Table 4.

Attitudes toward assessment and management of patients with SCD.

Theme	Findings	Authors
General attitudes of HCPs toward SCD	56.3%, 33.8%, and 10 of nurses had fair, positive, and negative attitudes toward sickle-cell patients.	[19]
	Only 46% had favorable attitude toward people with SCD.	[49]
	Blacks were least positive in SCD attitude.	[34]
	Nurses had higher negative attitude scores than physicians.	[39]
	Nurses had high levels of negative attitudes toward patients with SCDs.	[21]
	Student nurses had poor attitudes toward pediatric assessment and management.	[47]
	Nurses had poor attitude toward patients with SCD.	[48]
Attitude toward the management of SCD	21% of doctors would accept early termination of affected pregnancy, and 32% and 32.3% of nurses and health workers would accept termination of affected pregnancy, respectively.	[44]
	65.7% of the nurses had more negative attitudes toward treating patients with SCD. Emergency providers and internal medicine providers had higher concern-raising behaviors.	[45]
	Emergency nurses had poor attitude toward SCD pain management.	[46]
	The majority (63%) of the surveyed nurses believed that drug addiction frequently develops in the treatment of sickle cell pain episodes. 87% of the respondents believed drug addiction should not be a primary nursing concern when caring for a patient with sickle cell pain episodes. The belief that drug addiction should be a primary nursing concern in the management of sickle cell pain episodes was influenced by age, years of active nursing experience, and education.	[30]
	Most nurses (77%) perceived their experience caring for children with SCD as positive.	[28]
Attitude toward pain management of SCD	Most providers self-reported adherence to the cornerstones of SCD pain management including parenteral opioids (90%) and re-dosing opioids within 30 min if analgesia is inadequate (85%). Self-reported adherence was lower for other recommendations including use of patient-controlled analgesia (PCA), acetaminophen, NSAIDs, and hypotonic fluids when euvolemic.	[38]
	Nurses had negative attitudes toward SCD pain assessment and management.	[31]
	Nurses have good attitude toward SCD pain assessment and management among children.	[35]
Attitude toward diagnosis and assessment of SCD patients.	54.4% of respondents had good attitude regarding premarital screening for SCD.	[37]