Oxford Brookes University, Oxford, UK.
J Clin Nurs. 2017 Dec;26(23-24):3906-3916. doi: 10.1111/jocn.13810. Epub 2017 Jun 20.
To explore the way in which sexual health care is perceived and experienced by students in clinical practice.
Student nurses understand the need to learn about sexual health but report a variety of learning needs and experience challenges acquiring skills to deliver such care in part due to varied clinical experience. Furthermore, there is a paucity of data exploring clinical competence of sexual health care among student nurses.
A literature review of the published literature was conducted following a search of online databases. Articles were selected for analysis according to inclusion and exclusion criteria. Eight articles were critically appraised and thematically analysed.
The following themes were identified: student nurses report having a positive attitude towards sexual health care; however, many felt uncomfortable about addressing sexual health and are reluctant to initiate a conversation; many student nurses lack knowledge about sexual health; they also lack role models at university and on clinical placement. Student nurse caregiving in relation to sexual health was also noted.
It is encouraging that student nurses have some knowledge, but their knowledge assessed is narrow. Their attitude is generally positive although many feel uncomfortable discussing issues of sexual health and sexuality. Very few student nurses report delivering sexual health care. There is a lack of positive role models both on clinical placement and at university.
The reasons behind a lack of sexual health care delivery by student nurses should be understood. Student nurses should be supported to assess patient need and provide holistic care. Positive role models should be established in clinical and educational environments along with a focus on wider sexual health knowledge and skills.
探索学生在临床实践中感知和体验性保健的方式。
护生了解学习性健康知识的必要性，但报告了各种学习需求，并在获取提供此类护理技能方面遇到挑战，部分原因是临床经验的差异。此外，缺乏探索护生性保健临床能力的数据。
对在线数据库进行了文献检索，对已发表文献进行了文献回顾。根据纳入和排除标准选择文章进行分析。对 8 篇文章进行了批判性评价和主题分析。
确定了以下主题：学生护士报告对性保健持积极态度；然而，许多人对处理性健康问题感到不舒服，不愿意主动发起对话；许多护生缺乏性健康知识；他们在大学和临床实习中也缺乏榜样。还注意到护生在性健康护理方面的表现。
令人鼓舞的是，护生有一定的知识，但他们评估的知识范围较窄。他们的态度普遍是积极的，尽管许多人在讨论性健康和性问题时感到不舒服。很少有护生报告提供性健康护理。临床实习和大学都缺乏积极的榜样。
应了解护生缺乏性保健服务的原因。应支持护生评估患者需求并提供全面护理。应在临床和教育环境中树立积极的榜样，同时注重更广泛的性健康知识和技能。
