Background: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease that often leads to situations of harm to the mother-fetus binomial. Given the potential for complications and morbidities in these pregnant women, it is essential that a multidisciplinary team be involved in pregnancy planning, as well as monitoring the course of the pregnancy and the postpartum period. Owing to the imminent risks of disease worsening along with consequent disabilities, these women may experience psychological and psychosocial impacts conflicting with the psychological demands of pregnancy.Objective: To understand the meanings attributed to pregnancy by women with SLE.Design: A qualitative design with face-to-face interview following a semi-structured script of open-ended questions.Setting: A specialized outpatient clinic where during prenatal care, women with stable disease undergo scheduled appointments. Participants:The sample was intentionally composed of women visiting a specialized outpatient clinic from July 2017 to July 2018. The participants (N = 26) were interviewed in depth, with no refusal. Thematic analysis according to the 7 steps of qualitative analysis was conducted using NVivo 11.Findings: Four categories were identified: (1) unplanned pregnancy and nonuse of contraception, (2) feeling healthy despite a doctor's warning of the disease worsening because of pregnancy, (3) joy coupled with fear of the future and pregnancy, and (4) self-perception and straight perception. Conclusions:The experiences of pregnant women with SLE are permeated by ambiguous feelings. These women feel healthy because they can bear a child despite the chronic disease diagnosis and, at the same time, experience fear and insecurity owing to the imminent possibility of disease-related disabilities and limitations. They especially wish to experience motherhood, and they strive for safety and support.Implications for practice: Health teams must be structured to welcome and advise these women in planning relationships and pregnancy, as well as choosing the best contraceptive methods and making optimal reproductive decisions. The development of strategies to deal with changes in the perinatal period may be helpful, as these women are willing to take care of themselves.
Objective: To describe the validation process of the Sexuality Attitudes and Beliefs Survey (SABS) for the Portuguese language and its respective psychometric properties. Methods: A methodological and quantitative study with the participation of 49 nursing students. After the translation of the SABS, ensuring the semantic, idiomatic and conceptual equivalence of the content of items, its psychometric qualities were determined. Results: In terms of reliability, the Cronbach's alpha for the final version of 11 items was 0.72, which was 0.80 in the test-retest. The discriminant validity was proven. Conclusion: The Portuguese version of the SABS is valid and reliable for use in investigation studies, both in terms of training as in clinical practice. ResumoObjetivo: Descrever o processo de validação para a língua portuguesa do Sexuality Attitudes and Beliefs Survey (SABS) e suas respectivas propriedades psicométricas. Métodos: Estudo metodológico e quantitativo. Participaram 49 estudantes de enfermagem. Após o desenvolvimento da tradução do SABS, atendendo à equivalência semântica, idiomática e conceitual do conteúdo dos seus itens, procedeu-se à determinação das qualidades psicométricas. Resultados: Ao nível da confiabilidade, obteve-se um alfa de Cronbach para a versão final de 11 itens de 0,72, que, no teste-reteste, foi de 0,80. Foi comprovada a validade discriminante. Conclusão: A versão portuguesa do SABS é válida e fiável para utilização em estudos de investigação, quer ao nível da formação quer da prática clínica.
Background: Nurses dealing with a patient’s sexuality must start from an awareness of their own experience, specific attitudes, and possible limits. What emerges from the literature is a conservative tendency in nurses, which underlines the difficulty in this awareness, but even a difficulty in improving the necessary knowledge/skills. It is, therefore, essential to create tools that can raise awareness of these limits. Objective: the present study aims to explore the psychometric properties of the Attitudes and Beliefs about Sexuality Scale, adapted and validated for the Italian context. Method: This is an instrumental, cross-sectional piece of research, whose SABS validation process applies the steps of Beaton and Valmi. The convenience sample collected data from 223 participants in the first approach. This was followed by a retest involving 44 students randomly selected from those who responded in the first phase. Ethical principles were respected. Results: The SABS questionnaire demonstrated good test–retest reliability, good internal consistency, and adequate construct validity. Conclusions: The Italian version of the SABS is valid and reliable for use with nursing students. This is the fourth language in which the SABS is available for research.
Patient sexuality is a fundamental subject in nursing student’s education. However, beliefs about patient sexuality can influence the care offered. The aim of this psychometric study was to describe the validation process and the psychometrics properties of the Sexuality Attitudes and Beliefs Survey (SABS) for Spanish nursing students. The convenience sample was 283 nursing students from a state university in Spain. Participants ranged from 18 to 30 years (M = 19.66; SD = 1.85). Data collection happened in 2019–2020. The translation, back translation and adaptation to Spanish was discussed and refined, ensuring the semantic, idiomatic and conceptual meaning of the items. The psychometric properties were assessed through analysis of validity and reliability. The Cronbach’s alpha for the final version of 12 items was 0.65. Although it has low reliability, the Spanish version of the SABS seems to be a valid and useful tool to measure nursing students’ beliefs about patient sexuality. In addition, it can be a resource for the assessment of the ability of Spanish nursing faculty in engaging topics involving the student’s vision of patient sexuality.
Sexuality is an important issue in the university careers of nursing students to ensure that they provide comprehensive care. It is necessary according to the recommendation of the World Health Organization. However, research reveals deficiencies and the need for further development. The aim of the study is to describe the perspective of teachers and students on the content of sexuality in nursing education. The project aims to analyze the attitudes and beliefs of the students about the sexuality of their patients. Furthermore, the experience and sexual lives of the future nurses, as well the teaching of sexuality content in the curriculum, will be analyzed. As for the educators, their level of knowledge about sexuality and vision of sexuality education in undergraduate nursing education will be analyzed. This study is an exploratory and descriptive study with a quantitative-qualitative approach in a multi-center context. The sample is composed of students and professors of nursing courses from five universities (Portugal, Spain, Italy and United States). Questionnaires and semistructured interviews will be used for data collection. The results of the study will allow the inclusion of sexual competence in the curriculum from the beginning in higher education. This article describes the research protocol.
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