Nephrology nurses' perceptions of discussing sexual health issues with patients who have end‐stage kidney disease

Yodchai, Kantaporn; Hutchinson, Alison M.; Oumtanee, Areewan

doi:10.1111/jorc.12257

Cited by 10 publications

(27 citation statements)

References 13 publications

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“…A total of four studies published between January 2009 and 2020 were included in this scoping review. Two studies used a cross‐sectional design (Green et al, 2012; Van Ek et al, 2018) and two used an interpretive phenomenological design (Hough et al, 2019; Yodchai et al, 2018). The studies were conducted in the United States of America, Netherlands, United Kingdom, and Thailand involving medical and nursing staff.…”

Section: Resultsmentioning

confidence: 99%

“…In this study, 82% of respondents indicated that they had no prior training about sexual dysfunction in kidney failure, and this contributed to them avoiding discussing the topic with patients (Green et al, 2012). Similarly, Yodchai et al (2018) identified that renal nurses reported having a lack of training and knowledge about sexual health, wellbeing, and function and this made them hesitant to discuss sexual health concerns with patients. Specific training and education about sexual health are important in enabling renal nurses to feel confident engaging in discussions with patients about sexual wellbeing.…”

Section: Resultsmentioning

confidence: 99%

“…Hough et al (2019) further revealed that nurses often used humor in discussing sexual topics as this eased the conversation, enhanced the comfort of the nurse, and also helped to establish a rapport with the patients. Establishing a positive relationship with patients was identified as an important issue as discussions about sexual health, wellbeing, and function can enable the patient to feel their concerns will be managed by nurses with discretion and confidentiality (Yodchai et al, 2018). Some renal nurses felt vulnerable when discussing sexual health with patients as these nurses considered the topic private and personal, and conservative attitudes of the nurses toward sexuality can impede the ability to establish a rapport and initiate discussions about sexual health (Hough et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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 explore nurses' experiences of communicating with patients with an indwelling urinary catheter about sexual quality of life. Nurses who discussed SSH with their patients viewed this task as part of their professional responsibility to alleviate patients' and family members' suffering [32]. They tend to use various strategies to approach the subject; for example, they look for appropriate moments, e.g., in a private room [32] and when discussing physical problems or treatment [33][34][35][36].…”

Section: Baker-green (2017) Ukmentioning

confidence: 99%

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

et al. 2021

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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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“…13 Similarly, a minority of nephrology nurses discuss sexual health with their dialysis patients due to barriers of ethnicity, religion, and older age of the patient, 30 as well as inadequate training and lack of suitable time and setting to discuss this sensitive topic. 31 Together, these patterns may translate into difficulties with enrollment of persons with CKD and sexual dysfunctions into research studies. Until the public and those in the scientific and clinical communities accept that these stigmas exist, patient recruitment and prioritization of these studies in CKD research will remain challenging.…”

Section: Barrier 2: Stigma Of Sexual Dysfunctionmentioning

confidence: 99%

Improving Sexual Function in People With Chronic Kidney Disease: A Narrative Review of an Unmet Need in Nephrology Research

Harrison

Škrtić

Verdin³

et al. 2020

Can J Kidney Health Dis

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Purpose of review: Sexual dysfunction occurs commonly in people with chronic kidney disease (CKD) and has been recognized as a research priority. We sought to evaluate the current state of the literature addressing sexual dysfunction in people with CKD and identify barriers and strategies to improve our management of this important symptom. Sources of information: OVID Medline and Google Scholar were searched for English, peer-reviewed studies using keywords and terms related to “Chronic Kidney Disease,” “sexuality,” and “sexual dysfunction OR function.” Methods: In this narrative review, we describe definitions of sexual dysfunction and contributors exacerbated by CKD, barriers to researching sexual dysfunction in people with CKD, and possible avenues for future research. Key findings: Sexual dysfunction is common in people with CKD and results from a combination of kidney disease itself, as well as its associated physical (ie, comorbidities) and nonphysical factors. Barriers to the study of sexual dysfunction in CKD include inconsistent disease definitions, stigma, variable efficacy and safety of established therapies, and evolving gender roles in sexual function. Potential avenues for future research to improve the sexual function in people with CKD may include evaluating the safety and efficacy of established therapies in people with CKD using a variety of observational and interventional study designs, engaging people with CKD and multidisciplinary team members in research, and using implementation science methods to translate what is known about sexual function into clinical practice. Concerted efforts are required to break down barriers and improve sexual function in people with CKD. Patients have identified this as an important research priority, and national networks need to direct efforts to reduce symptom burden. Limitations: This narrative review was limited by a paucity of high-quality studies examining sexual dysfunction specifically in people with kidney disease.

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Nephrology nurses' perceptions of discussing sexual health issues with patients who have end‐stage kidney disease

Cited by 10 publications

References 13 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

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

Improving Sexual Function in People With Chronic Kidney Disease: A Narrative Review of an Unmet Need in Nephrology Research

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