Cappiello Joyce, Coplon Leah, Carpenter Holly
J Obstet Gynecol Neonatal Nurs. 2017 Sep-Oct;46(5):e157-e167. doi: 10.1016/j.jogn.2017.04.132. Epub 2017 Jun 24.
To examine whether and to what extent pre-licensure nursing programs include sexual and reproductive health (SRH) content in their curricula.
Electronic databases, including CINAHL, MEDLINE, PubMed, Web of Science, Science Direct, Google Scholar, ProQuest, and CAB Direct were searched for relevant literature. We also reviewed the reference lists of all studies, nursing organization Web sites, and the personal files of the authors.
Inclusion criteria were studies focused on SRH content in pre-licensure nursing education, written in English, and published between January 1990 and November 2016. We identified 632 articles, and of these, 22 met the inclusion criteria. Duplicates were discarded, and 13 articles were reviewed (9 quantitative descriptive, 2 modified Delphi, 2 mixed methods).
Data extraction and subsequent analysis were guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were extracted and organized under the following headings: author and year to establish a historical timeline, study purpose and design, sample size, data collection methods, main study findings, and limitations.
We found the following: (a) most studies focused on baccalaureate education; if associated degree programs were reviewed, findings were not reported separately; (b) definitions were not consistent, which affected the scope of study results; (c) the SRH topics taught were similar; (d) there is a recent interest in sexual orientation and gender identity curriculum; (e) barriers to including content were time constraints, competing demands with other curriculum priorities, and a need for creative curriculum tools.
Documentation of SRH content in pre-licensure nursing education is limited. Faculty should conduct ongoing evaluation of their curricular strategies and clinical experiences and publish results in the literature.
探讨执照前护理课程在其课程设置中是否包含以及在何种程度上包含性与生殖健康（SRH）内容。
检索了电子数据库，包括护理学与健康领域数据库（CINAHL）、医学索引数据库（MEDLINE）、医学期刊数据库（PubMed）、科学引文索引数据库（Web of Science）、科学Direct数据库、谷歌学术、ProQuest数据库和CAB Direct数据库，以查找相关文献。我们还查阅了所有研究的参考文献列表、护理组织网站以及作者的个人文件。
纳入标准为聚焦于执照前护理教育中性与生殖健康内容、用英文撰写且发表于1990年1月至2016年11月之间的研究。我们共识别出632篇文章，其中22篇符合纳入标准。剔除重复文章后，对13篇文章进行了综述（9篇定量描述性研究、2篇改良德尔菲法研究、2篇混合方法研究）。
数据提取及后续分析遵循系统评价与Meta分析的首选报告项目（PRISMA）指南。数据在以下标题下进行提取和整理：作者及年份以建立历史时间线、研究目的与设计、样本量、数据收集方法、主要研究结果及局限性。
我们发现如下情况：（a）大多数研究聚焦于本科教育；若对专科护理教育项目进行了综述，研究结果未单独报告；（b）定义不一致，这影响了研究结果的范围；（c）所教授的性与生殖健康主题相似；（d）近期对性取向和性别认同课程有兴趣；（e）纳入相关内容的障碍包括时间限制、与其他课程重点的竞争需求以及对创新性课程工具的需求。
执照前护理教育中性与生殖健康内容的文献记录有限。教师应持续评估其课程策略和临床经验，并将结果发表在文献中。
