Effectiveness of a Sexual Health Care Training to Enhance Psychiatric Nurses’ Knowledge, Attitude, and Self-Efficacy: A Quasi-Experimental Study in Southern Taiwan

Author(s):  
Mei-Jou Lu ◽  
Jin-Biau Li ◽  
Chia-Yi Wu ◽  
Pham Thi Thu Huong ◽  
Pei-Chen Hsu ◽  
...  

BACKGROUND: Sexual health is a taboo issue in some societies. Limited assessments were conducted during nursing care in mental health services. It is unknown whether psychiatric nurses’ competencies would be enhanced through short training courses. OBJECTIVE: The present study employed a quasi-experimental design to evaluate the effectiveness of an 8-hour sexual health care training for psychiatric nurses to improve sexual health knowledge, attitude, and self-efficacy in a teaching psychiatric hospital in southern Taiwan. METHOD: Volunteered psychiatric nurses were randomly assigned to the experimental or control group. The 8-hour training program contained sexual health knowledge and attitudes, case discussion, role play, and sexual identity or harassment issues. Each nurse received a pretest and a posttest in the 1-month period between August and September 2019. Descriptive and multivariate statistical analyses were used to evaluate the effects. RESULTS: Among the 75 psychiatric nurses, 43 were in the control group and 32 were in the experimental group. The two groups were not significantly different in the working year, gender, education, marriage, and other psychosocial variables. After the training, the overall performance of sexual health care knowledge, attitudes, and self-efficacy of the experimental group improved significantly than the controls. CONCLUSIONS: The sexual health care training program enhanced psychiatric nurses’ confidence and generally improved their sexual knowledge and attitudes. It is suggested that sexual health care needs to be highlighted during in-job training to augment the well-being and life quality of psychiatric patients.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Shadi Goli ◽  
Mahnaz Noroozi ◽  
Mehrdad Salehi

Abstract Background Sexual problems of intellectually disabled adolescents are associated with their inability to understand sexuality. Given the important role of parents in forming the attitude of their adolescents towards sexuality, the present study aimed to compare the effect of two educational interventions on mothers’ awareness, attitude and self-efficacy regarding sexual health care of intellectually disabled adolescent girls. Materials and methods This cluster randomized control trial was conducted in six intellectually disabled adolescent education centers in Isfahan, Iran in 2018. The centers were randomly assigned to intervention groups (group training and training through booklet) and control group. Mothers of educable intellectually disabled adolescent girls (n = 81) were entered into the three groups using convenience sampling and their awareness, attitude and self-efficacy regarding sexual health care of adolescent girls were assessed using questionnaires before and after the educational intervention. Data were analyzed using descriptive and inferential statistical methods. Results The mean score of mothers’ awareness, attitude and self-efficacy in each of the “group training”, “training through booklet group” and “control group” was significantly different after the intervention compared to before the intervention (p < 0.05). The mean score of mothers’ awareness and self-efficacy after the intervention in the “group training” was higher than the “control group” and “training through booklet group” (p < 0.001). The mean score of mothers’ awareness and self-efficacy after the intervention in the “training through booklet group” was higher than in “control group” (p = 0.005, p = 0.02). Also, after the intervention, the mean score of mothers’ attitude in the “group training” was higher than the “control group” and the “training through booklet group” (p < 0.001), but there was no significant statistical difference between the mean score of mothers’ attitude in “control group” and “training through booklet group” (p > 0.05). Conclusion Implementation of the group training intervention for mothers of intellectually disabled adolescent girls in comparison with training through booklet was associated with a greater increase in their awareness, attitude and self-efficacy regarding sexual health care of adolescent girls. Therefore, group training is suggested as a suitable way to educate mothers about sexual health care of intellectually disabled adolescent girls. Trial registration IRCT, IRCT20160224026756N5. Registered 22 June 2018, https://en.irct.ir/user/trial/31704/view.


2005 ◽  
Vol 31 (3) ◽  
pp. 213-218 ◽  
Author(s):  
Wolfgang A Markham ◽  
Alison D Bullock ◽  
Philippa Matthews ◽  
Vickie R Firmstone ◽  
Stephen Kelly ◽  
...  

2002 ◽  
Vol 25 (5) ◽  
pp. 32 ◽  
Author(s):  
Michael K Walsh

In 2100,hospitals will focus on care of the sick, but the nature of health, sickness, treatment and care will be very different.Current hospital-based diagnostic services will be automated and deliverable in the home, resulting in a major shift of the burden of caring.This shift will eliminate today's community hospital.Work of low to medium complexity will be undertaken,usually by machines,in the home. Ambulatory centres, highly automated, highly accessible, will be customer friendly one-stop health shops of tomorrow.Machines will substantially replace human labour.Hospitals will remain cherished icons and centres of health knowledge, but will be a lesser component of the health care system than they are today, there will be less of them,and they will lose their dominance as the focus of health care training, policy and activity.The four major factors driving these changes are science & technology, demography, the economy and the environment.The "chaos factor " will be society's response to moral questions such as the diffusion of genetic technology. By 2100 we will be spending twice as much on health care as we are today and there will be less doctors relative to other health care workers,continuations of well-established twentieth century trends.


2019 ◽  
Vol 4 (3) ◽  
pp. 71
Author(s):  
Yen-Hui Wang ◽  
Jiin-Ru Rong

This study examined the knowledge and experiences regarding the execution of sexual health care, as well as the sexual self-concepts, of nursing students and their effects on students' competency in providing sexual health care in general hospitals. This was a cross-sectional study in which data was collected from 428 nursing students attending nursing schools in Northern Taiwan. Data was gathered using a self-administered questionnaire which collected information on demographic characteristics, sexual self-concept, sexual health care knowledge, skills, and experiences. The results showed that an average of 81.2% of the items in the sexual health care knowledge and skills scale were answered correctly. Although the students' did not have sexual anxiety, they reported mild negative self-evaluations of their sexual consciousness, and uncertainty regarding sexual needs and activities. The variables of receiving sexual health care training, experiences of sexual harassment, sexual self-concept, knowledge of sexual health care, and experiences of the execution of sexual health care were able to effectively explain 66% of the variation in competency in providing sexual health care. Moreover, students’ previous experiences of the execution of sexual health care (β=.784, p<.0001) were found to have the strongest influence on their competency in providing sexual health care. This study showed that nursing students' competence in providing sexual health care in hospitals requires participation, engagement in, and the accumulation of practical care experience in order to develop sexual health care competencies and establish a positive caring attitude.


Jurnal NERS ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 7 ◽  
Author(s):  
Yati Afiyati ◽  
Budi Keliat ◽  
Ida Ruwaida ◽  
Imami Rachmawati ◽  
Nur Agustini

Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse. Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training. Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices. Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse. Keywords:  Psychosexual health care, training, nursing, cancer


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