Cassidy Christine, Goldberg Lisa, Aston Megan
Dalhousie University School of Nursing, Halifax, NS, Canada.
J Clin Nurs. 2016 Aug;25(15-16):2378-86. doi: 10.1111/jocn.13354. Epub 2016 Jun 15.
Using a feminist poststructuralist framework, this paper examines the conflicting discourses of young women who experience power struggles with regard to their sexuality and sexual health practices. It aims to provide nurses with a pragmatic framework for exploring, interrogating and potentially transforming health care situations when caring for young women in a sexual health setting.
Sexuality and sexual health are important components of health and well-being. Young men and women are continually perpetuated with societal ideals of sexuality and sexual health practices. Young women specifically, receive societal and peer pressure to conform to certain sexual health practices that can lead to both positive and negative health outcomes. Nurses and other health care providers may care for young women in a public or acute care setting that are living with these conflicting sexual health discourses.
A review of the literature on young women's sexuality and sexual health was conducted and analysed using a feminist poststructuralist framework.
A review of the sexual health literature on young women was conducted. Issues identified from the review, as they relate to sexual discourse were power, language, subjectivity and agency. Nursing strategies to address these issues in practice were identified using a feminist poststructuralist framework.
The feminist poststructural framework highlights the conflicting discourses related to young women's sexuality and sexual health practices. This paper provides a pragmatic example of how to incorporate theory to improve nurses' understanding of an individual or group's health.
Examples of how a feminist poststructural framework can be used to enhance sexual health nursing practice are discussed, such as helping nurses to challenge the status quo and question the sexual health norms among young women.
本文运用女性主义后结构主义框架，审视了在性取向及性健康行为方面经历权力斗争的年轻女性的相互冲突的话语。其目的是为护士提供一个实用框架，以便在性健康环境中护理年轻女性时，探索、审视并有可能改变医疗保健状况。
性取向和性健康是健康与幸福的重要组成部分。年轻男性和女性不断受到关于性取向和性健康行为的社会理想观念的影响。特别是年轻女性，会受到社会和同龄人的压力，要求她们遵循某些性健康行为，而这些行为可能会带来积极和消极的健康结果。护士和其他医疗保健提供者可能会在公共或急症护理环境中照顾那些生活在这些相互冲突的性健康话语中的年轻女性。
运用女性主义后结构主义框架对有关年轻女性性取向和性健康的文献进行了综述和分析。
对有关年轻女性性健康的文献进行了综述。从综述中确定的与性话语相关的问题包括权力、语言、主体性和能动性。运用女性主义后结构主义框架确定了在实践中解决这些问题的护理策略。
女性主义后结构框架凸显了与年轻女性性取向和性健康行为相关的相互冲突的话语。本文提供了一个实用范例，说明如何运用理论来增进护士对个体或群体健康的理解。
讨论了女性主义后结构框架可如何用于加强性健康护理实践的实例，比如帮助护士挑战现状并质疑年轻女性中的性健康规范。
