Neenan Catherine, Chatzi Anna V
Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
J Adv Nurs. 2025 Aug;81(8):4485-4499. doi: 10.1111/jan.16703. Epub 2025 Jan 9.
Sexuality is a fundamental aspect of health and wellbeing. The management of prostate cancer can result in erectile dysfunction and body feminisation, resulting in loss of masculinity and alterations of body image. Prostate cancer patients identify sexuality as an unmet need and report little or no communication with their healthcare providers on the topic.
This umbrella review aims to determine the barriers that may preclude nurses from discussing sexuality with prostate cancer patients.
An umbrella review of systematic review studies was undertaken using the PRISMA guidelines.
Five databases were comprehensively searched, CINAHL, MEDLINE, PsycINFO, Cochrane and Prospero, from October 1, 2013 to December 1, 2023, using the defined criteria. A total of 11 systematic reviews were included in this review consisting of 10 with quantitative and 1 with quantitative/mixed methods approach.
This study identified common themes, which were categorised into four groups: (a) lack of training and education, (b) age and years of clinical experience of nurses, (c) personal values and attitudes and (d) organisational factors. These factors contribute to why nurses feel unprepared and admit to not having adequate knowledge or expertise to have this discussion.
The findings of this study illustrate that nurses require specialised communication skills to manage sensitive discussion with patients. Education is crucial to facilitate and empower nurses to discuss sexuality with their patients. Developing a pathway to specialist referrals will encourage nurses to address this with their patients.
For the preparation of this paper, no direct involvement of patients or public has been deemed applicable to this work. This is an umbrella review paper.
性是健康和幸福的一个基本方面。前列腺癌的治疗可能导致勃起功能障碍和身体女性化，从而导致男子气概丧失和身体形象改变。前列腺癌患者将性视为未得到满足的需求，并表示很少或根本没有与医护人员就该话题进行交流。
本综述旨在确定可能阻碍护士与前列腺癌患者讨论性问题的障碍。
采用PRISMA指南对系统评价研究进行综述。
从2013年10月1日至2023年12月1日，使用既定标准全面检索了五个数据库，即CINAHL、MEDLINE、PsycINFO、Cochrane和Prospero。本综述共纳入11项系统评价，其中10项采用定量研究方法，1项采用定量/混合研究方法。
本研究确定了常见主题，这些主题分为四组：（a）缺乏培训和教育，（b）护士的年龄和临床经验年限，（c）个人价值观和态度，以及（d）组织因素。这些因素导致了护士为何感到没有准备好，并承认没有足够知识或专业技能来进行此类讨论。
本研究结果表明，护士需要专门的沟通技巧来处理与患者的敏感讨论。教育对于促进和使护士有能力与患者讨论性问题至关重要。建立专科转诊途径将鼓励护士与患者讨论这一问题。
在撰写本文时，未认为患者或公众直接参与此项工作适用。这是一篇综述性论文。
