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Huang CY, Lee SH, Wu TJ, Sun YC, Tsai LY. Gender role moderates correlation between learning needs and behavioural intention of sexual health care in female nurses. Nurs Open 2021; 8:2655-2663. [PMID: 33704923 PMCID: PMC8363370 DOI: 10.1002/nop2.815] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 10/27/2020] [Accepted: 01/29/2021] [Indexed: 12/21/2022] Open
Abstract
Aim This study evaluated the correlation between learning needs and behavioural intention of sexual health care in female Registered Nurses and to assess the moderating effect of gender role on this relationship. Design In this cross‐sectional questionnaire‐based survey, a convenience sampling of female Registered Nurses was included from Chung Shan Medical University Hospital, Taiwan. Methods Three questionnaires were used to obtain self‐reported data on learning needs, behavioural intention and gender role. Results Based on gender role scores, 11.8% of participants were feminine, 10.0% were masculine, 31.0% were androgynous and 47.2% were undifferentiated. Significant positive correlations between learning needs and behaviour intention were observed in the total population as well as in undifferentiated, feminine and androgynous nurses (all p < .05). Learning needs were positively associated with the behavioural intention of sexual health care in female nurses, which was moderated by gender role (F = 2.868, p = .036).
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Affiliation(s)
- Cheng-Yi Huang
- Department of Nursing, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung, Taiwan
| | - Shu-Hsin Lee
- Department of Nursing, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung, Taiwan
| | - Tzu-Jung Wu
- Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Yu-Ching Sun
- Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Li-Ya Tsai
- Department of Nursing, Asia University, Taichung, Taiwan
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Provenzano-Castro B, Oizerovich S, Stray-Pedersen B. Health care students at an Argentinean school of medicine: are they well prepared to provide quality sexual and reproductive health services? EUR J CONTRACEP REPR 2017; 22:233-241. [PMID: 28524747 DOI: 10.1080/13625187.2017.1323079] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVES The aim of our study was to assess what students of the University of Buenos Aires School of Medicine learn about sexual and reproductive health (SRH) and rights, focusing particularly on their knowledge of accessibility to contraception and abortion legislation. METHODS In this cross-sectional study, self-administered, anonymous questionnaires were administered to 760 first year students and to 695 final year students from different fields of study (medicine, midwifery, nursing, radiology, nutrition, speech therapy and physiotherapy) between 2011 and 2013. Students' knowledge of SRH was measured according to six variables: contraceptive methods, accessibility to contraception, emergency contraception, legislation on surgical contraception, legislation on voluntary interruption of pregnancy, and HIV transmission and prevention. Their level of knowledge was categorised as low, basic, medium or high, according to their responses. RESULTS We observed higher levels of knowledge in final year students compared with first year students. Those with basic level knowledge or higher were doubled in most of the variables. However, when analysed in detail per field of study, the differences were not so marked. It is important that medical, midwifery and nursing students receive formal education in SRH topics. CONCLUSIONS Our investigation revealed important deficiencies in knowledge in core topics of SRH care among soon-to-be health care providers that could represent serious barriers to health and rights for the Argentinean population in the near future. Thus, there is an urgent need to improve the teaching of SRH care.
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Affiliation(s)
- Belén Provenzano-Castro
- a Department of Obstetrics and Gynaecology, Faculty of Medicine , University of Buenos Aires , Buenos Aires , Argentina.,b Institute of Clinical Medicine, Faculty of Medicine , University of Oslo , Oslo , Norway
| | - Silvia Oizerovich
- a Department of Obstetrics and Gynaecology, Faculty of Medicine , University of Buenos Aires , Buenos Aires , Argentina
| | - Babill Stray-Pedersen
- b Institute of Clinical Medicine, Faculty of Medicine , University of Oslo , Oslo , Norway.,c Division of Women , Rikshospitalet, Oslo University Hospital , Oslo , Norway
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Relationship Between the Knowledge, Attitude, and Self-Efficacy on Sexual Health Care for Nursing Students. J Prof Nurs 2015; 31:254-61. [DOI: 10.1016/j.profnurs.2014.11.001] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Indexed: 11/19/2022]
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Wong WC, Li MK, Chan WYV, Choi YY, Fong CHS, Lam KWK, Sham WC, So PP, Wong K, Yeung KH, Yeung TY. A cross-sectional study of the beliefs and attitudes towards menstruation of Chinese undergraduate males and females in Hong Kong. J Clin Nurs 2015; 22:3320-7. [PMID: 24580786 DOI: 10.1111/jocn.12462] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/16/2013] [Indexed: 12/01/2022]
Abstract
AIMS AND OBJECTIVES To explore the beliefs and attitudes towards menstruation of Chinese undergraduates in Hong Kong and to compare those of (1) male and female undergraduates with those of (2) undergraduates studying health-related vs. nonhealth-related programmes. BACKGROUND Menstruation is typically viewed as a forbidden topic or a troublesome experience. These negative beliefs and attitudes result from existing myths and taboos associated with cultural factors and health education levels. DESIGN A cross-sectional survey was conducted in all universities in Hong Kong. Undergraduates were invited through convenience sampling to complete a questionnaire assessing their attitudes and beliefs towards menstruation. METHODS A questionnaire on 'beliefs about and attitudes towards menstruation' was adopted. Questionnaires were self-administered by the respondents. RESULTS A total of 450 questionnaires were distributed, and a response rate of 96.6% was obtained; 416 completed questionnaires were collected and analysed. Many Chinese undergraduates agreed that menstruation is annoying, causes disability, involves prescription and proscription and is not pleasant. When comparing the beliefs and attitudes towards menstruation of Chinese male undergraduates with those of female undergraduates, females tended to disagree that menstruation should be maintained secret, but tended to agree that it was annoying. When comparing the beliefs and attitudes towards menstruation of Chinese undergraduates studying health-related programmes with those under nonhealth-related programmes, the latter group exhibited a higher level of belief in prescription and proscription for menstruation than the former group. CONCLUSION Chinese undergraduates in Hong Kong were influenced by the traditional Chinese culture and social environment, resulting in negative attitudes towards menstruation. This study recommends that sex education, especially reproductive health education, be extended to tertiary education. RELEVANCE TO CLINICAL PRACTICE This study provides relevant information on planning the content of sex education or reproductive health education for Chinese undergraduates.
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Borawski EA, Tufts KA, Trapl ES, Hayman LL, Yoder LD, Lovegreen LD. Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school. THE JOURNAL OF SCHOOL HEALTH 2015; 85:189-96. [PMID: 25611941 PMCID: PMC4703031 DOI: 10.1111/josh.12234] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Revised: 07/25/2014] [Accepted: 08/14/2014] [Indexed: 05/15/2023]
Abstract
BACKGROUND We examined the differential impact of a well-established human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) curriculum, Be Proud! Be Responsible!, when taught by school nurses and health education classroom teachers within a high school curricula. METHODS Group-randomized intervention study of 1357 ninth and tenth grade students in 10 schools. Twenty-seven facilitators (6 nurses, 21 teachers) provided programming; nurse-led classrooms were randomly assigned. RESULTS Students taught by teachers were more likely to report their instructor to be prepared, comfortable with the material, and challenged them to think about their health than students taught by a school nurse. Both groups reported significant improvements in HIV/STI/condom knowledge immediately following the intervention, compared to controls. Yet, those taught by school nurses reported significant and sustained changes (up to 12 months after intervention) in attitudes, beliefs, and efficacy, whereas those taught by health education teachers reported far fewer changes, with sustained improvement in condom knowledge only. CONCLUSIONS Both classroom teachers and school nurses are effective in conveying reproductive health information to high school students; however, teaching the technical (eg, condom use) and interpersonal (eg, negotiation) skills needed to reduce high-risk sexual behavior may require a unique set of skills and experiences that health education teachers may not typically have.
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Affiliation(s)
- Elaine A. Borawski
- Angela Bowen Williamson Professor of Epidemiology and Biostatistics and Nutrition, Departments of Epidemiology and Biostatistics and Nutrition, Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, School of Medicine, 4th Floor, Bio Enterprise Building, 10900 Euclid Avenue, Cleveland, OH 44106-7069
| | - Kimberly Adams Tufts
- Assistant Dean for Interprofessional Education, College of Health Sciences, Old Dominion University, 2150 Health Sciences Building, Norfolk, VA 23529
| | - Erika S. Trapl
- Assistant Professor, Department of Epidemiology and Biostatistics, Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, School of Medicine, 4th Floor, BioEnterprise Building, 10900 Euclid Avenue, Cleveland, Ohio 44106-7069
| | - Laura L. Hayman
- Associate Vice-Provost for Research and Graduate Studies, Professor of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Blvd. Boston, MA 02125-3393
| | - Laura D. Yoder
- Data Manager, Survey Research Center, Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104-2321
| | - Loren D. Lovegreen
- Vice President, Academic and Research, Northern Lights College, 11401 8th Street, Dawson Creek, British Columbia, Canada, V1G 4G2
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Bell A, Bray L. The knowledge and attitudes of student nurses towards patients with sexually transmitted infections: Exploring changes to the curriculum. Nurse Educ Pract 2014; 14:512-7. [DOI: 10.1016/j.nepr.2014.05.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 12/06/2013] [Accepted: 05/06/2014] [Indexed: 11/26/2022]
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Walker SH, Davis G. Knowledge and reported confidence of final year midwifery students regarding giving advice on contraception and sexual health. Midwifery 2014; 30:e169-76. [DOI: 10.1016/j.midw.2014.02.002] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Revised: 12/16/2013] [Accepted: 02/11/2014] [Indexed: 10/25/2022]
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East L, Hutchinson M. Moving beyond the therapeutic relationship: a selective review of intimacy in the sexual health encounter in nursing practice. J Clin Nurs 2013; 22:3568-76. [DOI: 10.1111/jocn.12247] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2012] [Indexed: 11/28/2022]
Affiliation(s)
- Leah East
- School of Health and Human Sciences; Southern Cross University; Lismore NSW Australia
| | - Marie Hutchinson
- School of Health and Human Sciences; Southern Cross University; Lismore NSW Australia
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Sung SC, Lin YC. Effectiveness of the sexual healthcare education in nursing students' knowledge, attitude, and self-efficacy on sexual healthcare. NURSE EDUCATION TODAY 2013; 33:498-503. [PMID: 22789872 DOI: 10.1016/j.nedt.2012.06.019] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Revised: 05/28/2012] [Accepted: 06/12/2012] [Indexed: 06/01/2023]
Abstract
Few researchers and curricula have experimentally tested sexual healthcare education on nursing students' knowledge, attitudes and self-efficacy improvement towards sexual healthcare - a gap in the nursing evidence-base that this study was designed to address. A quasi-experimental design was used to evaluate the effectiveness of the sexual healthcare education on nursing students' knowledge, attitude, and self-efficacy related to sexual healthcare. The experimental group (95 subjects) received the 12-week program, but the control group (95 subjects) didn't. The hierarchical linear model (HLM) was used to analyze the longitudinal changes. The results revealed that the students in the experimental group showed significant improvements over those in the control group on knowledge (β=-0.27, P<0.001), attitude (β=-0.38, P<0.001), and self-efficacy (β=-0.90, P<0.001). This study demonstrates that the sexual healthcare education can help nursing students enhance their knowledge and explore their own values as well as feelings on patient sexuality, and play an important role in preparing students to meet future challenges related to sexual health.
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Affiliation(s)
- Su-Ching Sung
- Department of Nursing, Chang Gung University of Science and Technology, Taiwan
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Abstract
School nurses can play a key role in providing sexual education in schools. However, they often face barriers from the school administration and concerned parents. Additionally, school nurses may have limited formal preparation in managing sexual health issues. This study used a descriptive qualitative method to explore the school nurses’ experiences with facilitators and barriers to providing sexual education. Eighteen nurses from 12 Massachusetts high schools were interviewed. Results showed that the school nurses do not provide formal sexual education at their schools but frequently conduct informal sessions. School nurses reported that students needed more sexual health information, yet there was no collaboration with the school health teachers. Common barriers included lack of privacy and time, confidentiality issues, and fear of conflict. Nurses working in communities with high teen pregnancy rates reported more barriers. The findings can inform the development of policies and practices for sexual education by school nurses.
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Abstract
The barriers to initiating and holding conversations about sexual and relationship health with young people are under researched within the acute paediatric care setting, with the majority of research focussing on these discussions within primary care settings. This qualitative research study aimed to explore how healthcare professionals discussed sexual and relationship health with young people within an acute care context. Six semi-structured focus groups were held with healthcare professionals ( n = 24) from within an acute children’s hospital. This inquiry highlighted different approaches of professionals to initiating and engaging in conversations with young people, which included avoidance, reluctance and confidence. The professionals’ ability to open dialogues with young people was influenced by their levels of knowledge and information, their personal beliefs and the availability of private time and space. Those conversations that did take place focussed on physiology, fertility or medication and did not frequently explore issues of relationships and sexuality. Further training and education is needed to equip staff to initiate and engage in discussions about sexual health.
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Yazıcı S, Zengin N, Karanisoğlu H. Reinforcing Sexual and Reproductive Health Education Prior to Graduation of Health School in Turkey. SEXUALITY AND DISABILITY 2010. [DOI: 10.1007/s11195-010-9179-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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The impact of dementia and mild memory impairment (MMI) on intimacy and sexuality in spousal relationships. Int Psychogeriatr 2010; 22:618-28. [PMID: 20226112 DOI: 10.1017/s1041610210000177] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Sexuality and intimacy in couples in which one partner is affected by dementia has been widely researched. Few studies have explored these issues in couples where one partner is affected by mild memory impairment (MMI) or mild cognitive impairment (MCI). The objectives of this study were to (1) identify and contrast issues of intimacy and sexuality that spousal caregivers of persons with MMI and dementia may experience, and (2) identify future lines of research in this population. METHODS Fourteen dementia and nine MMI spousal caregivers participated in focus groups conducted between 2008 and 2009 at the Stanford/VA Alzheimer's Research Center. Content analyses were conducted to identify themes. RESULTS Five themes emerged: communication, marital cohesion, affectional expression, caregiver burden, and ambiguity concerning the future of the relationship. Dementia caregivers reported more difficulties with communication, cohesion, and perceptions of increased burden than their MMI counterparts. Both groups indicated reduced sexual expression due to physical limitations; substitute activities including hand-holding, massaging, and hugging were noted. Both groups reported difficulty anticipating the future of the relationship due to present stressors. While dementia caregivers could consider future romantic relationships with others, MMI caregivers were primarily able to consider future relationships only for companionship and emotional intimacy. CONCLUSION Early therapeutic interventions may assist couples in modifying activities, behaviors, and expectations about the future of the relationship. Such modifications may help maintain relationship satisfaction, decrease burden, preserve quality of life, and delay time-to-placement. Extending time-to-placement could have cost savings implications for families and the healthcare system.
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