Abstract

<p><strong><span id="page1810R_mcid11" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 381.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.05778);" role="presentation">Introduction</span></span></strong><span id="page1810R_mcid12" class="markedContent"><span dir="ltr" style="left: 476.988px; top: 381.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.915941);" role="presentation"><strong>.</strong> According to the data of the World Health Organization </span></span><span id="page1810R_mcid13" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 401.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.918545);" role="presentation">(WHO), mental illnesses are on the rise. The World Health Report es</span></span><span id="page1810R_mcid15" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 421.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.952475);" role="presentation">timates that today about 1 billion people suffer from mental and be</span></span><span id="page1810R_mcid17" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 441.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.929379);" role="presentation">havioral disorders or psychosocial problems such as those related to </span></span><span id="page1810R_mcid18" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 461.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.919301);" role="presentation">alcohol and drug abuse. Stigmatization of the mentally ill is one of the </span></span><span id="page1810R_mcid19" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 481.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.912864);" role="presentation">burning social problems of those people, and the attitudes and behav</span></span><span id="page1810R_mcid21" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 501.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.940418);" role="presentation">ior of nurses/technicians significantly affect the self-stigmatization of </span></span><span id="page1810R_mcid22" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 521.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.942037);" role="presentation">patients, and thus their condition and recovery. The main aim of this </span></span><span id="page1810R_mcid23" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 541.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.917621);" role="presentation">study was to assess attitudes of nurses and nursing students towards </span></span><span id="page1810R_mcid24" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 561.395px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.919717);" role="presentation">patients with mental illnesses.</span></span></p> <p><span id="page1810R_mcid25" class="markedContent"><strong><span dir="ltr" style="left: 385.039px; top: 590.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.00627);" role="presentation">Method</span></strong></span><span id="page1810R_mcid26" class="markedContent"><span dir="ltr" style="left: 440.472px; top: 590.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.834248);" role="presentation"><strong>.</strong> The research conducted is a cross-sectional study. The study cov</span></span><span id="page1810R_mcid28" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 610.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.865857);" role="presentation">ered two countries, Bosnia and Herzegovina and Serbia. In June and July </span></span><span id="page1810R_mcid29" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 630.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.865813);" role="presentation">2018, 200 nurses and nursing students from the second to the fourth year </span></span><span id="page1810R_mcid30" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 650.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.920942);" role="presentation">of study were surveyed. Data were collected with original anonymous </span></span><span id="page1810R_mcid31" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 670.844px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.866221);" role="presentation">questionnaires, which was made for the purpose of this research.</span></span></p> <p><span id="page1810R_mcid32" class="markedContent"><strong><span dir="ltr" style="left: 385.039px; top: 700.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.946011);" role="presentation">Results</span></strong></span><span id="page1810R_mcid33" class="markedContent"><span dir="ltr" style="left: 437.438px; top: 700.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.957292);" role="presentation"><strong>.</strong> Seventy percent of nurses believe that people with mental </span></span><span id="page1810R_mcid34" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 720.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.915384);" role="presentation">illness are discriminated against in our society, while there are statisti</span></span><span id="page1810R_mcid36" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 740.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.923155);" role="presentation">cally significant differences between respondents in relation to demo</span></span><span id="page1810R_mcid38" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 760.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.89293);" role="presentation">graphic characteristics (χ2 = 10.217; p = 0.037). Nurses working in psy</span></span><span id="page1810R_mcid40" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 780.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.926463);" role="presentation">chiatric wards show a lower level of stigmatization compared to nurs</span></span><span id="page1810R_mcid42" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 800.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.928558);" role="presentation">es working in other wards (χ2 = 25.553; p = 0.001). Nursing students </span></span><span id="page1810R_mcid43" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 820.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.95394);" role="presentation">have more negative attitudes towards mentally ill people compared </span></span><span id="page1810R_mcid44" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 840.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.916907);" role="presentation">to nurses (χ2 = 13.471; p = 0.009). Nurses from Serbia show a higher </span></span><span id="page1810R_mcid45" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 860.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.919362);" role="presentation">level of tolerance towards people with mental disabilities compared to </span></span><span id="page1810R_mcid46" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 880.293px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.89096);" role="presentation">nurses from Bosnia and Herzegovina (χ2 = 16.115; p = 0.003).</span></span></p> <p><span id="page1810R_mcid47" class="markedContent"><strong><span dir="ltr" style="left: 385.039px; top: 909.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.976345);" role="presentation">Conclusion</span></strong></span><span id="page1810R_mcid48" class="markedContent"><span dir="ltr" style="left: 465.355px; top: 909.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.954212);" role="presentation"><strong>. </strong>The results of the research show that stigmatization of </span></span><span id="page1810R_mcid49" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 929.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.964831);" role="presentation">patients with mental illness still exists among health professionals. </span></span><span id="page1810R_mcid50" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 949.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.95922);" role="presentation">Undergraduate and continuing medical education of nurses should </span></span><span id="page1810R_mcid51" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 969.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.928168);" role="presentation">include more content related to access to the patient with mental dis </span></span><span id="page1810R_mcid53" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 989.742px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.952706);" role="presentation">orders, communication skills in psychiatry, mental health promotion </span></span><span id="page1810R_mcid54" class="markedContent"><span dir="ltr" style="left: 385.039px; top: 1009.74px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.938455);" role="presentation">and prevention of stigmatization.</span></span></p>

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