康复科护理人员对残疾人态度、工作成就感与人性化护理能力的关系

目的 了解康复科护理人员人性化护理能力的现状,并探讨其与对残疾人的态度和工作成就感间的关系。方法 2020年12月至2021年3月,便利抽取锦州市、盘锦市、营口市和抚顺市8所综合性三甲医院的196例康复科护理人员,采用医护人员对残疾人态度量表、工作成就感量表、护士人性化护理能力量表进行调查。结果 康复科护理人员人性化护理能力总分为(73.39±10.75),总条目均分(3.86±0.57);康复科护理人员人性化护理能力与对残疾人态度和工作成就感均呈正相关(r=0.208～0.774, P <0.01);工作成就感在康复科护理人员对残疾人态度和人性化护理能力间起部分中介作用,中介效应为0.420,占总效应的52.83%。结论 康复科护理人员人性化护理能力较差。对残疾人态度越好,工作成就感越高,人性化护理能力会越强。康复科护理人员对残疾人态度不仅可以直接作用于人性化护理能力,也可以通过工作成就感间接影响人性化护理能力。     

The impact of humorous media on attitudes toward persons with disabilities

Purpose: To examine the relationship between disability-related humor and attitudes toward persons with disabilities in business students (i.e. “future employers”). Method: Students watched one of two films designed to reduce negative attitudes toward persons with disabilities (one humorous in tone and the other serious in tone) or no film at all, and completed a measure of attitudes toward persons with disabilities. Results: Results indicated that, after controlling for previous contact with persons with disabilities, age, and gender, students who watched the humorous film reported significantly more positive attitudes toward persons with disabilities. Conclusions: Disability humor may be an effective means of positively influencing attitudes toward persons with disabilities in future employers.

Implications for Rehabilitation

• The acceptance and integration of persons with disabilities into society continues to be limited by negative attitudes.

• Previous research has shown that employers with positive attitudes toward persons with disabilities may be more likely to hire a person with a disability than employers with negative attitudes.

• In this study, students who watched a humorous film reported significantly more positive attitudes toward persons with disabilities than students who watched a serious film or no film at all.

• Consequently, it may be beneficial to embed disability humor into job-placement strategies in order to improve attitudes and positively influence hiring decisions.

     

The measurement of the Hong Kong-based 'Baseline Survey of Students' Attitudes toward People with a Disability': cross-cultural validation in Lebanon

The negative attitudes of nondisabled persons are among the most serious invisible barriers to the full participation and integration of disabled citizens into society. A big question is, 'what is the current level of acceptance and recognition of disabled persons in a given society, and what kind of public awareness interventions shall be devised to promote positive changes?'. The purpose of this pilot study was to assess the level of the existing attitudinal barriers in a war-torn, middle-income Arab country, Lebanon. The study attempted to determine the present level of prejudice against people with a disability in Lebanon, and to examine the relationship between the participants' attitudes, and their previous exposure to and personal experience with disability. An instrument, the 'Baseline Survey of Students' Attitudes toward People with a Disability', developed by the Equal Opportunity Commission of Hong Kong, was selected as the instrument. A total of 94 valid questionnaires were collected from three universities in Beirut, Lebanon. This instrument was able to differentiate the participating students' attitudes toward people with different types of disabilities. The scale and its subscales showed that students generally had less favorable attitudes toward people with intellectual impairment and mental illness (including the ex-mentally ill). The participating Lebanese university students (an older age group than the Hong Kong students) are more differentiating in their attitudes toward people with the two most-discriminated categories of disabled people (the intellectually disabled and those with mental illness history). The cross-cultural validity and reliability of this instrument has been confirmed, and the major findings of this study could inform future policy directions, public awareness-raising strategies and social interaction variables to foster positive public attitudes in Lebanon.     

Public Attitudes Towards Individuals with Intellectual Disabilities as Measured by the Concept of Social Distance

Background While current practices strive to include individuals with intellectual disabilities in community opportunities, stigmatizing attitudes held by the public can be a barrier to achieving true social inclusion. Methods A sample of 625 community members completed the Social Distance Subscale of the Multidimensional Attitude Scale on Mental Retardation. Results Older and less educated participants held attitudes that reflected greater social distance. Participants who had a close family member with an intellectual disability and those who perceived the average level of disability to be ‘mild’ expressed less social distance. The limited variability in scores leads us to question our overall finding of very favourable attitudes towards social interaction with persons with intellectual disabilities. Conclusions This study demonstrates that although certain demographic variables are still relevant in identifying social distance attitudes, the measurement of this construct requires revision to ensure a valid and sensitive reflection of the public’s attitudes.     

Health professionals as contributors to attitudes toward persons with disabilities. A special communication

Negative attitudes towards persons with disabilities are common in our society. Although these attitudes are not voiced readily, they are expressed in a variety of ways and serve as barriers to the full realization of human potential. Health care professionals hold attitudes toward persons with disabilities that are similar to those of society as a whole, and they may be actual perpetuators of this limiting practice. This article explores possible origins of negative stereotypes of persons with disabilities and how these stereotypes are reinforced through the media. Health care professionals play a special role in continuing them. Change can occur through increased awareness and a humanitarian desire to reach beyond labels.     

Attitudes towards people with physical or intellectual disabilities: nursing students and non‐nursing peers

Title. Attitudes towards people with physical or intellectual disabilities: nursing students and non‐nursing peers. Aim. This paper is a report of a study of the attitudes of Dutch nursing students towards people with physical or intellectual disabilities. Background. Attitudes of healthcare professionals are a major factor in the rehabilitation and self‐acceptance of persons with disabilities. Consequently, it is important that nurses develop or maintain positive attitudes towards people with disabilities during their education. However, more knowledge is needed about current attitudes of nursing students and factors influencing these attitudes. Methods. A sample of Dutch nursing students (n = 81) and an age‐matched group of non‐nursing peers (n = 48) completed standardized scales measuring attitudes about physically or intellectually disabled people. Data were collected in 2006. Findings. Nursing students were more positive towards physically disabled people than their peers, and more strongly endorsed empowerment and similarity of intellectually disabled people. These attitudinal differences generally remained statistically significant after multivariate adjustment for demographic variables and experience and contact with individuals with disabilities. An important independent determinant of a positive attitude towards physically disabled people in the total sample was having a relative or friend with a physical disability. This association, however, was not apparent in attitudes towards intellectually disabled persons. Conclusion. Educational interventions aimed at improving attitudes towards people with disabilities should include focus on forms of contact beyond the context of formal care relationships.     

Factors influencing occupational therapy students' attitudes toward persons with disabilities: a conjoint analysis.

OBJECTIVES: The purpose of this study was to examine factors influencing occupational therapy students' context-specific attitudes toward persons with disabilities. METHOD: Attitudes of 128 occupational therapy students toward placement of a residential treatment facility in their community were measured by a conjoint measurement of 16 stimulus cards (representing persons with varying disability types, gender, age, employment history, and history of aggression) and their responses were analyzed using conjoint analysis. FINDINGS: Disability type and threat of violence were significantly higher on important scores compared with the other attributes across all students. Additionally, Year-Three students had significantly higher importance scores for the employment attribute than Year-One students. CONCLUSION: Conjoint analysis can be used effectively, as an indirect measure, to study factors contributing to the formation of attitudes-preferences for persons with disabilities in specific social contexts.     

对残疾人态度的研究

Duringthepastdecades,recognizingtheimportanceofall humanbeingsandtheirinterrelationshiphasledtomanymeas urestoredefinecivilizationinmodernsociety.Oneoftherecentchangesinthedefinitionofcivilizationcamewithrecognizingthe humanandcivilrightsofpersonswithdisabilities.Asthehu manrightsofpersonswithdisabilitieswereexaminedandvali datedthroughadvocacyandnewsocialpolicies,thechangingof negativeattitudestowardspersonswithdisabilitiesbecameafo cusforimprovingoursocialinteractionwitheachotherinclu dingpe…     

Attitudes towards people with disabilities across different healthcare undergraduate students: A cluster analysis approach

Background and Purpose

Negative attitudes towards disability amongst healthcare professionals endanger social inclusion of people with disabilities (PwD). This study aimed to investigate the attitude of undergraduate healthcare students of various disciplines towards PwD, including specific aspects of their attitude.

Methods

We assessed the attitudes of university students, including physiotherapy, speech therapy, nursing, social work and medical students, through the Greek Interaction with Disabled Person Scale (IDPS) in a survey. Data were analysed using a two-step clustering technique.

Results

Four hundred-eighty undergraduate healthcare students (21.4 ± 5.3 years-old; 135 males, 345 females) were recruited. Two-step cluster analysis identified three homogenous subgroups labelled Least positive attitude (42.3%), Moderately positive attitude (26.9%), and Most positive attitude (30.8%) groups. Τhe main differences in healthcare students' attitudes between the three distinct groups appeared to be in feelings of sympathy, fear and susceptibility towards disability, suggesting that these aspects of attitude needed to be primarily addressed. Results also revealed that females, being in higher semester/year of studies, having completed a clinical module with PwD and having frequent contact with PwD were related to more positive attitudes.

Conclusion

Taking into account that the majority of the healthcare students' sample yielded least and moderately positive attitudes, towards PwD, further actions should be taken for promoting more positive attitudes towards disability. A social model in teaching to increase student's awareness of PwD and skills to work with these people, having PwD themselves teaching such modules, focussing on positive experiences and reminding the students of the benefits of having positive attitudes towards PwD, as well as promoting ways to increase the contact of healthcare students with PwD (such as teaching in co-operation with organisations of PwD or finding alternative clinical placements with PwD), can be beneficial in promoting more positive attitudes towards disability.     

Validated instruments used to measure attitudes of healthcare students and professionals towards patients with physical disability: a systematic review

Background  

Instruments to detect changes in attitudes towards people with disabilities are important for evaluation of training programs and for research. While we were interested in instruments specific for medical students, we aimed to systematically review the medical literature for validated survey instruments used to measure attitudes of healthcare students and professionals towards patients with physical disability.     

Reactions to invisible disability: the experiences of young women survivors of hemorrhagic stroke

PURPOSE: To discuss how young, female and invisibly disabled, long-term survivors of hemorrhagic stroke experience the reactions of others as they negotiate the social environment. METHOD: Open-ended and in-depth interviews were conducted with 22 women to learn about their post-stroke experiences, and the interviews were analyzed for common issues and themes. RESULTS: Participants expressed concerns about the reactions of others in the context of discussing popular understandings about who is affected by stroke, and the significance of having invisible disabilities. Participants' experiences were mediated by the cultural belief that stroke is a disease of old age, and by the belief that disabilities worth taking seriously are readily visible. The existence of these beliefs about stroke and disability made it difficult for participants to deal with the reactions of others. CONCLUSIONS: Participants must negotiate their everyday lives within a social context that they are ill-prepared to deal with. Rehabilitation practices need to take this into account and counsel stroke survivors about what to expect and what they need to do for a good QOL in the community.     

An Investigation of Nursing Staff Attitudes and Emotional Reactions Towards Patients with Intellectual Disability in a General Hospital Setting

Background It has been suggested that inequalities in health care for people with intellectual disabilities may be partly explained by negative attitudes of health professionals. This study aimed to investigate the attitudes and emotional reactions reported by nursing staff working in general hospitals towards caring for patients with intellectual disabilities. Method Attitudes and emotional reactions were measured using a self‐report, vignette style questionnaire, tested for validity and reliability. Attitudes towards patients with physical disabilities were also assessed to act as a comparison. Results Nursing staff reported less positive attitudes, more negative emotions and fewer positive emotions, in response to caring for a patient with an intellectual disability compared to a patient with a physical disability. Occupational status (registered general nurse, student nurse, nursing assistant) had no effect upon respondents reported attitudes or emotions. Finally, attitudinal and emotional variables were significantly correlated, with positive emotions being associated with more favourable attitudes. Conclusions Although caution needs to be exercised when inferring actual behaviour from attitudes expressed, it is suggested that the presence of less positive attitudes and feelings amongst nursing staff towards patients with intellectual disabilities may affect the quality of care. Recommendations for future research and service development includes: the need to focus upon improving attitudes of nursing staff through training, and increased joint working between acute care services and Community Intellectual Disability Teams.     

Medical students' attitudes toward persons with disability: a comparative study

OBJECTIVES: To investigate first-year medical students' attitudes toward persons with disability and to examine whether gender and a background in disability determine attitudes toward persons with disability. DESIGN: A cross-sectional survey. SETTING: University settings in the United States and Canada. PARTICIPANTS: Ninety first-year medical students (US, n=46; Canada, n=44) were surveyed. INTERVENTION: Medical students given 3 surveys. MAIN OUTCOME MEASURES: Attitude Toward Disabled Persons (ATDP) Scale, Scale of Attitudes Toward Disabled Persons (SADP), and Rehabilitation Situations Inventory (RSI). RESULTS: There were no differences between the medical student groups from the United States and Canada. Compared with norms, medical students overall have more positive attitudes on the ATDP. Their attitudes were less positive on the SADP and on its optimism-human rights subscale. On the RSI, they were less comfortable with sexual situations and depression. Male medical students held poorer attitudes as scored than female medical students. Those with a background in disability were more comfortable dealing with challenging rehabilitation situations. Comfort with challenging rehabilitation situations showed significant differences across levels of experience but not gender. The more positive medical students' attitudes are toward persons with disability, the more likely they are to be comfortable with challenging rehabilitation situations. CONCLUSION: First-year medical students from the United States and Canada held similar attitudes and had less positive attitudes than SADP norms. Gender and background in disability influenced attitudes. Male medical students were more likely to hold negative attitudes. Specific educational experiences need to promote more positive attitudes.     

Influence of occupational therapy curricula on students' attitudes toward persons with disabilities.

The influence of occupational therapy curricula on students' attitudes toward persons with disabilities was studied. Twenty-six female students in either their first or fourth (i.e, final) semester of the occupational therapy curriculum were assessed with the Attitudes Toward Disabled Persons Scale (ATDP) (Yukor, Block, & Younng, 1966). A comparison group, 26 female students in either their first or fourth semester of the medical technology program, was also assessed with this scale. As hypothesized, the fourth-semester occupational therapy students showed significantly higher scores than did the other three groups of subjects. Also as predicted, this same group showed significantly higher scores than their first-semester counterparts and the fourth-semester medical technology students. No significant difference was found between first-semester and fourth-semester medical technology students. The occupational therapy curriculum appears to positively influence students' attitudes toward persons with disabilities.     

Reactions to invisible disability: The experiences of young women survivors of hemorrhagic stroke

Purpose.?To discuss how young, female and invisibly disabled, long-term survivors of hemorrhagic stroke experience the reactions of others as they negotiate the social environment.

Method.?Open-ended and in-depth interviews were conducted with 22 women to learn about their post-stroke experiences, and the interviews were analyzed for common issues and themes.

Results.?Participants expressed concerns about the reactions of others in the context of discussing popular understandings about who is affected by stroke, and the significance of having invisible disabilities. Participants' experiences were mediated by the cultural belief that stroke is a disease of old age, and by the belief that disabilities worth taking seriously are readily visible. The existence of these beliefs about stroke and disability made it difficult for participants to deal with the reactions of others.

Conclusions.?Participants must negotiate their everyday lives within a social context that they are ill-prepared to deal with. Rehabilitation practices need to take this into account and counsel stroke survivors about what to expect and what they need to do for a good QOL in the community.     

Interprofessional education in mental health: An opportunity to reduce mental illness stigma

Mental illness stigma is a common problem in healthcare students and professionals in addition to the general public. Stigma is associated with numerous negative outcomes and hence there is an urgent need to address it. This article explores the potential for interprofessional education (IPE) to emerge as a strategy to reduce mental illness stigma amongst healthcare students and professionals. Most anti-stigma strategies use a combination of knowledge and contact (with a person with lived experience) to change attitudes towards mental illness. Not surprisingly interprofessional educators are well acquainted with theory and learning approaches for attitude change as they are already used in IPE to address learners’ attitudes and perceptions of themselves, other professions, and/or teamwork. This article, through an analysis of IPE pedagogy and learning methods, identifies opportunities to address mental illness stigma with application of the conditions that facilitate stigma reduction. The goal of this article is to raise awareness of the issue of mental illness stigma amongst healthcare students and professionals and to highlight interprofessional education as an untapped opportunity for change.     

Attitudes towards disability in an undergraduate nursing curriculum: the effects of a curriculum change

Through improved technology and treatment and ongoing de-institutionalisation, nurses will encounter growing numbers of people with disabilities in the New Zealand community and hospitals. Quality of nursing care is influenced by attitude and this study was to evaluate the effect of a curriculum change on the attitudes of two different streams of student nurses towards people with disabilities. During the year 2002 a focused disability unit was introduced to the revised undergraduate nursing curriculum of a major educational institution in New Zealand. The opportunity arose to consider student nurses' attitudes toward disabled people, comparing two streams of students undertaking two different curricula. A convenience sample of students completed the attitudes toward disabled persons questionnaire form B (Yuker, H.E., Block, J.R., Younng, J.H., 1970. The Measurement of Attitudes Toward Disabled Persons. INA Mend Institute, New York), prior to and on completion of their relevant disability unit. No statistically significant difference in scores was demonstrated. A number of possible reasons for this are suggested.     

A path to greater inclusivity through understanding implicit attitudes toward disability

Individuals with visible disabilities are underrepresented in nursing and have been denied admission to nursing education and discriminated against based on their disability, although nurse educators have been found to hold positive explicit attitudes toward disabled individuals. This study examines nurse educators' implicitly held attitudes toward individuals with disabilities through the use of the Disability Attitude Implicit Association Test. Findings demonstrated that nurse educators are strongly biased toward individuals without disabilities (N = 132, D = 0.76, SD = 0.46) and demonstrated a stronger preference than the general population (N = 38,544, D = 0.45, SD = 0.43). Study results suggest the need for a timely critique of the continuing focus on physical abilities as a prerequisite for admission to nursing programs. In addition, faculty in schools of nursing and practicing nurses must engage in discussions of attitudes toward individuals with visible disabilities for the discipline to be more inclusive.     

Medical students' and allied health care professionals' perceptions toward the mentally retarded population

The purpose of this study was to determine if differences in expectations toward individuals with varying levels of mental retardation exist between medical students themselves and between health care professionals involved with these individuals. There were 136 medical students (52%) and 119 health care professionals (89%) who completed the modified Prognostic Beliefs Scale survey. Medical students demonstrated lower expectations compared to health care professionals. No relationship was found among medical student expectations and selected background variables including a family member with a disability and working with disabled individuals. A curriculum was developed focusing on informing and sensitizing medical students toward the needs of developmentally disabled persons. The response of the students to the program has been outstanding, with a positive change in attitudes and perceptions.