A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health

Background: Sexuality and sexual health (SSH) are essential aspects of care that have evolved since a 1975 World Health Organization (WHO) report on SSH. However, nurses still consider discussing the subject with patients a challenge. This scoping review aimed to map, synthesize, and summarize findi...

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Main Authors: Maria Åling, Agnes Lindgren, Hillevi Löfall, Leah Okenwa-Emegwa
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Nursing Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4403/11/2/25
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author Maria Åling
Agnes Lindgren
Hillevi Löfall
Leah Okenwa-Emegwa
author_facet Maria Åling
Agnes Lindgren
Hillevi Löfall
Leah Okenwa-Emegwa
author_sort Maria Åling
collection DOAJ
description Background: Sexuality and sexual health (SSH) are essential aspects of care that have evolved since a 1975 World Health Organization (WHO) report on SSH. However, nurses still consider discussing the subject with patients a challenge. This scoping review aimed to map, synthesize, and summarize findings from existing literature regarding barriers and enabling factors for nurse–patient SSH discussions in care contexts. Methods: A scoping review model inspired by Arksey and O’Malley was used to search for and synthesize studies published between 2009 and 2019. The databases searched were the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medical Literature Analysis and Retrieval System Online, i.e., MEDLARS Online. A total of nineteen articles were eligible to be included. Results: Two main categories of enabling factors were identified, i.e., a professional approach via using core care values and availability of resources. Three major categories of barriers were identified: beliefs and attitudes related to age, gender, and sexual identity; fear and individual convictions; and work-related factors. Conclusions: Applying professionalism and core care values as well as making resources available are likely to promote SSH discussions between nurses and patients. Moreover, there is a need for a norm-critical approach in education and practice.
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spelling doaj.art-22f13e17cf6441eb8771cba222156ac72023-11-21T15:54:26ZengMDPI AGNursing Reports2039-439X2039-44032021-04-0111225326610.3390/nursrep11020025A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual HealthMaria Åling0Agnes Lindgren1Hillevi Löfall2Leah Okenwa-Emegwa3Department of Health Sciences, The Swedish Red Cross University College, P.O. Box 1059, 141 21 Huddinge, SwedenDepartment of Health Sciences, The Swedish Red Cross University College, P.O. Box 1059, 141 21 Huddinge, SwedenDepartment of Health Sciences, The Swedish Red Cross University College, P.O. Box 1059, 141 21 Huddinge, SwedenDepartment of Health Sciences, The Swedish Red Cross University College, P.O. Box 1059, 141 21 Huddinge, SwedenBackground: Sexuality and sexual health (SSH) are essential aspects of care that have evolved since a 1975 World Health Organization (WHO) report on SSH. However, nurses still consider discussing the subject with patients a challenge. This scoping review aimed to map, synthesize, and summarize findings from existing literature regarding barriers and enabling factors for nurse–patient SSH discussions in care contexts. Methods: A scoping review model inspired by Arksey and O’Malley was used to search for and synthesize studies published between 2009 and 2019. The databases searched were the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medical Literature Analysis and Retrieval System Online, i.e., MEDLARS Online. A total of nineteen articles were eligible to be included. Results: Two main categories of enabling factors were identified, i.e., a professional approach via using core care values and availability of resources. Three major categories of barriers were identified: beliefs and attitudes related to age, gender, and sexual identity; fear and individual convictions; and work-related factors. Conclusions: Applying professionalism and core care values as well as making resources available are likely to promote SSH discussions between nurses and patients. Moreover, there is a need for a norm-critical approach in education and practice.https://www.mdpi.com/2039-4403/11/2/25nursesexualitysexual healthbarriersenabling factorpower
spellingShingle Maria Åling
Agnes Lindgren
Hillevi Löfall
Leah Okenwa-Emegwa
A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
Nursing Reports
nurse
sexuality
sexual health
barriers
enabling factor
power
title A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
title_full A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
title_fullStr A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
title_full_unstemmed A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
title_short A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health
title_sort scoping review to identify barriers and enabling factors for nurse patient discussions on sexuality and sexual health
topic nurse
sexuality
sexual health
barriers
enabling factor
power
url https://www.mdpi.com/2039-4403/11/2/25
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