Healthcare professional perceived barriers and facilitators to discussing sexual wellbeing with patients after diagnosis of chronic illness: A mixed-methods evidence synthesis

O’Connor, Seán; Connaghan, John; Maguire, Roma; Kotronoulas, Grigorios; Flannagan, Carrie; Jain, Suniel; Brady, Nuala; McCaughan, Eilís

doi:10.1016/j.pec.2018.12.015

Cited by 60 publications

(64 citation statements)

References 67 publications

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“…Sexual health, wellbeing, and function are often grouped together as these are interrelated concepts that have a significant impact on the general health and wellbeing of a person (Lee, Fenge, & Collins, 2018). These concepts are important in determining how a person perceives themselves as a sexual being and includes the physical, mental, emotional, and social aspects of sexual health, including sexual arousal, intimacy, and satisfaction (O'Connor et al, 2019; Sabanciogullari et al, 2015). When there is an inability to experience sexual arousal and achieve sexual satisfaction, this is referred to as sexual dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…The age and gender of patients were identified as a factor as some female nurses felt more comfortable talking to male rather than female patients about sexual concerns, and also those from a younger generation were more open to discussing sexual issues than older people (Klaeson et al, 2017). Nurses who identified as being comfortable with their sexuality are more likely to engage in conversations with patients about sexual wellbeing (O'Connor et al, 2019). It is necessary, therefore, to understand why nurses are reluctant to initiate conversations with patients about sexual health, wellbeing, and function.…”

Section: Introductionmentioning

confidence: 99%

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Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Mckie

Green

Bonner

2021

Journal of Renal Care

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Background Sexual health, wellbeing, and function are important parts of a person's identity. Chronic diseases, such as kidney failure can alter, impair, and profoundly, affect sexual wellbeing and function. Objective To conduct a scoping review of studies about renal nurses’ practice and attitudes towards sexual health, wellbeing, and function in people with kidney failure receiving haemodialysis. Methods Using Arksey and O'Malley's framework, seven databases were searched (CINAHL, MEDLINE, EMBASE, OvidPsycINFO, Scopus, Cochrane library, and JBI library). The search included studies published in English from January 2009 to January 2020. Results Four studies met the review criteria (two cross‐sectional surveys and two qualitative). Role confusion in discussing sexual issues, lack of training, and education in addressing sexual concerns, personal, and workplace related barriers were four factors that emerged from the review of the studies. This review identified that renal nurses were uncomfortable and hesitant in initiating discussions about sexual health, wellbeing, and function with people receiving haemodialysis. Conclusion Renal nurses experience role confusion about whose responsibility it is to initiate and discuss sexual concerns with patients, as well as who's role is it to conduct sexual health assessments. Work related and personal barriers impeded nurses’ practice regarding sexual health, wellbeing, and function. Nurses working in renal units need knowledge and practical training about how to initiate and address sexual concerns in those affected by kidney disease.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Mckie

Green

Bonner

2021

Journal of Renal Care

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“…To provide an overview of the theoretical assumptions underpinning the proposed framework a mixed-method systematic review was conducted to identify the barriers to communication around sexual wellbeing in clinical practice [29]. Barriers and facilitators to sexual wellbeing discussions were explored further by conducting an additional series of interviews with men and partners, and group discussions with healthcare professionals.…”

Section: Phase II Identifying Barriers and Facilitators And Theoriementioning

confidence: 99%

Development of a conceptual framework to improve sexual wellbeing communication in routine prostate cancer care

McCaughan

Parahoo

Flannagan

et al. 2020

Patient Education and Counseling

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 Abstracts should be structured and have the following headings: Objectives; Methods; Results; Conclusions; Practice implications MAIN TEXT  All Original Articles must contain a first order heading section Discussion and conclusion and 3 second order headings 1) Discussion 2) Conclusion 3) Practice implications. Only within Discussion there may be subheadings. REFERENCES  Abbreviations for the names of journals in the reference list should follow Index Medicus (e.g. JAMA should read J Amer Med Assoc, BMJ should read Brit Med J). The abbreviation for Patient Education and Counseling is Patient Educ Couns  Issue numbers and months must not be included in the reference list (only year, volume numbers and page range required)  Page ranges in the reference list should appear as follows e.g. 310-5  Titles of non English publications should be given in English language, between [ ] Checklist for New Submissions For further details see the extended guidelines Highlights  A conceptual framework for communication about sexual wellbeing in routine prostate cancer care was developed.  This was based on data from evidence reviews, semi-structured interviews and testing using 'think-aloud' methods.  The framework consisted of 'Engagement' (E), 'Assessment' (A), 'Support' (S) and 'Sign-posting' (Si) sections.  The EASSi framework can facilitate and structure conversations, ensuring fundamental, individualised support is provided.

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“…Health care professionals can regard patients' sexual lives as being too personal to ask about [21,22] and may feel unequipped to deal with sexual issues, reporting a lack of resources to offer patients if they identify a problem [23]. There is evidence that attitudinal barriers and beliefs can lead health care professionals to actively avoid initiating discussions [24]. Fear of personal embarrassment or fear of causing offence and uncertainty over whose role it is to discuss sexual issues have been identified as possible reasons for the low profile of sexual concerns [20].…”

Section: Introductionmentioning

confidence: 99%

The Tablet-Based, Engagement, Assessment, Support, and Sign-Posting (EASSi) Tool for Facilitating and Structuring Sexual Well-Being Conversations in Routine Prostate Cancer Care: Mixed-Methods Study

McCaughan¹,

Flannagan²,

Parahoo³

et al. 2020

JMIR Cancer

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Background: Long-term side-effects associated with different prostate cancer treatment approaches are common. Sexual challenges are the most frequently occurring issues and can result in increased psychological morbidity. It is recognized that barriers to communication can make initiating discussions around sexual concerns in routine practice difficult. Health care professionals need to routinely initiate conversations, effectively engage with patients, and assess needs in order to provide essential support. One proposed method that could support health care professionals to do this involves the use of prompts or structured frameworks to guide conversations. Objective: This study aimed to assess feasibility, acceptability, and satisfaction with the tablet-based Engagement, Assessment, Support, and Sign-posting (EASSi) tool designed to facilitate and structure sexual well-being discussions in routine prostate cancer care. Methods: Health care professionals (n=8) used the EASSi tool during 89 posttreatment appointments. Quantitative data were recorded based on program usage and surveys completed by health care professionals and patients. Qualitative data exploring perceptions on use of the tool were gathered using semistructured interviews with all health care professionals (n=8) and a sample of patients (n=10). Results: Surveys were completed by health care professionals immediately following each appointment (n=89, 100%). Postal surveys were returned by 59 patients (66%). Health care professionals and patients reported that the tool helped facilitate discussions

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Healthcare professional perceived barriers and facilitators to discussing sexual wellbeing with patients after diagnosis of chronic illness: A mixed-methods evidence synthesis

Cited by 60 publications

References 67 publications

Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Nurse's practices and attitudes toward sexual health, wellbeing, and function in people receiving haemodialysis: A scoping review

Development of a conceptual framework to improve sexual wellbeing communication in routine prostate cancer care

The Tablet-Based, Engagement, Assessment, Support, and Sign-Posting (EASSi) Tool for Facilitating and Structuring Sexual Well-Being Conversations in Routine Prostate Cancer Care: Mixed-Methods Study

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