Soto C, Ramón Rojas J. Afrontamiento del estrés en personal de enfermería durante la Covid-19: adaptación psicométrica del Coping Strategies Indicator–Short (CSI-S). Index de Enfermería [Internet]. 2023 [Citado 23/01/2024];32(3). Disponible en: https://scielo.isciii.es/scielo.php?pid=S1132-12962023000300015&script=sci_arttext
18. Rahmani N, Roshan FS, Nabavian M, Alipour H. The design and psychometric evaluation of a COVID-19 social stigma questionnaire in nurses. BMC nursing [Internet].2023 [Citado23/01/2024]; 22(1). Disponible en: https://link.springer.com/article/10.1186/s12912-023-01620-2
19. Maunder R, Hunter J, Vincent L. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ [Internet]. 2003 [Citado 23/01/2024];168(10):1245–51. Disponible en: https://www.cmaj.ca/content/168/10/1245.short
20. Chan SS, Leung GM, Tiwari AF, Salili F, Leung SS, Wong DC, et al. The impact of work-related risk on nurses during the SARS outbreak in Hong Kong. Family & community health [Internet].2005 [Citado 23/01/2024];28(3):274-287. Disponible en: https://journals.lww.com/familyandcommunityhealth/abstract/2005/07000/the_impact_of_work_related_risk_on_nurses_during.8.aspx
21. Mok E, Chung BP, Chung JW, Wong TK. An exploratory study of nurses suffering from severe acute respiratory syndrome (SARS). International journal of nursing practice [Internet]. 2005 [Citado 23/01/2024];11(4):150-60. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1440-172X.2005.00520.x
22. Ho SM, Kwong Lo RS, Mak CW, Wong JS. Fear of severe acute respiratory syndrome (SARS) among health care workers. Journal of consulting and clinical psychology. 2005; 73(2):344.
23. Koh D, Lim MK, Chia SE. Risk perception and impact of severe acute respiratory syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn? Med Care [Internet]. 2005 [Citado 23/01/2024];43(7):676-82. Disponible en: https://journals.lww.com/lww-medicalcare/abstract/2005/07000/risk_perception_and_impact_of_severe_acute.6.aspx
24. Ozturk A. Stigmatization spreads faster than the virus. Viruses do not discriminate, and neither should we.” Combatting the stigmatization surrounding coronavirus disease (COVID‐19) pandemic. Perspectives in Psychiatric Care [Internet]. 2021 [Citado 23/01/2024];57(4):2030-4. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/ppc.12815