SEXUALITY AND CANCER: HOW ONCOLOGY REGISTERED NURSES ASSESS PATIENTS SEXUALITY IN CLINICAL PRACTICE

2.50
Hdl Handle:
http://hdl.handle.net/10755/164725
Category:
Abstract
Type:
Presentation
Title:
SEXUALITY AND CANCER: HOW ONCOLOGY REGISTERED NURSES ASSESS PATIENTS SEXUALITY IN CLINICAL PRACTICE
Author(s):
Mick, Joann
Author Details:
Joann Mick, RN MSN MBA AOCN, Associate Director of Nursing Research and EBP, UT MD Anderson Cancer Center, Houston, Texas, USA, email: jmick@mdanderson.org
Abstract:
Sexuality can be negatively affected by cancer when illness or treatments cause disturbances in self-concept and/or body image or result in difficulties with sexual function. A diagnosis of cancer raises critical issues regarding sexuality that must be assessed, including: motherhood, fatherhood, femininity, masculinity, and fertility. A hermeneutic phenomenological approach was used to explore oncology nursesÆ experiences of performing sexuality assessments when caring for oncology patients. The research was conducted at a large, comprehensive cancer center in the southwest United States. Data were gathered through a sequence of audio taped interviews of 20 practicing oncology nurses, which were transcribed and analyzed. Study results revealed that sexuality assessment is a dilemma that nurses face in their practices. Most nurses verbalized understanding of the importance of sexuality assessment. While nurses were able to ask patients for information about many other sensitive issues, personal constraints often prevented them from addressing the topic of sexuality. A list of identified, often self-imposed, barriers was revealed that prohibited nurses from assessing patientsÆ sexuality. NursesÆ practices regarding sexuality assessment occurred in a milieu that consisted of their conceptualization of sexuality, personal world-views, and individual efforts to search for a comfort level that would make discussing sexuality more feasible. Most nurses openly admitted they did not do a good job with sexuality assessment. Some nurses were able to offer ideas or suggestions to improve nursing practice with the sensitive topic of sexuality. Evidence derived from this study indicated that simple, short term educational programs will be ineffective in overcoming the major barriers that nurses identified regarding the opportunity and ability to initiate sexual assessment. Programs to increase sexuality assessment must address factors, such as nursesÆ personal comfort with sexuality, individual knowledge levels, and language skills to enable routine initiation of dialogues with patients about sexuality. Programs need to be ongoing in nature and nurses must be supported as they reframe their concept of sexuality and engage in a new skill. Research that identifies strategies to enhance perceived facilitators and decrease perceived barriers related to nursesÆ assessment of patientsÆ sexuality concerns should continue to be an essential goal for nursing.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Sponsors:
Funding Source: Oncology Nursing Society.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSEXUALITY AND CANCER: HOW ONCOLOGY REGISTERED NURSES ASSESS PATIENTS SEXUALITY IN CLINICAL PRACTICEen_GB
dc.contributor.authorMick, Joannen_US
dc.author.detailsJoann Mick, RN MSN MBA AOCN, Associate Director of Nursing Research and EBP, UT MD Anderson Cancer Center, Houston, Texas, USA, email: jmick@mdanderson.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164725-
dc.description.abstractSexuality can be negatively affected by cancer when illness or treatments cause disturbances in self-concept and/or body image or result in difficulties with sexual function. A diagnosis of cancer raises critical issues regarding sexuality that must be assessed, including: motherhood, fatherhood, femininity, masculinity, and fertility. A hermeneutic phenomenological approach was used to explore oncology nursesÆ experiences of performing sexuality assessments when caring for oncology patients. The research was conducted at a large, comprehensive cancer center in the southwest United States. Data were gathered through a sequence of audio taped interviews of 20 practicing oncology nurses, which were transcribed and analyzed. Study results revealed that sexuality assessment is a dilemma that nurses face in their practices. Most nurses verbalized understanding of the importance of sexuality assessment. While nurses were able to ask patients for information about many other sensitive issues, personal constraints often prevented them from addressing the topic of sexuality. A list of identified, often self-imposed, barriers was revealed that prohibited nurses from assessing patientsÆ sexuality. NursesÆ practices regarding sexuality assessment occurred in a milieu that consisted of their conceptualization of sexuality, personal world-views, and individual efforts to search for a comfort level that would make discussing sexuality more feasible. Most nurses openly admitted they did not do a good job with sexuality assessment. Some nurses were able to offer ideas or suggestions to improve nursing practice with the sensitive topic of sexuality. Evidence derived from this study indicated that simple, short term educational programs will be ineffective in overcoming the major barriers that nurses identified regarding the opportunity and ability to initiate sexual assessment. Programs to increase sexuality assessment must address factors, such as nursesÆ personal comfort with sexuality, individual knowledge levels, and language skills to enable routine initiation of dialogues with patients about sexuality. Programs need to be ongoing in nature and nurses must be supported as they reframe their concept of sexuality and engage in a new skill. Research that identifies strategies to enhance perceived facilitators and decrease perceived barriers related to nursesÆ assessment of patientsÆ sexuality concerns should continue to be an essential goal for nursing.en_GB
dc.date.available2011-10-27T12:05:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:05:50Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.sponsorshipFunding Source: Oncology Nursing Society.-
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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