Purpose/Objectives: To explore oncology nurses' attitudes about and knowledge of sexual health. Sexual health is an integral component of quality of life, which is an Oncology Nursing Society research priority.
Design: A descriptive, cross-sectional design.
Setting: A National Cancer Institute-designated comprehensive cancer center in the northeastern United States.
Sample: A convenience sample of 576 RNs working in acute care, ambulatory, and perioperative services were approached during an annual mandatory training day.
Methods: Attitudes and beliefs about patients' sexual health assessment in nursing practice were evaluated with the Sexual Attitudes and Beliefs Survey and 10 demographic questions.
Main Research Variables: Oncology nurses' attitudes and beliefs regarding sexual health assessment of patients.
Findings: A statistically significant difference was found in scores based on age and nursing experience, whereby younger and less experienced nurses had higher scores, indicating greater discomfort in discussing sexual health with patients. Statistical significance also was found in scores based on oncology certification and practice setting, whereby oncology certified nurses and outpatient nurses identified fewer attitudinal barriers than noncertified nurses and nurses working in the inpatient setting.
Conclusions: The results suggest that this patient population may not be receiving a complete sexual health assessment.
Implications for Nursing: Nurses in the sample believed that sexuality was not too private an issue to discuss with their patients and claimed to understand how disease and treatment may affect patients' sexuality. Nurses also believed that their patients should not expect nurses to ask about their sexual concerns and often defer to the physician for any sexually related questions.
References
Cox, A., Jenkins, V., Catt, S., Langridge, C., & Fallowfield, L. (2006). Information needs and experiences: An audit of United Kingdom cancer patients. European Journal of Oncology Nursing, 10, 263-272. doi: 10.1016/j.ejon.2005.10.007
Dattilo, J., & Brewer, M. K. (2005). Assessing clients' sexual health as a component of holistic nursing practice: Senior nursing students share their experiences. Journal of Holistic Nursing, 23, 208-219. doi: 10.1177/0898010105275839
Katz, A. (2005). Do ask, do tell: Why do so many nurses avoid the topic of sexuality? American Journal of Nursing, 105(7), 66-68.
Krebs, L. (2006). What should I say? Talking with patients about sexuality issues. Clinical Journal of Oncology Nursing, 10, 313-315.
Krebs, L. (2008). Sexual assessment in cancer care: Concepts, methods, and strategies for success. Seminars in Oncology Nursing, 24(2), 80-90. doi: 10.1016/j.soncn.2008.02.002
Lewis, S., & Bor, R. (1994). Nurses' knowledge of and attitudes toward sexuality and the relationship of these with nursing practice. Journal of Advanced Nursing, 20, 251-259.
Magnan, M. A., Reynolds, K. E., & Galvin, E. A. (2005). Barriers to addressing patient sexuality in nursing practice. MedSurg Nursing, 14, 282-290.
Matocha, L. K., & Waterhouse, J. K. (1993). Current nursing practice related to sexuality. Research in Nursing and Health, 16, 371-378.
Reynolds, K. E., & Magnan, M. A. (2005). Nursing attitudes and beliefs toward human sexuality: Collaborative research promoting evidence-based practice. Clinical Nurse Specialist, 19, 255-259.
Roper, N., Logan, W. W., & Tierney, A. J. (2000). The Roper-Logan-Tierney Model of Nursing: Based on activities of living. Edinburgh, NY: Churchill Livingstone.
Tsai, Y. F. (2004). Nurses' facilitators and barriers for taking a sexual history in Taiwan. Applied Nursing Research, 17, 257-264.
Warner, P. H., Rowe, T., & Whipple, B. (1999). Shedding light on the sexual history. American Journal of Nursing, 99(6), 34-41.
Wilmoth, M. C. (2006). Life after cancer: What does sexuality have to do with it? Oncology Nursing Forum, 33, 905-910. doi: 10.1188/06.ONF.905-910
