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A psychoeducational model for changing nurses' AIDS knowledge, attitudes, and practices.

J H Flaskerud

    Journal of Continuing Education in Nursing
    |November 1, 1991
    PubMed
    Summary
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    Nurses show improved human immunodeficiency virus (HIV) knowledge, but fears and unsafe clinical practices persist. A psychoeducational model is proposed to address these gaps in HIV/acquired immunodeficiency syndrome (AIDS) care.

    Area of Science:

    • Nursing Education
    • Infectious Disease Management
    • Public Health

    Background:

    • Recent literature indicates significant advancements in nurses' knowledge regarding human immunodeficiency virus (HIV).
    • Despite knowledge gains, nurses' attitudes and fears towards HIV and acquired immunodeficiency syndrome (AIDS) remain largely unchanged.
    • Concerns exist regarding the safety of current nursing clinical practices in managing HIV/AIDS.

    Purpose of the Study:

    • To review and synthesize current research on nurses' knowledge, attitudes, and clinical practices related to HIV/AIDS.
    • To propose a novel three-tiered psychoeducational model to enhance nurses' understanding and management of HIV/AIDS.
    • To address the disparity between knowledge acquisition and attitudinal/behavioral changes in nursing care for HIV/AIDS patients.

    Main Methods:

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    • Comprehensive review of research literature published within the last five years.
    • Development of a three-tiered psychoeducational intervention model.
    • Proposed interventions include information dissemination, attitude expression, role-playing, group discussions, policy design, and diverse cultural/societal exposure.

    Main Results:

    • Nurses' knowledge of HIV has demonstrably increased over the past five years.
    • Attitudes, fears, and clinical practices concerning HIV/AIDS have not shown commensurate improvement.
    • Evidence suggests that nurses' clinical practice may not consistently adhere to safety standards for HIV/AIDS care.

    Conclusions:

    • A significant gap persists between nurses' knowledge of HIV and their attitudes, fears, and clinical practice.
    • The proposed psychoeducational model offers a structured approach to simultaneously improve knowledge, attitudes, and clinical skills.
    • Targeted interventions are crucial to ensure safe and effective nursing care for individuals living with HIV/AIDS.