Can a clinical placement influence stigma? An analysis of measures of social distance
Can a clinical placement influence stigma? An analysis of measures of social distance
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DOI：
10.1016/j.nedt.2016.06.003
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发表时间：
2016-09-01
影响因子：
3.9
通讯作者：
Heffernan, Tim
中科院分区：
文献类型：
--
作者：
Moxham, Lorna;Taylor, Ellie;Heffernan, Tim
背景资料：医疗保健专业人员对精神疾病患者的看法（通常包括污名化态度）可能对治疗结果和他们的生活质量产生重大影响。目的：为了确定参加非传统临床实习（称为恢复营）的本科护理学生与参加“康复营”的学生相比，对精神疾病患者的耻辱感是否不同，研究设计：准实验性。对象：79名三年级护生，40名参加康复训练营（干预），n = 39（对照组）参加了一个典型的“心理健康临床安置。所有的学生完成了社会距离量表（SDS）前和安置后，并在三个月的后续行动。数据分析包括单因素重复测量方差分析（ANOVA），探索三个时间点组评分之间的参数估计值。进行了两次次要重复测量ANOVA，以证明各组SDS评分随时间的差异。结果：干预组和对照组的污名评分差异有统计学意义。参数估计显示，干预组的耻辱评分显着降低后放置，并保持在三个月的随访始终较低。随着时间的推移，对照组的耻辱评分没有显着差异。结论：与典型的安置组相比，参加康复营的学生报告说，随着时间的推移，对精神疾病患者的耻辱显着减少。研究结果表明，治疗性娱乐为基础的临床安置是更成功地减少耻辱心理疾病的本科护理专业学生相比，那些谁参加了典型的心理健康临床实习。(C)2016爱思唯尔有限公司版权所有
Background: The way people who experience mental illness are perceived by health care professionals, which often includes stigmatising attitudes, can have a significant impact on treatment outcomes and on their quality of life.Objective: To determine whether stigma towards people with mental illness varied for undergraduate nursing students who attended a non-traditional clinical placement called Recovery Camp compared to students who attended a `typical' mental health clinical placement.Design: Quasi-experimental.Participants: Seventy-nine third-year nursing students were surveyed; n = 40 attended Recovery Camp (intervention), n = 39 (comparison group) attended a typical' mental health clinical placement.Methods: All students completed the Social Distance Scale (SDS) pre- and post-placement and at three-month follow-up. Data analysis consisted of a one-way repeated measures analysis of variance (ANOVA) exploring parameter estimates between group scores across three time points. Two secondary repeated measures ANOVAs were performed to demonstrate the differences in SDS scores for each group across time. Pairwise comparisons demonstrated the differences between time intervals.Results: A statistically significant difference in ratings of stigma between the intervention group and the comparison group existed. Parameter estimates revealed that stigma ratings for the intervention group were significantly reduced post-placement and remained consistently low at three-month follow-up. There was no significant difference in ratings of stigma for the comparison group over time.Conclusions: Students who attended Recovery Camp reported significant decreases in stigma towards people with a mental illness over time, compared to the typical placement group. Findings suggest that a therapeutic recreation based clinical placement was more successful in reducing stigma regarding mental illness in undergraduate nursing students compared to those who attended typical mental health clinical placements. (C) 2016 Elsevier Ltd. All rights reserved.