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Ślusarska B, Marcinowicz L. Nursing and midwifery students' attitudes towards addressing patient sexual health in their future profession: Polish adaptation and validation of the students' attitudes towards addressing sexual health extended questionnaire (SA-SH-Ext). PLoS One 2024; 19:e0300515. [PMID: 38905205 PMCID: PMC11192396 DOI: 10.1371/journal.pone.0300515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Accepted: 02/29/2024] [Indexed: 06/23/2024] Open
Abstract
The aim of the study was to assess the success of an adaption of the Students' Attitudes Towards Addressing Sexual Health Extended Questionnaire (SA-SH-Ext) in meeting Polish linguistic and cultural norms, as well as to ascertain the nursing and midwifery students' attitudes towards addressing sexual health using the SA-SH-Ext questionnaire. The sample size of the cross-sectional validation study consisted of 570 Polish nursing and midwifery students. The collected data was used to examine the internal consistency reliability and construct validity using exploratory factor analysis (EFA). Internal consistency reliability showed a Cronbach's alpha value of 0.91, and construct validity measured by exploratory factor analysis (EFA) demonstrated good results. The Kaiser-Meyer-Olkin measure of sampling adequacy (KMO) was high and amounted to 0.923, and the Bartlett's test of sphericity was significant (p = 0.000). The analysis of construct validity demonstrated five major factors: "Present feelings of comfortableness" (Factor 1), "Future working environment" (Factor 2), "Fear of negative influence on future patient relation" (Factor 3), "Educational needs-Awareness of knowledge gap" (Factor 4), "Educational needs-Awareness of the needs for competences" (Factor 5). The SA-SH-Ext v.PL questionnaire is a reliable and valuable instrument for assessing the level of perceived preparedness among nursing and midwifery students in addressing patient sexual health, a field often neglected in health and holistic care.
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Affiliation(s)
- Barbara Ślusarska
- Department of Family and Geriatric Nursing, Chair of Integrated Nursing Care, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Ludmiła Marcinowicz
- Department of Developmental Period Medicine and Paediatric Nursing, Medical University of Bialystok, Bialystok, Poland
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Frawley P, Wilson N, David J, O’Shea A, Areskoug Josefsson K. Access to Sexual Health Services and Support for People with Intellectual and Developmental Disabilities: an Australian Cross-sector Survey. SEXUALITY RESEARCH & SOCIAL POLICY : JOURNAL OF NSRC : SR & SP 2022; 19:1935-1943. [PMID: 35669627 PMCID: PMC9159772 DOI: 10.1007/s13178-022-00734-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 05/13/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION People with intellectual and developmental disabilities under the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) have the right to access sexual health services including information, education, and support. Little is known about the capacity of sexual health professionals to provide these services. METHODS Using an observational research design, this study utilised a descriptive survey tool (PASH-Ext) that also encompassed a standardised measure, with a cross-sectional purposive sample of 52 Australian sexual health professionals. Data was collected in 2020. RESULTS Just over half of the participants reported having received training in their preservice education to work with people with intellectual and developmental disabilities, of these 60% held the view that people with intellectual and developmental disabilities would not feel embarrassed receiving sexual health information and support. CONCLUSION The study found that training is both important to the professionals' preparedness to work with people with intellectual and developmental disabilities, and that these professionals advocate for the continuation of this training in pre-service courses and additional training in post service education for sexual health workers. POLICY IMPLICATIONS To progressively realise Article 25 of the UNCRPD signatory, countries need to ensure sexual health services are accessible to people with intellectual and developmental disabilities. This study recommends that sexual health policy addresses equity of access for people with intellectual and developmental disability by ensuring all staff are prepared and supported to provide these services.
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Affiliation(s)
- Patsie Frawley
- Faculty of Education, Te Kura Toi Tangata, University of Waikato New Zealand, Gate 1 Knighton Road, Hamilton, New Zealand
| | - N.J. Wilson
- School of Nursing and Midwifery, Western Sydney University, Hawkesbury Campus, Locked Bag 3, Richmond, NSW 2753 Australia
| | - Jennifer David
- Disability & Inclusion, School of Health & Social Development, Deakin University, Gheringhap St, Geelong, 3220 Australia
| | - Amie O’Shea
- Disability & Inclusion, School of Health & Social Development, Deakin University, Gheringhap St, Geelong, 3220 Australia
| | - K. Areskoug Josefsson
- VID Specialized University, Vågsgaten 40, 4306 Sandnes, Norway
- Oslo Metropolitan University, St Olavs Plass, Postboks 4, 0130 Oslo, Norway
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Jadoon SB, Nasir S, Victor G, Pienaar AJ. Knowledge attitudes and readiness of nursing students in assessing peoples' sexual health problems. NURSE EDUCATION TODAY 2022; 113:105371. [PMID: 35524991 DOI: 10.1016/j.nedt.2022.105371] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 03/28/2022] [Accepted: 04/10/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Sexual health is an important part of human physical health. Sexual wellbeing is a condition of physical, emotional, mental, and social ease concerning sexuality. Therefore, all health care professionals should respect, protect, and fulfil the sexual-health needs of a person. PURPOSE This research aims to assess the knowledge, attitudes, and readiness of nursing students in assessing people's sexuality. METHODOLOGY Cross-sectional descriptive research design was used to conduct this research. A stratified random sampling technique was used to recruit 195 nursing students from BSN (semester VI & VIII), Post RN (semester II & IV). Three self-administered tools Sexually Transmitted Diseases Knowledge Questionnaire (STD-KQ), Self-Addressing Sexual-Health (SA-SH), and Self-Addressing Sexual-Health History Taking was used to collect data from the participants. Data analysis was conducted on SPSS V-23. RESULT Majority (111, 56.9%) of participants belong to the public sector as compared to the private. The majority of the students were female (n = 117, 60%). Most (153, 78.5%) of the participants were interested in people's sexual-health history taking; they had positive attitudes toward people's sexuality. Most (139, 71.3%) of the study participants were comfortable and ready to some extent to deal with sexual health issues. Religion, culture, and people's opposite-gender were identified barriers in assessing people's sexuality. CONCLUSION This study identified that nursing students had insufficient knowledge regarding STDs, but they had positive attitudes toward addressing peoples' sexual-health concerns. Students are comfortable and ready to some extent to deal with sexual problems.
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Lunde GH, Blaalid L, Gerbild H, Areskoug Josefsson K. Assessment of the psychometrics of the Students' Attitudes towards Addressing Sexual Health Extended (SA-SH-Ext) questionnaire for social educator students. Sex Med 2022; 10:100507. [PMID: 35385802 PMCID: PMC9177885 DOI: 10.1016/j.esxm.2022.100507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 02/22/2022] [Accepted: 03/01/2022] [Indexed: 11/29/2022] Open
Abstract
Background Social educators have an important role in promoting and rehabilitating sexual health as they provide information, discuss, and support sexual health in daily life for persons living with impairments, intellectual disabilities, and complex needs. Aim The study aimed to assess the psychometrics of the Students´ Attitudes towards addressing Sexual Health Extended (SA-SH-Ext) questionnaire for social educator students. Methods A sample of 213 Norwegian social educator students was used to test internal consistency reliability and construct validity with explorative factor analysis. Outcomes Internal consistency reliability showed a Cronbach's alpha of 0.906 and construct validity measured with explorative factor analysis showed good results with the Kaiser-Meyer-Olkin measure of sampling adequacy (KMO) being high (0.929) and Bartlett´s test of sphericity being significant (P = .000). Results The SA-SH-Ext is reliable and valid for social educator students, however the psychometric assessment revealed that the domains of the SA-SH-Ext should be revised compared to the original SA-SH questionnaire. Clinical implications Measuring the effectiveness of sexual health education interventions is important and to have a valid and reliable questionnaire to assess future professionals’ attitudes towards addressing sexual health increases the ability to target specific client needs or knowledge gaps, such as addressing sexual health for persons with intellectual disabilities. Strengths and limitations: In comparison with previous studies of the original SA-SH, SA-SH-Ext has high reliability and validity. The current study was performed with classical test theory. Performing Rasch analysis may detect other psychometric issues, by improving precision and thereby providing a deeper understanding of both how to optimise a questionnaire and understand the results of a used questionnaire. Despite the response rate of 34%, the results are seen as valid considering the low correlation between response rate and validity and that the sample size was sufficient for the chosen psychometric tests. Conclusion The SA-SH-Ext is a valuable questionnaire for assessing the level of perceived preparedness among social educator students in addressing sexual health, a field often neglected in health and care. Lunde GH, Blaalid L, Gerbild H, et al. Assessment of the psychometrics of the Students' Attitudes towards Addressing Sexual Health Extended (SA-SH-Ext) questionnaire for social educator students. Sex Med 2022;10:100507.
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Affiliation(s)
- Gerd Hilde Lunde
- Department for Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway.
| | - Laila Blaalid
- Department for Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Helle Gerbild
- Department for Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway; Health Science Research Centre, UCL University College, Odense, Denmark
| | - Kristina Areskoug Josefsson
- Department for Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway; VID Specialized University, Faculty of Health Studies, Sandnes, Norway
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Lunde H, Blaalid L, Areskoug Josefsson K, Gerbild H. Social educator students' readiness to address sexual health in their future profession. JOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES 2021; 35:1059-1070. [PMID: 34800072 DOI: 10.1111/jar.12962] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 10/15/2021] [Accepted: 10/20/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Norwegian social educator students' attitudes towards addressing sexual health are unknown, even if their future clients often have needs related to sexual issues. PURPOSE To investigate social educator students' readiness to address sexual health in their future profession. METHODS In 2019, 213 social educator students (response rate 34%) responded to the Students' Attitudes towards addressing Sexual Health Extended online questionnaire. RESULTS Most of the social educator students felt comfortable and ready to address sexual health in their future profession, but thought they had insufficient competence and education concerning sexual health. There were gender and age differences when discussing sexual health among persons with intellectual disabilities. CONCLUSION Despite most Norwegian social educator students feeling ready to address sexual health, they needed additional competences and education. Further research is needed concerning the effectiveness of educational interventions targeting competence in sexual health, to ensure sufficient support for clients in this field.
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Affiliation(s)
- Hilde Lunde
- Department for Behavioural Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Laila Blaalid
- Department for Behavioural Sciences, Oslo Metropolitan University, Oslo, Norway
| | - Kristina Areskoug Josefsson
- Department for Behavioural Sciences, Oslo Metropolitan University, Oslo, Norway.,School of Health and Welfare, Jönköping Academy for Improvement of Health and Welfare, Jönköping University, Jönköping, Sweden.,Faculty of Health Studies, VID Specialized University, Oslo, Norway
| | - Helle Gerbild
- Health Science Research Centre, UCL University College, Odense, Denmark.,Centre for Sexology Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
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Desmond D, Gallagher P. Reflections and future directions for psychological science in Prosthetics and Orthotics International. Prosthet Orthot Int 2020; 44:402-407. [PMID: 33164660 DOI: 10.1177/0309364620967780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
In the inaugural edition of Prosthetics and Orthotics International in 1977, Dr Sidney Fishman identified the Psychological Sciences as one of six indispensable areas of skill and knowledge in professional prosthetic-orthotic practice. Since then, there have been substantial changes and developments in the complexity and capabilities of assistive technologies, greater emphasis on understanding the relationships between people and enabling technologies, growing recognition of the importance of the contexts and environments that support their use, and changes in both health care services and the professional development of prosthetists and orthotists. The aim of this narrative review is to reflect on the role of Prosthetics and Orthotics International in shaping the evolving understanding of psychology in prosthetics and orthotics. There remains considerable potential and opportunity for the development and application of psychology in addressing the challenges of disability globally. However, a broad interpretation and application of the principles of rehabilitation psychology are needed if we are to meaningfully incorporate psychological science into the knowledge that informs prosthetic and orthotic practice.
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Affiliation(s)
- Deirdre Desmond
- Department of Psychology and Assisting Living and Learning Institute, Maynooth University, Maynooth, Ireland
| | - Pamela Gallagher
- School of Psychology, Faculty of Science and Health, Dublin City University, Dublin, Ireland
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McDonald CL, Kartin D, Morgan SJ. A systematic review in prosthetics and orthotics education research. Prosthet Orthot Int 2020; 44:116-132. [PMID: 32301371 DOI: 10.1177/0309364620912642] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
BACKGROUND Formal prosthetic/orthotic education has evolved greatly since its inception in the 1950s. The International Society for Prosthetics and Orthotics has established guidelines and recognition for prosthetic/orthotic programs worldwide. However, the current state-of-the-science in prosthetic/orthotic education is largely unknown. OBJECTIVES To evaluate and synthesize available prosthetic/orthotic education research. STUDY DESIGN Systematic review. METHODS Three bibliographic databases were searched and quality of included articles assessed using criteria from the National Institutes for Health Quality Assessment Tool for Observational Cohort, Cross-Sectional Studies, and the Critical Appraisal Skills Programme Qualitative Research Checklist, and Delphi quality criteria. RESULTS This review included 25 articles from 23 studies. Included studies explored description, development, implementation, and/or assessment of the teaching/learning methods, curriculum, program, or country/region level. Studies were conducted in 18 countries and published in 14 journals. Methodological quality was rated high in 6 articles, moderate in 6, and low in 13. Content synthesis was not attempted due to the heterogeneous literature. CONCLUSION This systematic review suggests that prosthetic/orthotic education research is only being conducted at a limited level. There is a strong need for high quality, collaborative education research to be conducted and published in peer-reviewed journals to improve prosthetic/orthotic education and build a global conversation. CLINICAL RELEVANCE Research in prosthetic/orthotic education is limited. The current body of literature is not sufficient to inform and guide future education of prosthetic/orthotic students. Opportunities to improve prosthetic/orthotic education research include academic collaborations, a dedicated education special issue or journal, and disciplinary support for prosthetic/orthotic education research.
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Affiliation(s)
- Cody L McDonald
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Deborah Kartin
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
| | - Sara J Morgan
- Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
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Areskoug-Josefsson K, Rolander B. Value of Performing a Rasch Analysis on a Reliable and Valid Instrument-Case Study of the SA-SH. J Nurs Meas 2020; 28:322-342. [PMID: 32447312 DOI: 10.1891/jnm-d-18-00106] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE The aim of this study was to explore the potential added value of performing a Rasch analysis on a reliable and valid instrument employed in nursing research and educational interventions, using the Students' Attitudes toward Sexual Health (SA-SH) as an example. METHODS This study was performed with a polytomous Rasch model. RESULTS The Rasch analysis confirmed the reliability and validity of the SA-SH. Rasch analysis presented information about the item's individual response options and gave the opportunity to judge how well different answers alternated in an item. The Rasch analysis also provided information about the proportion of extremes and the possibility of excluding these. CONCLUSIONS The Rasch analysis provides added value regarding information that needs to be considered regarding choices of questionnaire literacy compared to item fit. The SA-SH is also valid and reliable when tested with Rasch analysis.
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Affiliation(s)
| | - Bo Rolander
- Futurum, Academy for Health and Care, Jönköping County Council, Jönköping, Sweden; Jönköping University, Jönköping, Sweden
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Areskoug-Josefsson K, Rolander B, Bülow P. Swedish Social Work Students’ Attitudes Toward Addressing Sexual Health Issues in Their Future Profession. SEXUALITY AND DISABILITY 2019. [DOI: 10.1007/s11195-019-09563-w] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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