Shakwane Simangele
Department of Health Studies, College of Human Sciences, University of South Africa, Pretoria, South Africa.
Health SA. 2022 Feb 25;27:1778. doi: 10.4102/hsag.v27i0.1778. eCollection 2022.
Intimate care is not facilitated in South African nursing education and training. Nursing students encounter it for the first time in clinical practice, where they see and touch the naked bodies of patients. The societal segregation of gender roles has led to the feminisation of the nursing profession, suggesting that women are more caring and maternal and that intimate care implementation comes more easily to them than to their male counterparts.
This study explored female nursing students' experiences of intimate care for diverse patients.
The study was conducted in two nursing education institutions in Gauteng province, South Africa.
Descriptive phenomenology was used to describe the lived experiences of participants. Seventeen female nursing students were purposively sampled. Data were collected using semi-structured interviews and analysed using Moustakas' (1994) eight steps.
Four themes emerged: intimate care comprehension, preparedness for providing intimate care, reactions in providing intimate care and coping mechanisms when providing intimate care to diverse patients.
Intimate care forms a basis on which nursing students prioritise the physical needs of patients by providing care that exposes their bodies and requires touch. The students were taught to provide care with respect, maintaining patient autonomy and nursing professionalism. Unfortunately, age and gender barriers create feelings of discomfort and embarrassment. More needs to be done to support and empower nursing students in providing intimate care to diverse patients competently, confidently and comfortably.
Understanding the experiences of participants in providing intimate care to diverse patients will assist nurse educators in intimate care facilitation and support. The female nursing students will be empowered and trained to execute intimate care in a manner that is culturally, religiously and ethically acceptable.
在南非的护理教育与培训中,提供私密护理的相关内容未得到充分开展。护理专业学生首次接触这方面内容是在临床实践中,在那里他们会看到并触摸患者的裸体。社会性别角色的隔离导致了护理行业的女性化,这意味着女性更具关怀心和母性,相较于男性同行,她们实施私密护理更为容易。
本研究探讨了女性护理专业学生为不同患者提供私密护理的经历。
该研究在南非豪登省的两所护理教育机构进行。
采用描述性现象学来描述参与者的生活经历。有目的地抽取了17名女性护理专业学生作为样本。通过半结构化访谈收集数据,并使用穆斯塔卡斯(1994年)的八个步骤进行分析。
出现了四个主题:私密护理理解、提供私密护理的准备、提供私密护理时的反应以及为不同患者提供私密护理时的应对机制。
私密护理构成了护理专业学生通过提供暴露患者身体并需要触摸的护理来优先满足患者身体需求的基础。学生们被教导要尊重地提供护理,维护患者自主权和护理专业精神。不幸的是,年龄和性别障碍会产生不适和尴尬的感觉。需要做更多工作来支持和赋能护理专业学生,使其能够胜任、自信且舒适地为不同患者提供私密护理。
了解参与者为不同患者提供私密护理的经历将有助于护理教育工作者在促进和支持私密护理方面提供帮助。女性护理专业学生将获得赋能并接受培训,以一种在文化、宗教和伦理上均可接受的方式进行私密护理。