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Biomedical subjects

I Peate

Publications and source records attributed to I Peate.

At least 19 recordsLinked to original sources

German nursing students' knowledge of and attitudes to HIV and AIDS: two decades after the first AIDS cases.

German nursing students' knowledge of and attitudes to HIV and AIDS: two decades after the first AIDS case This study describes German nursing students' (n=180) knowledge and attitudes relating to HIV/AIDS, their homophobia level, willingness to care for people with AIDS, and their approach to possible sexual risk behaviours. A questionnaire was used to collect the data (response rate 97.8%). The results indicated that the nursing students had a rather high knowledge level concerning AIDS. However, there were gaps of knowledge, such as regarding AIDS immunopathology or the symptoms of the disease. Single nursing students and those having cared for a person with AIDS had a more thorough knowledge about the disease. In general, the attitudes towards AIDS and people with AIDS were tolerant and positive, and homophobia was only found with a small minority. Students having positive attitudes towards people with HIV/AIDS had less homophobia compared to those having negative attitudes towards persons suffering from AIDS. Those with positive attitudes were more willing to care for patients with HIV/AIDS, while those with a high homophobia level were less willing to do so. In addition, students having a high AIDS knowledge level tended less towards negative attitudes and homophobia than those with a low level of knowledge. The implications of the research for nursing education will be discussed.

Adolescent↗

Attitudes of professionals, students and the general public to HIV/AIDS and people with HIV/AIDS: a review of the research.

This paper provides a review relating to the attitudes of health care professionals, students and the general public to HIV/AIDS and people with HIV/AIDS. This is done by describing the literature on attitudes to HIV and AIDS in three fields of research: medicine/nursing, psychology and the social sciences. In addition, we look at the countries in which research has been conducted in these issues and at the variety of tools and methodological approaches used and at the participants studied. The review shows that, during the 1990s, the research interest in issues related to HIV/AIDS attitudes has rapidly increased. Most of the work on HIV and AIDS has been done in the United States, with the main focus on empirical research using questionnaires. The attention has mostly been on students and their attitudes to AIDS/HIV and sexual behaviour, but increasing interest has also been shown in the attitudes of health care personnel and students. As it seems that attitudes have been highly resistant to change, more consideration needs to be given to finding appropriate ways of educating the general public, students and health care professionals. A comprehensive analysis is also needed of the different tools used in measuring attitudes and in international comparisons of the attitudes of adolescents, health care professionals and students towards AIDS and AIDS patients.

Attitude to Health↗

A student-centred approach to learning. An HIV and AIDS awareness elective.

1. Central to the philosophy of the elective module is the belief that students have individual specific needs and bring with them a wealth of knowledge and experience. 2. Electives encourage a strong sense of self-confidence in students. 3. Developing a curriculum that comprises a portfolio of meaningful personal experiences is of paramount importance when designing an electives module.

Curriculum↗

A question of prejudice. Stigma, homosexuality and HIV/AIDS.

1. Nurses will, in the future, be faced with caring for a growing number of people with HIV and Aids, including both heterosexual and homosexual patients. 2. People infected with HIV may remain asymptomatic for long periods, and are capable of transmitting the virus. 3. Our value and belief systems may not be the same as our patients' and clients', so there is a potential for us to impose our values and beliefs on clients with harmful outcomes. 4. More empirical research into the harmful effects of stigmatisation is needed, to support the numerous anecdotal accounts mentioned here. 5. Methods of enhancing this client group's healthcare needs should begin with nurse educationists, who also need to question and confront their own value and belief systems.

Acquired Immunodeficiency Syndrome↗

A creative form of skill development. Elective courses in nurse education.

1. Nurse education needs to continue to strive to enhance teaching and learning in nurse education by the use of creative and innovative activities. 2. The philosophy underpinning electives is that often learners know what they want to learn and how they wish to go about this. 3. The use of nursing electives allows learners to cultivate their abilities in relation to self-directed study. 4. Evaluation of the elective experience undertaken enhances peer group activity and promotes self-confidence.

Curriculum↗

How nurses make decisions regarding patient medication.

This study seeks to identify the cues used by nurses which enable them to make decisions regarding the administration of medication. The knowledge base which underpins practice is explored and the relationship between knowledge and practice is considered. The rationale for this study was provoked by the possibility that nurses may be given limited prescribing powers. If this becomes a reality, the nurse's role will involve high level decision making (Morris, 1994). It could be that, in the future, changes in the law on drug administration will affect all nurses on the professional register.

Adult↗

Patient management following suprapubic catheterization.

This article considers the issue of suprapubic catheterization and the subsequent care of the client. The conditions and situations where suprapubic catheterization may be used are outlined. A review of the literature on this important subject suggests that there is little research/evidence-based practice to support some current-day practices. The review addresses such issues as what suprapubic catheterization is and how it is carried out. Key issues such as avoidance of infection, the need for dressings and care of the insertion site are discussed. In particular, the gynaecological field is explored to highlight concern about variations and discrepancies in approaches to care of the patient with a suprapubic catheter in situ. Finally, a call is made for practitioners to base their care on research findings or evidence-based practice rather than tradition, ritual or heresy.

Female↗

Taking a sexual health history: the role of the practice nurse.

Nurses working in general practice (GP) settings are generally multiskilled and competent practitioners who come into contact with a huge cross-section of patients. These patients frequently present with a combination of health problems/needs. The practice nurse is often the first person with whom the patient comes into contact and/or consults. Practice nurses therefore have an important role to play in promoting health, including sexual health. This article examines the conclusions of Jewitt's (1995) work which explored the development of sexual history taking in GP settings. The pivotal role of the practice nurse is highlighted and the importance of taking a sexual health history is discussed. The obstacles and barriers faced by practice nurses when taking a sexual health history are outlined. Recommendations for practice are discussed, and a check list is presented that will enable practice nurses to consider their invaluable input into the holistic care of patients in more detail.

Health Promotion↗

Testicular cancer: the importance of effective health education.

Testicular cancer is the commonest malignancy in the UK among men aged 20-34 years. Although rare, it is one of the most curable cancers. There is a correlation between the incidence of testicular cancer and age, histology, social class and geographical region. As survival is dependent on early detection, men should be encouraged to practise testicular self-examination at least every 6 months. Nurses are in an ideal position to teach and encourage such practice. However, for optimal effect, health education programmes need to take into account complexities, such as cultural diversity, if patients are to heed vital and in some cases life-sustaining advice.

Adolescent↗

Syphilis: signs, symptoms, treatment and nursing management.

The rise in the number of cases of syphilis reported over the last 3 years (Communicable Disease Report, 1997) suggests that some individuals are not practising safer sex and/or that health education programmes are ineffective. The increasing incidence could also be a consequence of more people attending for sexual health checks. Syphilis is primarily a sexually transmitted disease, although a pregnant woman may pass the disease to her fetus via the placenta, and rarely healthcare professionals may acquire the disease through open lesions. If allowed to run its full course the disease can have devastating effects on the individual. Regular screening of at-risk groups, screening at antenatal clinics and genitourinary medicine clinics, promotion of safer sex activities and health education may aid prevention. The nurse is ideally placed to provide patients with information that may prevent infection or help to minimize its severity.

Adolescent↗

Cancer of the prostate. 1: Promoting men's healthcare needs.

This three-part series explores the nurse's role in promoting men's health with regard to cancer of the prostate. This article presents the incidence of prostatic cancer and its relationship to geographical environment. Diagnosis, early detection and screening are also discussed and the possible contribution of diet to the rising incidence of the disease is examined. In the next article health education models and the role of the nurse are described and recommendations for practice are offered.

Aged↗

Cancer of the prostate. 2. The nursing role in health promotion.

The first article (Vol 7(3): 152-8) in this three-part series presented the incidence of prostatic cancer and discussed the importance of diagnosis, early detection and screening. This article examines assessment and staging of local disease and the sites of metastatic spread. The nurse's role in promoting men's health is also highlighted. Health education models and the choice of an appropriate one are discussed, emphasizing the role of the nurse. Finally, recommendations for practice are offered.

Health Education↗

Cancer of the prostate. 3: Men's healthcare needs.

This article, the third in a three-part series, addresses the complex issues surrounding screening for prostate cancer. The purpose of screening in health care is discussed and the advantages and disadvantages of the various screening tests for the early detection of prostate cancer are outlined. The use of one specific technique to screen men for prostate cancer is questioned. It is suggested that several techniques should be used to assess risk in detail. Employing only one technique, for example prostate specific antigen, may result in men undergoing unnecessary surgery or inappropriate treatment. Nurses have a professional duty to ensure that they are aware of the advantages and disadvantages with respect to screening men for cancer of the prostate. Patients' must be in possession of the facts before they make important decisions about their health. In order to reduce harm the nurse can become the patient's advocate and act in such a way as to safeguard and promote the patient's interests.

Biomarkers↗