Nurses' Provision of Sexual and Reproductive Health to Community-Dwelling Older Adults: An Integrative Review.

IF 1.1 4区医学 Q4 GERIATRICS & GERONTOLOGY

Journal of gerontological nursing Pub Date : 2024-10-01 DOI:10.3928/00989134-20240912-05

Salima Siraj, Sherry Dahlke

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引用次数: 0

Abstract

Purpose: To explore barriers and facilitators to nurses' provision of sexual and reproductive health (SRH) care to community-dwelling older adults.

Method: An integrative literature review was performed using Whittemore and Knafl's method. Three databases were searched for research conducted between 2012 and 2023, and the Mixed Methods Appraisal Tool was used to determine the quality of included studies.

Results: Nine studies were ultimately included for analysis, and themes were Barriers to SRH Care and Facilitators of SRH Care. Barriers to SRH Care included: nurses' lack of knowledge about older adults' sexual health, discomfort discussing sexual topics, age-related stereotypes regarding older adults' sexuality, and older adults' lack of knowledge of and reluctance to discuss sexuality and sexual health issues. Facilitators of SRH Care included: gender of health care provider, nursing education on effective communication strategies, encouraging open dialogue to challenge ageist perceptions, and sexual education for older adults.

Conclusion: Findings underscore the impact of stigma and negative ageist assumptions on whether discussions about SRH occur between nurses and older adults. There is a need for comprehensive education for nurses and older adults about SRH to recognize sexual health needs and promote open and constructive conversations. Moreover, research about how to best facilitate older adults' SRH is needed. [Journal of Gerontological Nursing, 50(10), 17-23.].

查看原文本刊更多论文

护士为居住在社区的老年人提供性健康和生殖健康服务：综合评论》。

目的：探讨护士为社区老年人提供性与生殖健康（SRH）护理的障碍和促进因素：采用 Whittemore 和 Knafl 的方法进行了综合文献综述。方法：采用 Whittemore 和 Knafl 的方法进行了综合文献综述，在三个数据库中搜索了 2012 年至 2023 年期间进行的研究，并使用混合方法评估工具确定了纳入研究的质量：最终纳入了九项研究进行分析，主题分别为性健康和生殖健康护理的障碍以及性健康和生殖健康护理的促进因素。性健康与生殖健康护理的障碍包括：护士对老年人的性健康缺乏了解、在讨论性话题时感到不适、与年龄有关的对老年人性行为的成见、老年人对性行为和性健康问题缺乏了解且不愿讨论。性健康和生殖健康护理的促进因素包括：医疗服务提供者的性别、关于有效沟通策略的护理教育、鼓励公开对话以挑战年龄歧视观念以及针对老年人的性教育：研究结果表明，护士与老年人之间是否就性健康和生殖健康问题进行讨论受到了污名化和消极年龄假设的影响。有必要对护士和老年人进行有关性健康和生殖健康的全面教育，以认识性健康需求并促进开放和建设性的对话。此外，还需要研究如何更好地促进老年人的性健康和生殖健康。[老年护理杂志》，50（10），17-23]。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of gerontological nursing 医学-护理

CiteScore

2.00

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.