Nurses’ knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence

Kotronoulas, Grigorios; Papadopoulou, Constantina; Patiraki, Elisabeth

doi:10.1007/s00520-008-0563-5

Cited by 134 publications

(135 citation statements)

References 92 publications

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“…Healthcare providers often fail to address couples' sexual issues appropriately (Kotronoulas, Papadopoulou, & Patiraki, 2009;Lavin, Hyde, & White, 2006;Gilbert, Perz, & Ussher, 2014), partly because they hold a less reflexive, more medicalized approach about patients' sexuality after cancer, which is in stark contrast to the expectations of patients . This is due to a dominant definition of sexuality throughout the literature which reduces it to fertility, menopausal, erectile dysfunction, or capacity for intercourse (Hordern, 2008).…”

Section: Introductionmentioning

confidence: 99%

The Sexual Adjustment Process of Cancer Patients and Their Partners: A Qualitative Evidence Synthesis

et al. 2016

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Whenconfrontedwithcancer,aprominentchallenge for patients and their partners is their changed sexual relationship. An empirically based theoretical model of the sexual adaptation process during cancer might be helpful in guiding the development of adequate interventions for couples who struggle with their sexual relationship. Therefore, the purpose ofthisstudywastosynthesizeevidencefromprimaryqualitative research studies and to arrive at a detailed description of the process of sexual adjustment during cancer. We conducted a qualitative evidence synthesis of a purposeful sample of 16 qualitative papers, using the meta-ethnography approach to synthesis. We found that the subsequent studies used different theoreticalapproachestodescribethesexualadaptationprocess. This led to three divergent sexual adaptation processes: (1) the pathway of grief and mourning, depicting sexual changes as a loss; (2) the pathway of restructuring, depicting the adjustment process toward sexual changes as a cognitive process with a strong focus on the social and cultural forces that shape the values and experiences of sexuality; and (3) the pathway of sexual rehabilitation, depicting sexual changes as a bodily dysfunction thatneeds treatment and specific behavioral strategies. All three pathways have their own opportunities and challenges. A greater awareness of these different pathways could help healthcare providers to better understand the ways a particular couple might cope with changed sexuality, offering them opportunities to discover alternative pathways for sexual adjustment.

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Section: Introductionmentioning

confidence: 99%

The Sexual Adjustment Process of Cancer Patients and Their Partners: A Qualitative Evidence Synthesis

et al. 2016

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“…In addition to paying attention to sexuality needs 37 expressed close to the end of chemotherapy, a pro-active approach to management of future 38 'rehabilitation' sexuality/intimacy needs for this patient group may be beneficial. As part of the 39 intervention, nurse specialists could be trained to assess current sexuality needs, but also provide 40 education for anticipated, adjustment issues that involve sexuality, body image and intimacy, and 41 relationships with one's partner or the absence of a romantic relationship (Kotronoulas et al, 2009). 42…”

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confidence: 99%

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

Kotronoulas

Papadopoulou

MacNicol

et al. 2017

European Journal of Oncology Nursing

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Purpose Logistical issues pertinent to the use of patient-reported outcome measures (PROMs) by colorectal cancer nurse specialists (CNS) to identify the needs of people with colorectal cancer (CRC) in acute care remain unknown. We explored the feasibility and acceptability of PROMs-driven, CNS-led consultations to enhance delivery of supportive care to people with CRC completing adjuvant chemotherapy. Methods A systematic literature review and focus groups with patients and CNS (Phase 1) were followed by a repeated-measures, exploratory study (Phase 2), whereby pre-consultation PROM data were collected during three consecutive, monthly consultations, and used by the CNS to enable delivery of personalised supportive care. Results Based on Phase 1 data, the Supportive Care Needs Survey was selected for use in Phase 2. Fourteen patients were recruited (recruitment rate: 56%); thirteen (93%) completed all study assessments. Forty in-clinic patient-clinician consultations took place. At baseline, 219 unmet needs were reported in total, with a notable 21% (T2) and 32% (T3) over-time reduction. Physical/daily living and psychological domain scores declined from T1 to T3, yet not statistically significantly. In exit interviews, patients described how using the PROM helped them shortlist and prioritise their needs. CNS stressed how the PROM helped them tease out more issues with patients than they would normally. Conclusions Nurse-led, PROMs-driven needs assessments with patients with CRC appear to be feasible and acceptable in clinical practice, possibly associated with a sizeable reduction in the frequency of unmet needs, and smaller decreases in physical/daily living and psychosocial needs in the immediate post-chemotherapy period

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“…Due to such limitations, many nurses have inappropriate perception on sexuality concept and assume that sexual problems are not important to be discussed and they do not feel comfortable to discuss sexual problems with the patients (Kotronoulas, G et al 2009;Quinn 2003;Stead et al 2003;Hughes 2009;Hautamaki et al 2007). …”

Section: Introductionmentioning

confidence: 99%

Peningkatkan Kualitas Hidup Pasien Kanker Dengan Implementasi Perawatan Kesehatan Psikoseksual

Afiyati

Keliat²,

Ruwaida³

et al. 2016

Nursing

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ABSTRAKPendahuluan. Kontribusi perawat dalam meningkatkan kualitas hidup pasien kanker menyebabkan perawat harus memiliki pengetahuan dan ketrampilan dalam memberikan asuhan keperawatan dalam aspek kesehatan psikoseksual. Pelatihan perawatan kesehatan psikoseksual telah dikembangkan, diimplementasikan, dan diberikan kepada perawat onkologi di Indonesia untuk memenuhi kebutuhan tersebut sehingga perawat dapat memberikan perawatan kesehatan psikoseksual terhadap penderita kanker dan pasangannya. Metode. Pelatihan menggunakan metode pre dan post test untuk mengidentifikasi hasil serta perubahan skor dalam mengevaluasi pengetahuan, keyakinan, tindakan, kepercayaan diri dari peserta sebelum dan setelah pelatihan. Hasil. Pelatihan diberikan pada 46 perawat onkologi di Indonesia. Setelah pelatihan dan pendampingan didapatkan perubahan yang signifikan pada pengetahuan, keyakinan, kepercayaan diri dalam memberikan perawatan kesehatan psikoseksual pada pasien kanker dan pasangannya, namun tidak terdapat perbedaan yang signifikan pada aspek tindakan. Diskusi. Pelatihan tersebut telah menjadi standar asuhan keperawatan di Indonesia untuk perawatan pasien kanker dan telah menunjukkan bukti yang ilmiah bahwa perawat memang berkontribusi dalam meningkatkan kualitas hidup pasien kanker dengan memberikan asuhan keperawatan yang komprehensif melalui implementasi perawatan kesehatan psikoseksual pada pasien kanker dan pasangannya.

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Nurses’ knowledge, attitudes, and practices regarding provision of sexual health care in patients with cancer: critical review of the evidence

Cited by 134 publications

References 92 publications

The Sexual Adjustment Process of Cancer Patients and Their Partners: A Qualitative Evidence Synthesis

The Sexual Adjustment Process of Cancer Patients and Their Partners: A Qualitative Evidence Synthesis

Feasibility and acceptability of the use of patient-reported outcome measures (PROMs) in the delivery of nurse-led supportive care to people with colorectal cancer

Peningkatkan Kualitas Hidup Pasien Kanker Dengan Implementasi Perawatan Kesehatan Psikoseksual

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