Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Nurse Educ Today. 2013 Feb;33(2):152-9. doi: 10.1016/j.nedt.2012.05.014. Epub 2012 Jun 9.
Patients' health status may involve sexual issues and nursing education must prepare nurses to address patients' sexual health concerns. In Taiwan, nursing school curricula rarely include programs related to patients' sexuality or sexual health issues, and reflect conservative Asian attitudes toward sexuality.
Our aims were to determine Taiwanese student nurses' learning needs relative to addressing patients' sexual health concerns, and to gather information for curriculum development in sexual health education.
Descriptive, correlational study.
Nursing school at a medical university in central Taiwan.
140 senior student nurses.
A 24-item instrument entitled "Learning Needs for Addressing Patients' Sexual Health Concerns" (LNAPSHC) was developed through 15 semi-structured interviews of senior nursing students, expert review, and comparative analysis of text and field notes. Content validity and reliability were evaluated using exploratory factor analysis to measure construct validity and Cronbach's alpha to measure internal consistency. Univariate and multivariate linear models were developed.
Age, gender, and religion were not significant influences. Expressed learning needs included sexuality in health and illness, communication about patients' intimate relationships, and approaches to sexual health care. "Obtaining a comprehensive sexual health history" was the highest learning need. "Having sexual consultations with patients without embarrassment" was lower. Most participants recognized their role in sexuality-related health care, but their preparation and willingness to address it were limited.
Our results indicated a gap between student nurses' positive perspectives on the role of nursing in sexual health care and their limited intention to provide it. Reported learning needs indicated that student nurses needed an effective curriculum to increase their ability and willingness to address patients' sexual health. Our results may help nursing educators develop curricula and clinical training to increase student nurses' competence in addressing patients' sexual health concerns.
患者的健康状况可能涉及性问题，护理教育必须使护士能够解决患者的性健康问题。在台湾，护理学校的课程很少包括与患者的性或性健康问题相关的课程，这反映了亚洲对性的保守态度。
我们的目的是确定台湾学生护士在解决患者性健康问题方面的学习需求，并为性健康教育课程的发展收集信息。
描述性、相关性研究。
台湾中部一所医科大学的护理学校。
140 名高级护理学生。
通过对 15 名高年级护理学生的半结构化访谈、专家审查以及对文本和实地笔记的比较分析，编制了一份题为“解决患者性健康问题的学习需求”（LNAPSHC）的 24 项工具。使用探索性因素分析来衡量结构有效性和 Cronbach's alpha 来衡量内部一致性来评估内容有效性和可靠性。开发了单变量和多变量线性模型。
年龄、性别和宗教没有显著影响。表达的学习需求包括健康和疾病中的性行为、关于患者亲密关系的沟通以及性健康护理方法。“获得全面的性健康史”是最高的学习需求。“与患者进行性咨询而不尴尬”较低。大多数参与者认识到他们在与性相关的保健方面的角色，但他们的准备和意愿有限。
我们的结果表明，学生护士对护理在性保健中的作用的积极观点与他们提供性保健的有限意愿之间存在差距。报告的学习需求表明，学生护士需要有效的课程来提高他们解决患者性健康问题的能力和意愿。我们的结果可能有助于护理教育者制定课程和临床培训计划，以提高学生护士解决患者性健康问题的能力。
