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公共卫生护士如何应对年轻人的发色情短信行为:一项使用关键事件技术的定性研究

How public health nurses' deal with sexting among young people: a qualitative inquiry using the critical incident technique.

机构信息

Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.

School of Nursing, University of Worcester, St John's Campus, Henwick Grove, Worcester, WR2 6AJ, UK.

出版信息

BMC Public Health. 2018 Jun 13;18(1):729. doi: 10.1186/s12889-018-5642-z.

Abstract

BACKGROUND

Globally, the potentially harmful effects of using cell phone technology for 'sexting' among young people, is a public health concern. The background literature indicates that sexting might have adverse psychosocial consequences for some young people who share partially nude images ('selfies'). Public health nurses (PHNs) could offer guidance to children and young people on digital safety, yet little is known about their role in this regard. This study explored PHNs' knowledge and confidence in addressing the issue among young people.

METHOD

A qualitative study was undertaken using the Critical Incident Technique. The study took place in 2016. Eighteen semi-structured interviews were conducted with PHNs in a region of England. Data were analysed through thematic analysis, and managed through the use of NViVo 11 software. From the entire data set, thirteen critical incidents were identified of which nine were deemed relevant for reporting in this paper.

RESULTS

PHNs regarded sexting as a contemporary 'normalised' practice that takes place in what young people consider to be trusting relationships. PHNs' knowledge was informed by media reports that supported their beliefs about young peoples' vulnerability to risk-taking sexual behaviour. They were not confident about discussing sexting with young people, even though some PHNs had done so in light of concerns about potential child sexual exploitation.

CONCLUSION

PHNs have a role to play in advising young people on digital safety, but findings of the study show that their role is not fully realised. They have some knowledge of sexting as a possible signifier of abusive behaviour. However, they are not always confident in dealing with the issue. Improving PHNs ability to promote digital safety through better understanding of technology use among young people is good safeguarding practice. This may, in turn, better define this important nursing contribution to public health.

摘要

背景

在全球范围内,年轻人使用手机技术进行“色情短信”可能产生有害影响,这是一个公共卫生关注点。背景文献表明,对于一些分享部分裸体图像(“自拍”)的年轻人来说,色情短信可能会产生不良的社会心理后果。公共卫生护士(PHN)可以就数字安全为儿童和年轻人提供指导,但人们对此知之甚少。本研究探讨了 PHN 在这方面指导年轻人的知识和信心。

方法

本研究采用关键事件技术进行定性研究。研究于 2016 年在英格兰的一个地区进行。对 18 名 PHN 进行了半结构化访谈。通过主题分析对数据进行分析,并通过使用 NViVo 11 软件进行管理。从整个数据集中共确定了 13 个关键事件,其中 9 个被认为与本文报告相关。

结果

PHN 将色情短信视为一种当代“正常化”的行为,发生在年轻人认为是信任关系的地方。PHN 的知识来自于媒体报道,这些报道支持了他们对年轻人易受冒险性行为风险的看法。尽管一些 PHN 已经根据对潜在儿童性剥削的担忧进行了讨论,但他们对与年轻人讨论色情短信并不自信。

结论

PHN 在为年轻人提供数字安全建议方面发挥作用,但研究结果表明,他们的作用并未完全实现。他们对色情短信可能是虐待行为的表现有一定的了解。然而,他们并不总是有信心处理这个问题。通过更好地了解年轻人对技术的使用,提高 PHN 促进数字安全的能力是良好的保障实践。这反过来可能会更好地定义公共卫生中这一重要的护理贡献。

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本文引用的文献

1
Social Media Use and Mental Health among Young Adults.社交媒体使用与年轻人的心理健康。
Psychiatr Q. 2018 Jun;89(2):307-314. doi: 10.1007/s11126-017-9535-6.
4
Sexting among Peruvian adolescents.秘鲁青少年中的性短信行为。
BMC Public Health. 2014 Aug 7;14:811. doi: 10.1186/1471-2458-14-811.
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Sexting and sexual behavior in at-risk adolescents.高危青少年的色情短信发送和性行为。
Pediatrics. 2014 Feb;133(2):e276-82. doi: 10.1542/peds.2013-1157. Epub 2014 Jan 6.
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Sexting: serious problems for youth.sexting:青少年面临的严重问题
J Psychosoc Nurs Ment Health Serv. 2013 Jul;51(7):22-30. doi: 10.3928/02793695-20130503-02. Epub 2013 May 15.
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Sexting among young adults.青少年的色情短信行为。
J Adolesc Health. 2013 Mar;52(3):301-6. doi: 10.1016/j.jadohealth.2012.05.013. Epub 2012 Jul 23.
10
Sexting, substance use, and sexual risk behavior in young adults.年轻人的发色情短信、物质使用与性风险行为。
J Adolesc Health. 2013 Mar;52(3):307-13. doi: 10.1016/j.jadohealth.2012.06.011. Epub 2012 Aug 14.

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