Latar belakang: Stigma dapat menyebabkan kegagalan atau keterlambatan dalam menangani atau mendiagnosis HIV dan AIDS. Salah satu visi UNAIDS ialah zero stigma. Perawat harus mampu memberikan pelayanan keperawatan bebas stigma dan diskriminasi. Isu nasional yang disarankan oleh HPEQ (2012) kepada institusi penyelenggara pendidikan keperawatan 20 persen di antaranya tentang perawatan HIV/AIDS. Namun, terdapat keterbatasan alat ukur kuantitatif untuk mengkaji manifestasi stigma terkait HIV/AIDS pada mahasiswa keperawatan. Tujuan: Melakukan pengembangan instrumen dengan adaptasi cross cultural dan uji validasi skala stigma sesuai dengan budaya mahasiswa Program Studi Ilmu Keperawatan Universitas Gadjah Mada. Instrumen ini merupakan adaptasi SHASS yang dikembangkan oleh Diaz dan Neilands (2009). Metode: Deskriptif dengan desain cross sectional, melibatkan 77 responden, dilakukan bulan Juli–September 2015. Uji validitas dengan product moment, uji reliabilitas dengan menggunakan Cronbach’s Alpha. Hasil: 11 domain stigma HIV/AIDS yang terdiri atas 39 pertanyaan menunjukan valid dan reliable dengan nilai r >0,2 dan nilai alpha > 0,7. Diskusi: Pengembangan instrumen dengan adaptasi cross cultural mempunyai beberapa kelebihan; peneliti melakukan adaptasi dan modifikasi dari instrumen yang sudah pernah dilakukan uji validitas dan reliabilitas sebelumnya di negara lain. Keterbatasan penelitian ini hanya melibatkan mahasiswa ilmu keperawatan. Kesimpulan: Skala stigma terkait HIV/AIDS adaptasi dari Spanish HIV Stigma Scale (SHASS) dapat digunakan sebagai instrumen kuantitatif pada mahasiswa Program Studi Ilmu Keperawatan.
Kata Kunci: cross cultural, stigma HIV/AIDS, mahasiswa ilmu keperawatan.
Background: Stigma can lead to failure or delay in handling or diagnosing HIV and AIDS. One visions of UNAIDS is zero stigma. Nurses have to be able to provide stigma and discrimination free nursing services. HPEQ (2012) recommends that institutions of nursing education provide 20% of national issues concerning HIV/AIDS care. However, there are limitations on quantitative instruments to assess the manifestation of HIV/AIDS-related stigma in students nursing. Objectives: To develop an instrument by employing cross-cultural adaptation and validity test for stigma scale in accordance with the culture of students of Nursing Science Program, Universitas Gadjah Mada. This instrument is an adaptation of SHASS developed by Diaz and Neilands (2009). Methods: This study employed descriptive method with cross sectional design. It involved 77 respondents and was conducted from July to September 2015. The validity test employed product moment and the reliability test employed Cronbach’s Alpha. Results: 11 domains of HIV/AIDS-related stigma, which consisted of 39 questions, indicated that the instrument was valid and reliable with an r value of >0.2 and an alpha value of>0.7. Discussion: The development of an instrument by employing cross-cultural adaptation has several advantages; the researchers adapted to and modified instruments of which their validity and reliability were previously tested in other countries. A limitation of this study is that it only involved students of nursing science. Conclusion: HIV/AIDS related stigma scale adapted from the Spanish HIV Stigma Scale (SHASS) can be used as a quantitative instrument in students of Nursing Science Program.
Keywords: cross-cultural, HIV/AIDS-related stigma, students of nursing science.