Mediating effects of stigma on the relationship between contact and willingness to care for people with mental illness among nursing students

Gu, Libin; Xu, Dongjuan; Yu, Mingming

doi:10.1016/j.nedt.2021.104973

Cited by 8 publications

(12 citation statements)

References 38 publications

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“…In this study, nursing students expressed negative attitudes toward individuals with schizophrenia which were similar to previous research (Gu et al, 2021; Hasan, 2020; Rodríguez-Almagro et al, 2019). Social customs and traditional beliefs about mental disorders are deeply imprinted in the Taiwanese society.…”

Section: Discussionsupporting

confidence: 90%

“…Stigma is a persistent predicament that adversely affects attitudes among mental health professionals toward individuals with schizophrenia (Lagunes-Cordoba et al, 2021; Valery & Prouteau, 2020; Vistorte et al, 2018). Studies have shown that most nursing students demonstrate little interest in being mental health nurses due to societal preconception of mental disorders (Duman et al, 2017; Gu et al, 2021). These negative attitudes result in a workforce shortage of mental health care providers and poor quality of mental health care.…”

Section: Introductionmentioning

confidence: 99%

“…Contradictorily, no relationship between family history of mental disorders and attitudes toward mental disorders has been found (Sari & Yuliastuti, 2018). In addition, increased contact with individuals with mental disorders has been acknowledged as a crucial approach to improve negative attitudes of nursing students toward individuals with mental disorders (Abuhammad et al, 2019; Gu et al, 2021; Sari & Yuliastuti, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Attitudes Toward People With Schizophrenia Among Undergraduate Nursing Students

Chen

Hsiao

Chien

2022

J Am Psychiatr Nurses Assoc

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Background: Negative attitudes toward mental disorders are not only an interpersonal issue but also a concern of mental health care. Given that nursing students are future health care providers, it is pivotal to improve their attitudes toward individuals with mental disorders prior to their transition into clinical practice. However, research on nursing students’ attitudes in relation to schizophrenia in Taiwan remains unexplored. Aim: The aim of this article is to examine the correlates of attitudes toward individuals with schizophrenia among Taiwanese undergraduate nursing students. Method: A descriptive, correlational, and cross-sectional study was adopted. Self-reported questionnaires were conducted with a convenience sample of 306 Taiwanese undergraduate nursing students. Descriptive statistics, independent t tests, one-way analysis of variance, Pearson’s correlations, and a stepwise regression analysis were performed. Results: Nursing students expressed negative attitudes toward individuals with schizophrenia. Nursing students, who were female, had contact with individuals with mental disorders, and expressed greater empathy and personality traits held more favorable attitudes toward individuals with schizophrenia. The study found that empathy, personality traits, and academic year were the most crucial attributes contributing to attitudes of nursing students toward individuals with schizophrenia. Conclusion: Findings suggest that nursing education programs with empathy- and personality-tailored modules in mental health are pivotal to provide humanistic approaches with supportive attitudes regarding schizophrenia.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attitudes Toward People With Schizophrenia Among Undergraduate Nursing Students

Chen

Hsiao

Chien

2022

J Am Psychiatr Nurses Assoc

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“…20,21 Social contact decreases the desire for imposing social distance and social restrictions on those diagnosed with serious mental illness 22 and improves people's willingness to care for individuals with mental illness. 23 In the present study, attending ≥3 lectures on mental illnesses alone could not significantly improve students' attitude towards mental illness. This finding is in contrast with that in previous studies.…”

Section: Discussioncontrasting

confidence: 58%

Mental Health Youth Ambassador Programme for Anti-Stigma Among Secondary Students in Hong Kong: a Pilot Study

Chan

Yeung

Sum

et al. 2022

East Asian Arch Psychiatry

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Objectives: To evaluate the Mental Health Youth Ambassador Programme between 2016 and 2019 in terms of participants' improvement in attitudes towards individuals with depression or psychosis. Methods: This anti-stigma programme was provided to secondary students (form 3 and above) and comprised three levels. Level 1 involved attending lectures about mental health; level 2 and level 3 involved social contact with persons-in-recovery. Students' attitudes towards those with depression and those with psychosis were assessed at baseline and after completion of each level of programme using the Chinese version of the Social Distance Scale. Results: Only 25 students who were assessed at all four time points were included in analysis. The mean Social Distance Scale scores for attitudes towards depression and psychosis improved significantly across all time points. Specifically, significant improvement occurred after completion of level 2 and level 2 but not after completion of level 1. Conclusion: Social contact with people with mental illness (rather than attending lectures about mental health) contributed significantly to the improvement in students' attitude towards depression and psychosis. With the positive preliminary results, the Mental Health Youth Ambassador Programme should be extended to more students.

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“…This conclusion is consistent with the results of this study, namely, psychiatric nurses were less stigmatized than general nurses. Quantitative [49] and qualitative [36 50] correlational ndings suggest that exposure to or experiences related to mental illness may reduce the stigma of mental illness. However, there are also studies that show that although family caregivers have the most contact with patients, they also have more stigma.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Knowledge and Social Distancing Among Clinical Nurses: the Mediating Role of Stigma in Mental Illness/a Cross-sectional Study

wang

Zhao

Chen

et al. 2023

Preprint

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Background: The stigma of mental illness has a negative impact on nurses and their patients. Most current research explores the impact of single factors on stigma and does not explore the relationship between knowledge, social distance and stigma among clinical nurses. Methods: Based on the knowledge, attitude, belief and practice model, to study the current status of mental illness stigma among caregivers and to analyse the relationship between mental illness stigma, social distancing, and mental health knowledge among nurses. A random sample was used to study 628 nurses.The study was conducted in five hospitals in Jinzhou and Dalian. A general information questionnaire, Scale for Assessing the Stigma of Mental Illness in Nursing, the Social Distance Scale and the Mental Health and Mental Health Knowledge Questionnaire were included. With mental health knowledge as the independent variable (X), social distance of mental illness as the dependent variable(Y), and stigma of mental illness among clinical nurses as the mediating variable (M), the mediation effect was analyzed. Results: The Scale for Assessing the Stigma of Mental Illness in Nursing score was 58.96±9.38 points, the violence/dangerousness dimension score was 22.68±5.71 points, the disability dimension score was 14.64±3.54 points, the irresponsibility and lack of competence dimension score was 21.64±3.83 points, and the mean scores of psychiatric and general nurses were 58.39±8.90 and 56.97±10.36 points, respectively. The stigma of mental illness, social distance and mental health knowledge of nurses were positively correlated (p<0.01). Stigma indirectly affected the social distance between the clinical nurses and mental health patients (β=0.016, P=0.000), and to some extent, stigma influenced the effect of mental health knowledge on social distancing among clinical nurses (β=0.123, P=0.008). Conclusions: The stigma attached to mental illness by the clinical nurses was moderate and the main mediating effect between mental health knowledge and social distancing. Clinical nurses should integrate disciplinary knowledge, increase the mastery of knowledge, enrich the multidisciplinary nursing experience, reduce stigma through multiple channels, and provide a quality nursing environment for the recovery and prognosis of mental health patients.

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Mediating effects of stigma on the relationship between contact and willingness to care for people with mental illness among nursing students

Cited by 8 publications

References 38 publications

Attitudes Toward People With Schizophrenia Among Undergraduate Nursing Students

Attitudes Toward People With Schizophrenia Among Undergraduate Nursing Students

Mental Health Youth Ambassador Programme for Anti-Stigma Among Secondary Students in Hong Kong: a Pilot Study

Mental Health Knowledge and Social Distancing Among Clinical Nurses: the Mediating Role of Stigma in Mental Illness/a Cross-sectional Study

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