Development and Evaluation of Simulation-Problem–Based Learning for Sex Education

Abstract

Nurses often encounter clients with sexual problems. A sexual problem is complicated and affects the quality of the client's life, and proper care requires the nurse to understand a variety of sex-related issues. Therefore, effective sex education for nursing students is necessary to prepare them for potential challenges from the client's sexual problems. In this study, we developed a simulation-problem-based sex education program for nursing students. The program immerses the students in a sex-related clinical situation to train them with nursing assessment, intervention skills, patient safety, patient privacy, and communication skills. To evaluate the effect of the program on the student's sexual knowledge and attitude, we provided the experimental group with simulation-problem-based sex education program along with traditional lectures, whereas the control group received only lectures. As a result, there were statistically significant differences in the improvement of knowledge (P < .05) and attitude (P < .05) of the two groups. The results show that the designed program effectively promotes nursing students' sexual knowledge and sexual attitude, and the simulation-problem-based learning is a practical and systematic approach to the sex education of nursing students.

Attitudes and beliefs of nursing students toward sexual healthcare: A descriptive study

“…13,14,18,21 Additionally, the sexual healthcare education, based on the age-specific approach with evidence-based practice in the nursing curriculum, was determined to improve the self-efficacy of nursing students in providing counseling according to the patient's sexual healthcare needs. 3,[28][29][30] However, the total SABS score difference between third and fourth-year nursing students was not significant and the mean SABS score of the fourth-year nursing students tended to increase in this study. Such theoretical and clinical practice do not have a permanent effect on nursing students' attitudes and beliefs toward sexual healthcare.…”

Effects of problem‐based learning on delivering medical and nursing education: A systematic review and meta‐analysis of randomized controlled trials

“…Twenty‐two RCTs involving 1969 participants were included (Bai et al, 2017; Bukumiric et al, 2022; Cong et al, 2017; Dyke et al, 2001; Faisal et al, 2016; Jamshidi et al, 2021; Khatiban et al, 2019; Khatiban & Sangestani, 2014; Kim, 2019; Kim & Shin, 2014, 2016; Lee & Son, 2022; Li et al, 2020; Lian & He, 2013; Lin et al, 2010; Lohse et al, 2003; Peng et al, 2021; Pourshanazari et al, 2013; Smits et al, 2003; Sun & Qi, 2017; Wu et al, 2020; Zhao & Cong, 2019). The numbers of participants in the experimental and control groups were 1003 and 966, respectively.…”

“…The knowledge outcomes were derived mainly from theoretical examinations. Fifteen studies reported this type of outcome, among which 11 reported post-interventional examination results about knowledge (Bai et al, 2017;Bukumiric et al, 2022;Cong et al, 2017;Dyke et al, 2001;Faisal et al, 2016;Kim & Shin, 2014;Li et al, 2020;Lian & He, 2013;Lohse et al, 2003;Peng et al, 2021;Pourshanazari et al, 2013), three reported both pre-and post-intervention examination results (Jamshidi et al, 2021;Kim & Shin, 2016;Smits et al, 2003), and one reported the change of examination results after interventions (Khatiban & Sangestani, 2014; Table 2). The max- Most of the performance outcomes were objective assessments from tutors or supervisors.…”

Effectiveness of Clinical Simulation and Peer-Assisted Learning to Teaching About the Sexuality of People With Spinal Cord Injury

“…In scenarios in which the 2 strategies were used together, but without addressing the issue of sexuality, students reported that the activity favored knowledge acquisition. [12][13][14] With the identified gaps, promotion of SCI sexual health includes working with nursing students on the interrelated domains of knowledge, attitude, and self-efficacy. A positive attitude and increased confidence to address an issue require first an improvement of the knowledge related to it.…”

“…Previous research that used these strategies separately to address sexuality has pointed to its positive effect on knowledge, attitudes, and self-confidence. In scenarios in which the 2 strategies were used together, but without addressing the issue of sexuality, students reported that the activity favored knowledge acquisition 12–14…”