Magnan Morris A, Reynolds Kathleen
School of Nursing, Oakland University, Rochester, MI 48309, USA.
Clin Nurse Spec. 2006 Nov-Dec;20(6):285-92. doi: 10.1097/00002800-200611000-00009.
The aim of this study was to examine the barriers to addressing patient sexuality across areas of specialization.
A descriptive correlational design was used in this study.
A convenience sample of nurses (N = 302) was recruited from a large Midwestern medical center.
In this study, a survey using the Sexuality Attitudes and Beliefs Survey and a demographic questionnaire was conducted.
The number one barrier to addressing patient sexuality concerns across all areas of specialization was the nurses' perceptions that patients do not expect nurses to address their sexuality concerns. Other high-ranking barriers included a lack of comfort and confidence in addressing sexuality and failure to make time to discuss patient sexuality concerns.
Educational programs with both general and specific content are needed to help nurses across areas of specialization overcome barriers to addressing patient sexuality concerns. In addition, clinical nurse specialists are challenged to think of ways in which their practice competencies might be used creatively to overcome barriers to addressing patient sexuality concerns and promote the sexual health of individuals and groups.
Further research is needed to determine whether the assumption that patients do not expect nurses to address sexuality concerns matches the reality of patients' expectations.
本研究的目的是探讨不同专业领域中在关注患者性问题方面存在的障碍。
本研究采用描述性相关设计。
从一家大型中西部医疗中心招募了一个便利样本的护士（N = 302）。
在本研究中，使用了一份基于性态度与信念调查的问卷以及一份人口统计学调查问卷进行调查。
在所有专业领域中，关注患者性问题的首要障碍是护士认为患者不期望护士关注他们的性问题。其他排名靠前的障碍包括在谈论性问题时缺乏舒适度和信心，以及没有时间讨论患者的性问题。
需要开展兼具通用内容和特定内容的教育项目，以帮助不同专业领域的护士克服在关注患者性问题方面的障碍。此外，临床护理专家面临挑战，要思考如何创造性地运用他们的实践能力来克服在关注患者性问题方面的障碍，并促进个人和群体的性健康。
需要进一步研究来确定患者不期望护士关注性问题这一假设是否符合患者期望的实际情况。
