Jolley S
Gynaecology Unit, Queen's Medical Centre, University Hospital NHS Trust, Nottingham NG7 2UH, UK.
J Adv Nurs. 2001 Oct;36(2):246-55. doi: 10.1046/j.1365-2648.2001.01965.x.
This study was designed to investigate the teenage sexual health service provided by gynaecology nurses at Queen's Medical Centre, Nottingham, United Kingdom (UK), by assessing their knowledge, activities and perceptions in relation to teenage sexual health.
Part of a gynaecology nurse's work is caring for teenagers with sexual health problems, including unwanted pregnancies and sexually transmitted infections (STIs). Given the current national focus in the UK on improving teenage sexual health, there is clearly a role for gynaecology nurses to play, but this is rarely referred to in published literature and appears to be poorly defined.
A cross sectional survey of all gynaecology nurses at Queen's Medical Centre was carried out, followed by semi-structured interviews with a small random subsample.
Results indicated that, although 65% of nurses had worked on the gynaecology unit for more than 5 years, there was poor knowledge, an inconsistent pattern of nursing interventions and negative perceptions of the service offered. A majority of the nurses (87%) had not received any specific training in how to nurse teenagers with sexual health problems and 65% considered that the quality of sexual health service offered to teenagers was poor. Unexpected findings included poor general knowledge of local teenage sexual health services, the emotional effect on some nurses caring for young teenagers undergoing medical terminations of pregnancy (ToP), and the complete lack of training and protocols for taking a sexual history.
The nurses felt that the teenage sexual health service provided could be improved by better staff training, better information for teenagers and better organization. Recommendations have been made as a result of the study but the staff will need management support to ensure that changes are effective. Generalizations cannot be drawn from a study in one hospital but the results could reflect the low profile given to the teenage sexual health aspect of gynaecology nurses' work in the UK.
本研究旨在通过评估英国诺丁汉女王医疗中心妇科护士关于青少年性健康的知识、活动及看法，来调查她们所提供的青少年性健康服务。
妇科护士的部分工作是护理有性健康问题的青少年，包括意外怀孕和性传播感染。鉴于英国当前全国范围内对改善青少年性健康的关注，妇科护士显然可以发挥作用，但这在已发表的文献中很少被提及，而且其定义似乎也不明确。
对女王医疗中心的所有妇科护士进行了横断面调查，随后对一小部分随机抽取的子样本进行了半结构化访谈。
结果表明，尽管65%的护士在妇科病房工作超过5年，但她们知识匮乏，护理干预模式不一致，对所提供服务的看法也很负面。大多数护士（87%）没有接受过任何关于如何护理有性健康问题青少年的具体培训，65%的护士认为为青少年提供的性健康服务质量很差。意外发现包括对当地青少年性健康服务的总体了解不足、一些护理接受药物流产的青少年的护士受到的情感影响，以及完全缺乏获取性病史的培训和规程。
护士们认为，通过更好的员工培训、为青少年提供更好的信息以及更好的组织安排，可以改善所提供的青少年性健康服务。研究已提出建议，但员工需要管理支持以确保变革有效。不能从一家医院的研究中得出一般性结论，但结果可能反映出英国妇科护士工作中青少年性健康方面受到的关注较少。
