UniSA Clinical and Health Sciences Unit, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia; Women's and Children's Health Network, 72 King William Road, North Adelaide, South Australia 5006, Australia.
UniSA Clinical and Health Sciences Unit, University of South Australia, GPO Box 2471, Adelaide, South Australia 5001, Australia; Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA 5000, Australia.
Nurse Educ Pract. 2023 May;69:103621. doi: 10.1016/j.nepr.2023.103621. Epub 2023 Mar 27.
A plethora of research has identified the lack of educational opportunities for health professionals to support the biopsychosocial and cultural needs of women who have experienced female genital mutilation/cutting (FGM/C). As a result, some women with FGM/C can feel unsupported, discriminated against and fear to communicate their concerns with health providers. The aim of this review is to identify studies that have investigated the effectiveness of FGM/C education for health professionals.
Toronto and Remington's six-step framework for conducting an integrative literature review was used to identify studies that met the inclusion criteria. Searches were conducted across five primary databases and grey literature, between August and October 2021. The Joanna Briggs Institute critical appraisal tools for quasi-experimental studies was used to critically appraise included studies. The findings of the search were reported using preferred reporting items for systematic reviews and meta-analysis.
A total of five studies met the criteria for inclusion. Studies examined education provided to midwives, nurses, obstetricians, gynaecologists, psychosexual counsellors and student nurses, from England, USA, Mali and Kenya. All studies demonstrated that the implementation of FGM/C education was effective in improving learning outcomes (knowledge, attitude and self-efficacy), However, the quality rating of the evidence ranged from very low to moderate and limited inferential analysis reported.
This review confirms that FGM/C education, which is informed by evidence and developed in collaboration with practicing communities, is an effective way of improving FGM/C knowledge and attitudes among health professionals.
Open Science Framework Register 10.17605/OSF.IO/SMJHX.
大量研究表明，缺乏针对卫生专业人员的教育机会，以满足经历女性外阴残割/切割（FGM/C）的女性的身心社会和文化需求。因此，一些有 FGM/C 的女性可能会感到得不到支持、受到歧视，并害怕与卫生保健提供者交流她们的担忧。本综述旨在确定研究健康专业人员进行 FGM/C 教育的效果。
采用多伦多和雷明顿的综合文献综述六步框架来确定符合纳入标准的研究。在 2021 年 8 月至 10 月期间，在五个主要数据库和灰色文献中进行了搜索。乔安娜·布里格斯研究所（Joanna Briggs Institute）用于准实验研究的批判性评估工具用于批判性评估纳入的研究。使用系统评价和荟萃分析的首选报告项目报告搜索结果。
共有五项研究符合纳入标准。这些研究考察了在英格兰、美国、马里和肯尼亚向助产士、护士、产科医生、妇科医生、性心理治疗师和护生提供的教育。所有研究都表明，实施 FGM/C 教育有效提高了学习成果（知识、态度和自我效能），但证据质量评级从非常低到中等不等，报告的推论分析有限。
本综述证实，FGM/C 教育是一种有效的方法，可以提高卫生专业人员对 FGM/C 的知识和态度，这种教育是基于证据并与实践社区合作制定的。
开放科学框架注册 10.17605/OSF.IO/SMJHX。
