Enhancing HIV knowledge and reducing stigma among emergency nurses through experiential self-testing: A mixed-methods study

IF 4 3区医学 Q1 NURSING

Nurse Education in Practice Pub Date : 2026-02-01 Epub Date: 2025-12-18 DOI:10.1016/j.nepr.2025.104694

Cheng-Ru He , Jung-Chen Chang , Chieh-Yu Liu , Bey-Jing Yang , Yen-Hui Hung , Piao-Yi Chiou

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引用次数: 0

Abstract

Aim

To evaluate the effectiveness of an experiential HIV self-testing in HIV-related knowledge and stigma among emergency nurses.

Background

The emergency department is a crucial entry point for HIV key populations accessing care. However, emergency nurses often lack adequate, flexible HIV education, leading to knowledge gaps and stigma.

Design

A convergent mixed-methods randomized controlled study was conducted.

Methods

Seventy-two emergency nurses in northern Taiwan participated. The experimental group received supervised HIV self-testing with handbook-guided discussion, whereas the control group used unguided self-study. One-month follow-up outcomes were assessed with the HIV Knowledge Scale and the Health Care Provider HIV/AIDS Stigma Scale (HPASS). Qualitative interviews and integrated analysis offered a comprehensive understanding of the results.

Results

The intervention group showed significantly higher post-test HIV knowledge scores than the control group (F= 13.58, p < 0.001). HPASS prejudice scores decreased significantly in the intervention group’s post-test (t = -2.49, p = 0.02). Integrated findings suggest that experiential HIV self-testing enhanced knowledge through increased learning motivation and active inquiry and reduced prejudice through emotional awareness and empathy. Although no significant changes were observed in stereotyping or discrimination scores, some participants reported improved cognitive accuracy and a greater commitment to affirmative care, suggesting modest improvements in stigma-related beliefs and behaviors. The intervention’s high accessibility, immersive engagement and practical applicability were favored over lecture-based and unguided self-study formats, supporting sustained improvements over one month.

Conclusion

Experiential HIV self-testing effectively enhances HIV-related knowledge, reduces stigma and provides a highly feasible approach for competency development in emergency nursing.

Trial Registration

ClinicalTrials.gov NCT05615935

https://clinicaltrials.gov/study/NCT05615935

查看原文本刊更多论文

通过体验性自我测试提高艾滋病知识和减少急救护士的耻辱感：一项混合方法研究

目的评价经验性艾滋病自我检测对急诊护士艾滋病相关知识和病耻感的影响。急诊是艾滋病毒重点人群获得护理的关键切入点。然而，急诊护士往往缺乏充分、灵活的艾滋病毒教育，导致知识差距和污名化。设计采用收敛混合方法随机对照研究。方法对台湾北部地区72名急诊护士进行调查。实验组接受指导下的艾滋病毒自我检测，并进行手册指导讨论，而对照组则采用无指导的自我学习。用HIV知识量表和卫生保健提供者HIV/AIDS污名量表（HPASS）评估一个月的随访结果。定性访谈和综合分析提供了对结果的全面理解。结果干预组检测后HIV知识得分显著高于对照组（F= 13.58, p <； 0.001）。干预组HPASS偏见评分在测试后显著降低（t = -2.49,p = 0.02）。综合研究结果表明，体验式艾滋病毒自我检测通过增加学习动机和主动探究来增强知识，通过情感意识和同理心来减少偏见。尽管在刻板印象或歧视得分方面没有观察到明显的变化，但一些参与者报告说，他们的认知准确性有所提高，对平权关怀的承诺也有所提高，这表明他们在与污名相关的信念和行为方面有了适度的改善。干预的高可及性、沉浸式参与和实际适用性比基于讲座和无指导的自学形式更受欢迎，支持一个月以上的持续改进。结论体验式HIV自我检测能有效提高患者的HIV相关知识，减少耻辱感，为急诊护理人员的能力培养提供了一条切实可行的途径。临床试验注册。gov NCT05615935https://clinicaltrials.gov/study/NCT05615935

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来源期刊

Nurse Education in Practice NURSING-

CiteScore

5.40

自引率

9.40%

发文量

180

审稿时长

51 days

期刊介绍： Nurse Education in Practice enables lecturers and practitioners to both share and disseminate evidence that demonstrates the actual practice of education as it is experienced in the realities of their respective work environments. It is supportive of new authors and will be at the forefront in publishing individual and collaborative papers that demonstrate the link between education and practice.