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Padjadjaran of Nursing Journal

Original

Vol. 8 No. 3 (2020): Jurnal Keperawatan Padjadjaran

Effectiveness Blended Learning in Reducing HIV-related Stigma and Discrimination among Nurses: A Queasy Experimental Design

DOI
https://doi.org/10.24198/jkp.v8i3.1459
Submitted
September 10, 2020
Published
2020-12-01

Abstract

Scale-up of stigma-reduction programs in healthcare settings has been slow in part due to lack of understanding and social norm associated with pre-existing stigma in HIV population. The application of blended learning can bridge the gap between theory and practice and make the learning experience more meaningful so that it can be applied as a way of learning to reduce stigma against PLWHA from healthcare professional. The aimed of this study was to determine the effectiveness of blended learning in reducing the stigma of nurses toward people with HIV/AIDS (PLWHA). This study used a quasi-experimental pre-post-test design with two groups (the intervention group and the control group). The samples in this study were nurses who worked at the public health center in Bandung. HIV-related stigma and discrimination (S&D) questionnaire was used to measure HIV-related stigma among nurses. Mean, standard deviation, frequency was used to explain demographic data and main variables. In the intervention (blended learning) group, there was a significant different of the mean score of HIV-related S&D before and after blended learning intervention with ∆ mean was 4.37 and (p = 0.001). In the control group, there was no significant different of those ∆ mean was 3.39 (p=0.459). A significant difference found in the post test mean score of HIV-related stigma and discrimination between intervention and control group [F=569.018, (p= 0.000)]. This study found that blended learning could reduce the HIV-related stigma and discrimination from nurses. This underscores the utility of this intervention to change the perceived of stigma and discrimination of health workers, as well as potential to generalize or adapt this intervention to other settings in the region and beyond.

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References

  1. Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In Preventing AIDS, pp. 25-59.
  2. Bandura, A., & Walters, R. H. (1977). Social learning theory (Vol. 1). Prentice-hall Englewood Cliffs.
  3. Banteyerga, H., Kidanu, A., Abebe, F., Alemayehu, M., Fiseha, B., Asazenew, A., Ruden, C., Asfaw, Y., & Shibru, A. (2005). Perceived stigmatization and discrimination by health care providers toward persons with HIV/AIDS. Miz-Hasab Research Center, Addis Ababa, IntraHealth International. http://dx.doi.org/10.13140/2.1.3556.7687
  4. Batson, C. D., Lishner, D. A., Carpenter, A., Dulin, L., Harjusola-Webb, S., Stocks, E. L., Gale, S., Hassan, O., & Sampat, B. (2003). “As you would have them do unto youâ€: Does imagining yourself in the other’s place stimulate moral action?, Personality and Social Psychology Bulletin, 29 (9), 1190-1201. https://doi.org/10.1177/0146167203254600
  5. Chan, B. T., & Tsai, A. C. (2017). Personal contact with HIV-positive persons is associated with reduced HIV-related stigma: Cross-sectional analysis of general population surveys from 26 countries in sub-Saharan Africa. Journal of the International AIDS Society, 20 (1), 1-8. https://dx.doi.org/10.7448%2FIAS.20.1.21395
  6. Corrigan, P. W., Morris, S. B., Michaels, P. J., Rafacz, J. D., & Rüsch, N. (2012). Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatric Services, 63(10), 963-973. https://doi.org/10.1176/appi.ps.201100529
  7. Dlamini, P. S., Wantland, D., Makoae, L. N., Chirwa, M., Kohi, T. W., Greeff, M., Naidoo, J., Mullan, J., Uys, L. R., & Holzemer, W. L. (2009). HIV stigma and missed medications in HIV-positive people in five African countries. AIDS Patient Care and STDs, 23(5), 377-387. https://dx.doi.org/10.1089%2Fapc.2008.0164
  8. ErvingGoffman, S. (1963). Notes on the management of spoiled identity. Englewood Cliffs, NJ: Pren-tice-Hall.Ezedinachi, E. N. U., Ross, M. W., Meremiku, M., Essien, E. J., Edem, C. B., Ekure, E., & Ita, O. (2002). The impact of an intervention to change health workers’ HIV/AIDS attitudes and knowledge in Nigeria: a controlled trial. Public Health, 116(2), 106-112.
  9. Feyissa, G. T., Abebe, L., Girma, E., & Woldie, M. (2012). Stigma and discrimination against people living with HIV by healthcare providers, Southwest Ethiopia. BMC Public Health, 12(1), 522. https://doi.org/10.1186/1471-2458-12-522
  10. Kinsler, J. J., Wong, M. D., Sayles, J. N., Davis, C., & Cunningham, W. E. (2007). The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care and STDs, 21(8), 584-592. https://doi.org/10.1089/apc.2006.0202
  11. Kurien, M., Thomas, K., Ahuja, R. C., Patel, A., Shyla, P. R., Wig, N., Mangalani, M., Kasthuri, A., Vyas, B., & Brogen, A. (2007). Screening for HIV infection by health professionals in India. The National Medical Journal of India, 20(2), 59-66.
  12. Li, L., Wu, Z., Liang, L.-J., Lin, C., Guan, J., Jia, M., Rou, K., & Yan, Z. (2013). Reducing HIV-related stigma in health care settings: a randomized controlled trial in China. American Journal of Public Health, 103(2), 286-292. https://dx.doi.org/10.2105%2FAJPH.2012.300854
  13. Lindayani, L and Maryam, N.N.A. (2017). Tinjauan sistematis: Efektifitas palliative home care untuk pasien dengan HIV/AIDS. (Systematic review: The effectiveness of alliative home care for patients with HIV / AIDS). Jurnal Keperawatan Padjadjaran, 5 (1), 29-36. https://doi.org/10.24198/jkp.v5i1.347
  14. Lindayani, L., Ibrahim, K., Wang, J.-D., & Ko, N.-Y. (2017). Independent and synergistic effects of self- and public stigmas on quality of life of HIV-infected persons. AIDS Care, 30(6), 706-713. https://doi.org/0.1080/09540121.2017.1396282
  15. Manganye, B. S., Maluleke, T. X., & Lebese, R. T. (2013). Professional nurses’ views regarding stigma and discrimination in the care of HIV and AIDS patients in rural hospitals of the Limpopo province, South Africa. African Journal of AIDS Research, 12(1), 33-40. https://doi.org/10.2989/16085906.2013.815411
  16. McKeever, R. (2015). Vicarious experience: Experimentally testing the effects of empathy for media characters with severe depression and the intervening role of perceived similarity. Health Communication, 30(11), 1122-1134. https://doi.org/10.1080/10410236.2014.921969
  17. Musheke, M., Ntalasha, H., Gari, S., McKenzie, O., Bond, V., Martin-Hilber, A., & Merten, S. (2013). A systematic review of qualitative findings on factors enabling and deterring uptake of HIV testing in Sub-Saharan Africa. BMC Public Health, 13, 220. https://doi.org/10.1186/1471-2458-13-220
  18. Nyblade, L., Stangl, A., Weiss, E., & Ashburn, K. (2009). Combating HIV stigma in health care settings: what works? Journal of the International AIDS Society, 12(1), 15. https://dx.doi.org/10.1186%2F1758-2652-12-15
  19. Pettigrew, T. F., & Tropp, L. R. (2006). A meta-analytic test of intergroup contact theory. Journal of Personality and Social Psychology, 90(5), 751-783. https://doi.org/10.1037/0022-3514.90.5.751
  20. Pisal, H., Sutar, S., Sastry, J., Kapadia-Kundu, N., Joshi, A., Joshi, M., Leslie, J., Scotti, L., Bharucha, K., & Suryavanshi, N. (2007). Nurses’ health education program in India increases HIV knowledge and reduces fear. Journal of the Association of Nurses in AIDS Care, 18(6), 32-43. https://doi.org/10.1016/j.jana.2007.06.002
  21. Rahmati-Najarkolaei, F., Niknami, S., Aminshokravi, F., Bazargan, M., Ahmadi, F., Hadjizadeh, E., & Tavafian, S. S. (2010). Experiences of stigma in healthcare settings among adults living with HIV in the Islamic Republic of Iran. Journal of the International AIDS Society, 13(1), 1-11. https://dx.doi.org/10.1186%2F1758-2652-13-27
  22. Shen, M.J. and Wellman, J.D. (2018). Evidence of palliative care stigma: The role of negative stereotypes in preventing willingness to use palliative care. Cambridge University Press, 17(4). https://doi.org/10.1017/s1478951518000834
  23. Steward, W. T., Bharat, S., Ramakrishna, J., Heylen, E., & Ekstrand, M. L. (2013). Stigma is associated with delays in seeking care among HIV-infected people in India. Journal of the International Association of Providers of AIDS Care, 12(2), 103-109. https://doi.org/10.1177/1545109711432315
  24. Sweeney, S. M., & Vanable, P. A. (2016). The association of HIV-related stigma to HIV medication adherence: a systematic review and synthesis of the literature. AIDS and Behavior, 20(1), 29-50. https://doi.org/10.1007/s10461-015-1164-1
  25. UNAIDS. (2016). No Title. UNAIDS. Retrieved March 14, 2020, from http://www.unaids.org/en/resources/
  26. Yiu, J. W., Mak, W. W. S., Ho, W. S., & Yu, Y. (2010). Social Science & Medicine Effectiveness of a knowledge-contact program in improving nursing students’ attitudes and emotional competence in serving people living with HIV/AIDS. Social Science & Medicine, 71(1), 38-44. https://doi.org/10.1016/j.socscimed.2010.02.045