This study examined the factors associated with nurses’ willingness to care for patients infected with human immunodeficiency virus (HIV) or hepatitis B or C virus (HBV/HCV) in Vietnam.
A cross-section of 400 Vietnamese nurses from two hospitals were selected using stratified random sampling, to whom a self-administered questionnaire was administered which included demographic items, previous experience with patients infected with HIV or HBV/HCV, and their attitudes toward these patients. Data was analyzed using descriptive statistics and multiple logistic regression.
The lifetime prevalence of needlestick or sharps injury whilst caring for a patient infected with HIV or HBV/HCV was 9 and 15.8%, respectively. The majority of participants expressed a willingness to care for patients infected with HIV (55.8%) or HBV/HCV (73.3%). Willingness to care for HIV-infected patients was positively associated with being 40–49 years of age and confidence in protecting themselves against infection. Regarding HBV/HCV infection, willingness to care was positively associated with individual confidence in protecting themselves against infection.
This study revealed that Vietnamese nurses were somewhat willing to care for patients infected with HIV or HBV/HCV, and this was associated with individual confidence in protecting themselves against infection and with negative attitudes towards HIV and HBV/HCV. Establishing a positive safety culture and providing appropriate professional education to help reduce the stigma towards infected patients offers an effective way forwards to improve quality of care in Vietnam, as elsewhere.
Hong KT, Anh N, Ogden J. Understanding HIV and AIDS-related stigma and discrimination in Vietnam. Washington, DC: International Center for Research on Women; 2004.
UNAIDS. HIV and AIDS estimates. 2014; http://www.unaids.org/en/regionscountries/countries/vietnam. Accessed 1 Apr 2016.
Dunford L, Carr MJ, Dean J, Waters A, Nguyen LT, Ta Thi TH, et al. Hepatitis C Virus in Vietnam: High Prevalence of Infection in Dialysis and Multi-Transfused Patients Involving Diverse and Novel Virus Variants. PLoS One. 2012;7(8):e41266. doi: 10.1371/journal.pone.0041266. CrossRefPubMedPubMedCentral
Ministry of Justice. Law on HIV/AIDS prevention and control. 2006. http://www.moj.gov.vn/vbpq/en/Lists/Vn%20bn%20php%20lut/View_Detail.aspx?ItemID=4768. Accessed 1 Apr 2016.
Nguyen Ha P, Pharris A, Huong NT, Chuc NT, Brugha R, Thorson A. The evolution of HIV policy in Vietnam: from punitive control measures to a more rights-based approach. Glob Health Action. 2010;3. doi: 10.3402/gha.v3i0.4625.
Khuat T, Ashburn K, Pulerwitz J, Ogden J, Nyblade L. Improving hospital-based quality of care in Vietnam by reducing HIV-related stigma and discrimination. Washington, DC: Population Council; 2008.
Brusaferro S, Martina P, Puzzolante L, Gasparini V. Epidemiological study on knowledge, attitudes and behaviour of health care workers with respect to HIV infection. Med Lav. 1997;88(6):495–506. PubMed
Trieu NQ, Tien NT, Tuan PL, Long NH, Thanh PT, Bales S, et al. Joint annual health review 2009: health resources for health in Vietnam. Hanoi: Vietnam Ministry of Health; 2009.
Harkness JA, Schoua-Glusberg A. Questionnaires in translation, vol. 3. Mannheim: ZUMA; 1998.
Behling O, Law KS. Translating questionnaires and other research instruments: problems and solutions. Thousand Oaks: Sage Publications; 2000. CrossRef
Thu T, Anh N, Chau N, Hung N. Knowledge, attitude and practices regarding standard and isolation precautions among Vietnamese health care workers: a multicenter cross-sectional survey. Intern Med. 2012;2(115):2. doi: 10.4172/2165-8048.1000115.
Aghamolaei T, Tavafian SS, Hasani L, Zare S. Attitudes of healthcare providers towards patients with HIV/AIDS in Bandar Abbas. Arch Iran Med. 2009;12(3):298–301. PubMed
van de Mortel TF. Health care workers’ knowledge of hepatitis C and attitudes towards patients with hepatitis C: a pilot study. Aust J Adv Nurs. 2002;20(1):13–9. PubMed
Dorsen C. An integrative review of nurse attitudes towards lesbian, gay, bisexual, and transgender patients. Can J Nurs Res. 2012;44(3):18–43. PubMed
National Institute of Infectious Diseases. HIV/AIDS in Japan, 2013. 2014. http://www.nih.go.jp/niid/en/basic-science/865-iasr/5000-tpc415.html. Accessed 1 Apr 2016.
- Nurses’ willingness to care for patients infected with HIV or Hepatitis B / C in Vietnam
Huong Thi Xuan Hoang
Anh Thi My Bui
Hung Dinh Nguyen
Derek R. Smith
- BioMed Central