Implementation Patterns and Perceived Value of the SEXIT Method in School Health Care.

IF 3.5 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2025-10-13 DOI:10.1111/jocn.70135

Per Andreas Persson, Kristina Areskoug Josefsson, Malin Lindroth, Sofia Hammarström

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引用次数: 0

Abstract

Aim: To explore implementation patterns and perceived value of the SEXIT (SEXual health Identification Tool) method in the school health care (SHC) setting in Sweden.

Design: Mixed method survey using an online questionnaire with closed and free-text response options.

Methods: 115 SHC professionals who had completed SEXIT training responded to an online questionnaire (response rate 26%), between March and May 2024. Closed questions were answered on a five-point Likert scale, and responses trichotomised. Quantitative data were analysed using descriptive statistics, qualitative data with a deductive qualitative content analysis. CROSS guideline was used.

Results: 70 of 115 SHC professionals used SEXIT in their work. Findings suggest that SEXIT is appropriate and useful, supporting communication about topics such as sexual health and violence that both pupils and professionals may avoid addressing. Implementation patterns showed that 61% of those who had completed training also used SEXIT. 63% of those used SEXIT during regular health dialogues, but some did not use it with all pupils. The perceived value was that most SHC professionals felt that SEXIT helped them get a better understanding of the pupil's situation, an objection that it was too time-consuming.

Conclusion: Most SHC professionals who had completed SEXIT training used the method regularly and perceived the method as valuable and facilitating discussions about sexual ill health and experiences of violence with pupils. There are indications that SHC services fail to identify particularly at-risk young people. Sexual health inequity persists, as some structurally marginalised and vulnerable youths are excluded from the SEXIT dialogues. A follow-up study will focus on pupils' experiences.

Relevance: This study validates SEXIT in a new setting, SHC, and is relevant for the promotion of sexual and reproductive health for all, and for preventing violence and sexual ill health among young people.

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学校卫生保健中性信息技术方法的实施模式及感知价值。

目的：探讨瑞典学校卫生保健（SHC）环境中SEXIT（性健康识别工具）方法的实施模式和感知价值。设计：混合方法调查，使用在线问卷，有封闭和自由文本的回答选项。方法：在2024年3月至5月期间，115名完成了SEXIT培训的SHC专业人员完成了在线问卷调查（回复率为26%）。封闭性问题以李克特5分制回答，答案三分化。定量数据采用描述性统计分析，定性数据采用演绎定性内容分析。采用CROSS线。结果：115名SHC专业人员中有70人在工作中使用了SEXIT。调查结果表明，性信息技术是适当和有用的，支持就学生和专业人员可能回避的性健康和暴力等话题进行交流。实施模式显示，61%完成培训的人也使用了性信息技术。63%的学校在定期的健康对话中使用了性信息技术，但有些学校并没有对所有学生都使用。大多数SHC专业人员认为，SEXIT可以帮助他们更好地了解学生的情况，这是一种太耗时的反对意见。结论：大多数完成了性信息技术培训的SHC专业人员经常使用这种方法，并认为这种方法很有价值，有助于与学生讨论性疾病和暴力经历。有迹象表明，公共卫生服务未能识别出特别危险的年轻人。性健康不平等现象仍然存在，因为一些在结构上被边缘化和脆弱的青年被排除在性与信息技术对话之外。一项后续研究将关注学生的经历。相关性：本研究在一个新的环境中验证了性信息技术，即SHC，并且与促进所有人的性健康和生殖健康以及预防年轻人中的暴力和性疾病相关。

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 Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.