Nurses’ attitudes and beliefs towards provision of Sexual Health Care to in-patients: A cross-sectional study of the South Rift, Kenya

SAMSON KEITANY

doi:10.51867/ajernet.7.4.86

Authors

Samson Kipyegon Keitany University of Kabianga, Kenya

DOI:

https://doi.org/10.51867/ajernet.7.4.86

Keywords:

Attitudes, Beliefs, In-Patients, SABS, Sexual Health

Abstract

Sexual health forms an essential domain of human health and wellness and significantly contributes to the quality of life for people of all ages. It is integral to holistic patient care but often neglected by health providers including nurses in routine practice. Guided by the Donabedian model, this study examined how nurses’ attitudes and beliefs influence provision of sexual health care to in-patients in the South Rift, Kenya A cross-sectional study design was employed and the Sexual Attitudes and Beliefs Survey (SABS) was adopted to collect data from a sample of 171 nurses working in medical and surgical units of selected level four and five hospitals. Data analysis was done using descriptive statistics together with chi-square test to determine the relationships between independent and dependent variables. The P-values were set at <0.05. Necessary ethical clearances were sought from relevant authorities during the study. The results showed 65% of nurses provided sexual health care satisfactorily to their patients with a statistically significant relationship between nurses’ attitudes and beliefs and provision of such care(Ⅹ²=79.271, p-value =0.016). Nurses’ attitudes and beliefs towards sexual matters greatly determine how nurses care for patients with sexual health care needs during hospitalization. It is recommended that hospitals should train nurses on sexual health care through Continuous Professional Development programs while nursing schools include practical aspects of the attitude domain in pre-service training curricular to empower nurses on sexual health matters.

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References

Afiyanti, Y. (2017). Attitudes, belief, and barriers of Indonesian oncology nurses on providing assistance to overcome sexuality problem. Nurse Media Journal of Nursing, 7(1), 15-23. http://ejournal.undip.ac.id/index.php/medianers

https://doi.org/10.14710/nmjn.v7i1.15124

Aguiar Frias, A. M., Soto-Fernandez, I., Mota de Sousa, L. M., Gómez-Cantarino, S., Ferreira Barros, M. da L., Bocos-Reglero, M. J., Aaberg, V., Caldeira, E., & Sim-Sim, M. (2021). Sexuality attitudes and beliefs survey (SABS): Validation of the instrument for the Spanish nursing students. Healthcare, 9(3), Article 294. https://doi.org/10.3390/healthcare9030294

Al-Ghabeesh, S. H., Al-Momani, M., Bashayreh, I., Alshraifeen, A., & Saifan, A. (2019). Nurses' perspective towards caring for Jordanian men with sexual health problems. Journal of Men's Health, 15(2), 66-76. https://doi.org/10.22374/jomh.v15i2.146

Åling, M., Lindgren, A., Löfall, H., & Okenwa-Emegwa, L. (2021). A scoping review to identify barriers and enabling factors for nurse-patient discussions on sexuality and sexual health. Nursing Reports, 11(2), 253-266. https://doi.org/10.3390/nursrep11020025

Asefa, A., Nigussie, T., Henok, A., & Mamo, Y. (2019). Prevalence of sexual dysfunction and related factors among diabetes mellitus patients in Southwest Ethiopia. BMC Endocrine Disorders, 19(1), Article 81. https://doi.org/10.1186/s12902-019-0473-1

Bdair, I. A. A., & Constantino, R. E. (2017). Barriers and promoting strategies to sexual health assessment for patients with coronary artery diseases in nursing practice: A literature review. Health, 9(3), 473-492. https://doi.org/10.4236/health.2017.93034

Blakey, E. P., & Aveyard, H. (2017). Student nurses' competence in sexual health care: A literature review. Journal of Clinical Nursing, 26(23-24), 3906-3916. https://doi.org/10.1111/jocn.13810

Cairenn Binder, R. E., & T. D. E. (2020). Use of the Donabedian model as a framework for COVID-19 response at a hospital in suburban Westchester County, New York. [Incomplete reference; publication source, full author details, and publication information require verification.]

https://doi.org/10.1016/j.jen.2020.10.008

Dikmans, R. E., Krouwel, E. M., Ghasemi, M., van de Grift, T. C., Bouman, M. B., Ritt, M. J. P. F., Elzevier, H. W., & Mullender, M. G. (2018). Discussing sexuality in the field of plastic and reconstructive surgery: A national survey of current practice in the Netherlands. European Journal of Plastic Surgery, 41(6), 707-714. https://doi.org/10.1007/s00238-018-1452-x

Donabedian, A. (2005). Evaluating the quality of medical care. The Milbank Quarterly, 83(4), 691-729. (Original work published 1966)

https://doi.org/10.1111/j.1468-0009.2005.00397.x

Edey, M. M. (2017). Male sexual dysfunction and chronic kidney disease. Frontiers in Medicine, 4, Article 32. https://doi.org/10.3389/fmed.2017.00032

Ekstrom, A. C., & Nilsson, L. (2016). Nurses challenges of supporting hospitalized patients regarding sexual-health issues. Journal of Nursing & Care, 5(3). https://doi.org/10.4172/2167-1168.1000344

Evcili, F., & Demirel, G. (2018). Patient's sexual health and nursing: A neglected area. International Journal of Caring Sciences, 11(2), 1282-1288.

Id, K. S., Kebede, T., Dessalegn, N., & Ejara, Y. (2022). Nursing students' attitudes and beliefs regarding sexual healthcare in Ethiopia: An online cross-sectional study. PLOS ONE, 17(11), Article e0278760. https://doi.org/10.1371/journal.pone.0278760

Jonas, K., Crutzen, R., van den Borne, B., & Reddy, P. (2017). Healthcare workers' behaviors and personal determinants associated with providing adequate sexual and reproductive healthcare services in sub-Saharan Africa: A systematic review. BMC Pregnancy and Childbirth, 17(1), Article 319. https://doi.org/10.1186/s12884-017-1268-x

Leyva-Moral, J. M., Aguayo-Gonzalez, M., Palmieri, P. A., Guevara-Vasquez, G., Granel-Grimenez, N., Dalfó-Pibernat, A., & Joanna Briggs, A. (2021). Attitudes and beliefs of nurses and physicians about managing sexual health in primary care: A multi-site cross-sectional comparative study. Nursing Open, 8(1), 404-414. https://doi.org/10.1002/nop2.641

Macleod, C., & Nhamo-Murire, M. (2016). The emancipatory potential of nursing practice in relation to sexuality: A systematic literature review of nursing research 2009-2014. Nursing Inquiry, 23(3), 253-266. https://doi.org/10.1111/nin.12131

Magnan, M. A., Reynolds, K. E., & Galvin, E. A. (2005). Barriers to addressing patient sexuality in nursing practice. Medsurg Nursing, 14(5), 282-289.

Manninen, S. M., Kero, K., Perkonoja, K., Vahlberg, T., & Polo-Kantola, P. (2021). General practitioners' self-reported competence in the management of sexual health issues-A web-based questionnaire study from Finland. Scandinavian Journal of Primary Health Care, 39(3), 279-287. https://doi.org/10.1080/02813432.2021.1934983

Mohamed AbdRabo, R., Abdel-Wahab Abdel-Aty Hassan, L., & Author, C. (2019). Nurses' knowledge and attitudes towards sexual health in Al-Gharbyia Governorate, Egypt. IOSR Journal of Nursing and Health Science, 8(6), 11-21. https://doi.org/10.9790/1959-0806071121

NANDA International. (2021). Nursing diagnoses 2021-2023: Definitions and classification (12th ed.). Thieme Medical Publishers.

Pascual, A., Wighman, A., Littooij, E. C., & Janssen, T. W. J. (2021). Sexuality as part of rehabilitation? A qualitative study on the perceptions of rehabilitation nurses on discussing patient sexuality during clinical rehabilitation. Disability and Rehabilitation, 43(11), 1550-1557. https://doi.org/10.1080/09638288.2019.1670271

Reynolds, K., & Magnan, M. (2005). Nursing attitudes and beliefs towards human sexuality: Collaborative research promoting evidence-based practice. Clinical Nurse Specialist, 19(5), 255-259. https://doi.org/10.1097/00002800-200509000-00009

Saunamäki, N., Andersson, M., & Engström, M. (2010). Discussing sexuality with patients: Nurses' attitudes and beliefs. Journal of Advanced Nursing, 66(6), 1308-1316. https://doi.org/10.1111/j.1365-2648.2010.05260.x

Udo, I., & Effiong, J. (2018). Health-related quality of life in primary care diabetes mellitus patients with sexual dysfunction in Uyo, South-South, Nigeria. International Journal of Tropical Disease & Health, 29(4), 1-9. https://doi.org/10.9734/ijtdh/2018/40364

Verrastro, V., Saladino, V., Petruccelli, F., & Eleuteri, S. (2020). Medical and health care professionals' sexuality education: State of the art and recommendations. International Journal of Environmental Research and Public Health, 17(7), Article 2186. https://doi.org/10.3390/ijerph17072186

Wang, Y.-H., & Rong, J.-R. (2019). Factors associated with the provision of sexual health care by nursing students in hospitals: An analytical cross-sectional study. International Journal of Studies in Nursing, 4(3), 71. https://doi.org/10.20849/ijsn.v4i3.622

Yılmaz, E., Çelebi, D., Kaya, Y., & Baydur, H. (2017). A descriptive, cross-sectional study to assess quality of life and sexuality in Turkish patients with a colostomy. Ostomy Wound Management, 63(8), 22-29. https://doi.org/10.25270/owm.2017.08.2229