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J Clin Nurs. 2016 Oct;25(19-20):2989-3000. doi: 10.1111/jocn.13441. Epub 2016 Jul 14.

Bridging the gap in sexual healthcare in nursing practice: implementing a sexual healthcare training programme to improve outcomes.

Author information

1
Graduate Institute of Health Care, Chang Gung University of Science and Technology, Taoyuan City, Taiwan. scsung@mail.cgust.edu.tw.
2
Department of Nursing, Taipei Veterans General Hospital Yuli Branch, Yuli Township, Hualian County, Taiwan.
3
Medication & Health Center, Banqiao Veterans Home, Veterans Affairs Council, New Taipei City, Taiwan.
4
Department of Psychiatry, Pingtung Branch, Kaohsiung Veterans General Hospital, Pingtung, Taiwan.
5
Department of Health Administration, Tzu Chi University of Science and Technology, Hualien County, Taiwan.

Abstract

AIMS AND OBJECTIVES:

This study aimed to evaluate the effectiveness of a sexual healthcare training programme for clinical nurses, with respect to knowledge, attitudes and self-efficacy concerning sexual healthcare.

BACKGROUND:

Inadequate sexual healthcare can result in poor treatment and quality of life for patients. Few studies have examined the development of sexual healthcare and related interventions from nurses' perspectives.

DESIGN:

The study included two stages involving focus groups and a quasi-experimental design.

METHODS:

The first stage consisted of an exploratory, descriptive session to assess nurses' perceptions and educational needs concerning sexual healthcare via two focus groups (N = 16). The second stage involved a quasi-experimental session to evaluate the training programme, based on the results of the first stage. In total, 117 nurses were recruited from a Taiwanese hospital; the experimental group (n = 59) completed a four-week (16 hours) training programme, and the control group (n = 58) did not participate in a training programme. Data were collected at four time points over 17 weeks. Longitudinal changes that occurred over time were examined using hierarchical linear models.

RESULTS:

The experimental group demonstrated significant improvements in knowledge (β = 0·16, p < 0·01), attitude (β = 0·18, p < 0·05), and self-efficacy (β = 0·73, p < 0·001) scores. Relative to that of the control group, the experimental group showed significantly greater improvement in knowledge (β = -0·12, p < 0·01) and attitudes regarding sexual healthcare (β = -0·25, p < 0·05), but their improvement in self-efficacy concerning sexual healthcare was limited (p = 0·179).

CONCLUSIONS:

The training programme for sexual healthcare could exert positive and beneficial effects on nurses' development of knowledge regarding sexual healthcare and clarify their values and attitudes.

RELEVANCE TO CLINICAL PRACTICE:

The training programme could reduce challenges related to sexual healthcare issues in nursing care.

KEYWORDS:

attitude; education; knowledge; nurse; self-efficacy; sexual health; sexuality

PMID:
27324599
DOI:
10.1111/jocn.13441
[Indexed for MEDLINE]

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