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• W3121837282 abstract "This study was conducted to assess the status of HIV/AIDS policies in postsecondary health occupations programs in Nebraska. The purposes of the study were to determine which postsecondary health occupations education programs had policies adequate to address HIV/AIDS, and to review a copy of the program’s policies for agreement with a set of criteria developed from those recommended by the Centers for Disease Control and the American College Health Association. Results revealed that the institutions’ policies submitted for review did not meet the criteria developed for the study. Health occupations education (HOE) teachers should consider the following four scenarios and ask themselves how they would respond. First, a student nurse refuses to care for a patient with acquired iumnmodeficiency syndrome lJem Durgin-Clinchard, M-A., is a doctoral candidate at the University of Nebraska-Lincoln; Dorothy M. Witmer, Ed.D., R.N., C., is Supervisor of Health Occupations Education in Idaho; and James Brown, R.N., J.D., is a lawyer in private practice in Lincoln, Nebraska. 22 1 Durgin-Clinchard et al.: Status of Policies on HIV/AIDS Published by STARS, 1992 I (AIDS) (Carwein & Bowles, 1986) . Second, there is an unacceptable rate of compliance with universal precautions by healthcare personnel in a trauma center (Baraff & Talan, 1989) . Third, personnel at a clinical practicum site refuse to furnish the necessary supplies for student dental assistants to use in following universal precautions (Witmer & DurginClinchard, 1990). Fourthr a student sues because she says she contracted AIDS as a result of being stuck with a contaminated needle left in linens and gauze by her supervisor (Sherman, 1990) . These scenarios reflect a need for institutional concern for human immunodeficiency virus (HIV) and AIDS policies. Healthcare agencies and educational institutions, by their very existence, provide for the health, safety and well-being of their employees, clients, faculty and students. However, policies which support that mission must be in place. 11-ms, with these concerns and because of the apparent implementing these policies, professionals the University of Nebraska decided that it postsecondary institutions with healthcare policies in place. apathy about developing and involved in HIV/AIDS education at would be helpful to determine if programs in Nebraska had HIV/AIDS Purposes of the Study The purposes of the study were to (a) determine which postsecondary health occupations education programs had policies adequate to address HIV/AIDS, and (b) review a requested copy of the program’s policies for agreement with a set of criteria developed from those recommended by the Centers for Disease Control (1987) and American College Health Association (1986) . In view of the potential for litigation, panic, and general overall disruption of a school’s program when the public becomes aware that a person with HIV/AIDS is part of a given community, a proactive institutional response 23 2 Journal of Health Occupations Education, Vol. 7 [1992], No. 1, Art. 5 http://stars.library.ucf.edu/jhoe/vol7/iss1/5 is imperative. The advance development of HIV/AIDS policies or guidelines provides direction when it is needed most. Results of this study were also intended to provide knowledge of the current status of the postsecondary health occupations education programs and would serve as a basis for continuing education efforts in the area of policy development related to HIV/AIDS. Limitations of the Study The study was conducted in a predominantly rural state with a low incidence of HIV/AIDS which limits its generalizsbility to other States. The data were drawn from institutions serving a variety of healthcare educational purposes, therefore, the of program. In a larger could have been made. data were not analyzed according to a specific type sample, a comparison among specialized institutions Literature Review Carwein and Bowles (1986), Bowles and Carwein (1988), -d mitty (1989) mailed questionnaires to 458 baccalaureate schools of nursing accredited by the National League of Nursing (NLN) to determine the status of AIDS policies. Questionnaires no policies or indicated that were returned by 242 schools (48%) . Of these schools, 86% had guidelines for dealing with AIDS and 49% of these schools they had no plans to develop policies. TWO years later, Chitty corroborated the Carwein and Bowles study and found that “. . . at least half of the nation’s nursing schools are still functioning in the legal vacuum created by the absence of a written AIDS policy” (1989, P.345) . Despite the recommendations by professional associations (Guidelines, 1989; Reifier & Valenti, 1986), the Centers for Disease Control (CDC) and headlines (Fields, 1986) urging colleges and schools to head off panic over Z-UDS by Setting ~DS 24 3 Durgin-Clinchard et al.: Status of Policies on HIV/AIDS Published by STARS, 1992 policies in advance of the need (McMillen, 1986), postsecondary institutions have been slow to respond to this issue. Postsecondary schools in Nebraska also are slow to respond. A 6-months follow-up survey on commitment to change activities following a workshop on AIDS revealed that healthcare educators who attended the workshop and committed to policy development were least likely to accomplish written policies (Witmer & Durgin-Clinchard, 1990) . In addition, personnel from the Nebraska State Department of Health reported that they had no information about the status of HIV/AIDS policies/guidelines in Nebraska postsecondary schools (personal communication, October IS, 1989) . Policies do not need to identify HIV/AIDS specifically but it is essential that educators examine existing policies to determine if they contain the elements that would allow appropriate guidelines to be written to address the various issues surrounding AIDS (American College Health Association, 1986). An example of policy examination occurred at the University of California in 1985, when President David P. Gardner appointed an AIDS policy steering committee charged with conducting an in-depth review of their existing policies in light of the wide variety of issues that bear on AIDS . When their review was complete, the committee reported that the existing policies were adequate for dealing with situations that might be anticipated (Lundberg, 1989) . The key to this effort was the process of examining their policies. To be sure their existing policies were adequate the committee examined relevant guidelines issued by several responsible agencies (CDC and ACHA), considered the legal issues they potentially could face, and reviewed the current medical and legal advice. The committee was comprised of various professionals who could bring the knowledge of each of their respective disciplines to bear on 25 4 Journal of Health Occupations Education, Vol. 7 [1992], No. 1, Art. 5 http://stars.library.ucf.edu/jhoe/vol7/iss1/5" @default.
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• W3121837282 title "Status of Policies on HIV/AIDS: Responses of Nebraska Postsecondary Institutions with Health Occupations Programs" @default.
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