Nursing students' attitudes towards mental illness: A multi‐national comparison

Author:

Moxham Lorna1ORCID,Tapsell Amy2,Perlman Dana3,Al Mutair Abbas45ORCID,AL‐Sagarat Ahmad Yahya6,Alsaraireh Faris A.6,Chung Min‐Huey7ORCID,Jose Tessy Treesa8,Kuo Shu‐Yu9,Liu Megan F.10,Nayak Asha K.8,Shamsan Abbas4,Sudhakar Christopher8,Tsai Hsiu‐Ting11,Velayudhan Binil8,Yang Chyn‐Yng11,Roberts Michelle M.1ORCID,Yeh Pi‐Ming12,Patterson Christopher1ORCID

Affiliation:

1. School of Nursing, Faculty of Science Medicine and Health University of Wollongong Wollongong New South Wales Australia

2. University of Sydney Business School, University of Sydney Sydney New South Wales Australia

3. School of Education, Faculty of Arts, Social Sciences and Humanities University of Wollongong Wollongong New South Wales Australia

4. Dr Sulaiman Al Habib Medical Group Riyadh Saudi Arabia

5. College of Health Sciences University of Sharjah, University City – Sharjah Sharjah United Arab Emirates

6. Community and Mental Health Nursing Department, Faculty of Nursing Mutah University AL‐Karak Jordan

7. College of Nursing Taipei Medical University Taipei Taiwan

8. Department of Mental Health Nursing, Manipal College of Nursing Manipal Academy of Higher Education Karnataka India

9. School of Nursing, College of Nursing Taipei Medical University Taipei Taiwan

10. School of Gerontology Health Management College of Nursing, Taipei Medical University Taipei Taiwan

11. Post‐Baccalaureate Program in Nursing, College of Nursing Taipei Medical University Taipei Taiwan

12. College of Nursing East Tennessee State University Johnson City Tennessee USA

Abstract

Accessible SummaryWhat is known on the subject Health professionals, including nurses, are shown to have stigmatizing attitudes towards mental illness. For nursing students who are in their formative years of professional development, mental illness stigma can severely impact the care they provide. Little research has investigated multi‐national comparisons of nursing students' attitudes towards mental illness. What this paper adds to existing knowledge This study shows that between countries, there were substantial differences amongst nursing students in stigmatizing attitudes towards mental illness. Cultural perspectives may explain some of these differences. What are the implications for practice Regardless of location, stigmatizing attitudes are present at varying levels. Each nation can take steps to reduce these by acknowledging the presence of stigmatizing attitudes amongst nurses, educating nurses regarding the negative impacts of stigma on patient outcomes, and decrease stigmatizing attitudes by facilitating opportunities for nurses (particularly student nurses) to have direct contact with people with lived experiences of mental illness. AbstractIntroductionStigmatizing attitudes perpetuated by nursing professionals are a pervasive problem for people experiencing mental health issues. This global issue has detrimental consequences; inhibiting one's life chances and help‐seeking behaviours. To date, few studies have compared nursing students' attitudes towards mental illness from a multi‐national perspective.AimTo compare undergraduate nursing students' attitudes towards mental illness across six countries: Australia, India, Jordan, Saudi Arabia, Taiwan and USA.MethodIn a cross‐sectional design, data were collected from undergraduate nursing students (N = 426) using the Social Distance Scale. A one‐way analysis of variance was used to compare differences between countries.ResultsNursing students' attitudes to mental illness differed between countries. Social Distance Scores were highest amongst nursing students from Jordan and Saudi Arabia. Students from Taiwan and India possessed moderate stigma scores. Social Distance Scores from the USA and Australia were lowest.DiscussionClear differences in stigmatizing attitudes emerged between countries; these are discussed in relation to possible cultural influences.Implications for PracticeIt is suggested that educating nurses, combined with direct contact with people with lived experiences of mental illness, can reduce stigmatizing attitudes regardless of country, location or educational institution.

Publisher

Wiley

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