Central Queensland University, Institute of Health and Social Science Research, Centre for Mental Health Nursing Innovation, Rockhampton, Australia.
Int J Ment Health Nurs. 2013 Jun;22(3):231-40. doi: 10.1111/j.1447-0349.2012.00865.x. Epub 2012 Aug 12.
Sexual issues are common for consumers of mental health services and have many adverse consequences for quality of life as well as impacting negatively on the mental illness itself. Nurses in mental health settings are well placed to assess for the presence of and provide interventions for sexual concerns. To date, little research has been undertaken to explore nurses' attitudes and whether sexual issues would be accepted as part of their care. This paper presents findings from the third stage of a qualitative, exploratory research study with mental health nurses working in an Australian mental health service. The findings from the first two stages suggested that the participants had tended to avoid discussion of sexual issues, but a brief education intervention had produced a greater willingness to address sexual issues as part of care. The aim of the third stage was to determine the degree to which changes in practice had continued over time. Two main themes that emerged from this data were: (i) holism, from rhetoric to reality; and (ii) part of what I do. Addressing sexual issues became part of practice, a change sustained 2 years following the intervention, because participants recognized its importance for holistic nursing care.
性问题在精神健康服务的消费者中很常见，对生活质量有许多不利影响，也对精神疾病本身产生负面影响。精神健康环境中的护士有很好的条件来评估性问题的存在并提供干预措施。迄今为止，很少有研究探讨护士的态度，以及性问题是否会被接受为他们护理的一部分。本文介绍了一项在澳大利亚精神卫生服务机构工作的精神科护士的定性探索性研究的第三阶段的研究结果。前两个阶段的研究结果表明，参与者往往避免讨论性问题，但简短的教育干预措施增加了他们愿意将性问题作为护理的一部分来处理的意愿。第三阶段的目的是确定实践中的变化随着时间的推移继续的程度。从这些数据中出现了两个主要主题：（i）整体论，从修辞到现实；（ii）我所做的一部分。解决性问题成为实践的一部分，这种变化在干预后持续了 2 年，因为参与者认识到它对整体护理的重要性。
