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      Diferentes actitudes hacia la sexualidad entre estudiantes de Enfermería de primero y cuarto curso Translated title: Sexuality education: Different attitudes among incoming and outgoing Nursing undergraduates

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          Abstract

          RESUMEN: Objetivo Evaluar si las actitudes hacia la sexualidad adquiridas por los alumnos durante el Grado en Enfermería son suficientes para su desempeño profesional. Métodos Se trata de un estudio descriptivo y transversal basado en una encuesta compuesta por escalas estandarizadas que comparó las predisposiciones sexuales entre 101 alumnos de primer curso con 86 de cuarto. Los 187 estudiantes de enfermería, 24 hombres y 163 mujeres tenían entre 18 y 60 años (M edad =21.21, DT=5.48). El instrumento utilizado para su evaluación fue un cuestionario anónimo que estaba constituido por preguntas sociodemográficas y las dos siguientes escalas, la Escala de Actitudes hacia la Sexualidad (ATSS-28) y la Escala de Doble Estándar (DSS). Resultados: Los resultados obtenidos estuvieron cera de ser significativos por curso en la ATSS, U=3625.50, z=-1.95, p=.052 y significativos en la DSS, U=3560.50, z=-2.13, p=.034. Estos hallazgos indicaron que los alumnos de cuarto tuvieron actitudes más positivas hacia la sexualidad y una menor adherencia a los roles de género. Además, se obtuvo una correlación negativa moderada, r s =-. 307, p=.001, entre la ATSS y la DSS que mostraba asociación entre las actitudes positivas y la menor adhesión a roles de género. Estos resultados sugieren que la formación enfermera tuvo un impacto positivo en sus actitudes. Conclusión: La enfermería está involucrada de manera central en el cuidado de los pacientes y sus familias. Sus actitudes hacia la sexualidad son importantes en términos de comodidad del paciente, accesibilidad y aceptabilidad de su atención.

          Translated abstract

          ABSTRACT: Objective: To evaluate whether attitudes towards sexuality acquired by students during a Spanish nursing degree are sufficient for their performance in professional practice. Methods: This is a descriptive, cross-sectional, and quantitative study based on a self-completion survey composed of standardized scales that compare sexual attitudes among 101 first-year students with 86 fourth-year students. The 187 nursing students, 24 men and 163 women were between 18 and 60 years old (M age=21.21, SD=5.48). The evaluative instrument was an anonymous questionnaire that consisted of sociodemographic questions and two standardized scales: Attitudes Towards Sexuality Scale (ATSS-28) and Double Standard Scale (DSS). Results: Comparison between cohorts using the Mann-Whitney U test proved to be close to being significant in the ATSS, U=3625.50, z=-1.95, p=.052 and significant in DSS, U=3560.50, z=-2.13, p=.034. These findings indicate that fourth-year students have more positive attitudes towards sexuality and less rigid adherence to gender roles. In addition, a medium negative correlation, r s =-.307, p=.001, between ATSS and DSS was obtained, showing a positive association between attitudes and less adherence to gender roles. These results suggest that nursing degree training had a positive impact on sexual attitudes. Conclusion: Healthcare professionals are centrally involved in the care of patients and families. Nurses' attitudes towards sexuality are important in terms of patient comfort and the accessibility and acceptability of care. Implementation of training in sexuality has a positive effect on nursing care and favours the establishment of global health strategies.

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          Debate: Why should gender-affirming health care be included in health science curricula?

          Background Every person who seeks health care should be affirmed, respected, understood, and not judged. However, trans and gender diverse people have experienced significant marginalization and discrimination in health care settings. Health professionals are generally not adequately prepared by current curricula to provide appropriate healthcare to trans and gender diverse people. This strongly implies that health care students would benefit from curricula which facilitate learning about gender-affirming health care. Main body Trans and gender diverse people have been pathologized by the medical profession, through classifications of mental illness in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Disease (ICD). Although this is changing in the new ICD-11, tension remains between depathologization discourses and access to gender-affirming health care. Trans and gender diverse people experience significant health disparities and an increased burden of disease, specifically in the areas of mental health, Human Immunodeficiency Virus, violence and victimisation. Many of these health disparities originate from discrimination and systemic biases that decrease access to care, as well as from health professional ignorance. This paper will outline gaps in health science curricula that have been described in different contexts, and specific educational interventions that have attempted to improve awareness, knowledge and skills related to gender-affirming health care. The education of primary care providers is critical, as in much of the world, specialist services for gender-affirming health care are not widely available. The ethics of the gatekeeping model, where service providers decide who can access care, will be discussed and contrasted with the informed-consent model that upholds autonomy by empowering patients to make their own health care decisions. Conclusion There is an ethical imperative for health professionals to reduce health care disparities of trans and gender diverse people and practice within the health care values of social justice and cultural humility. As health science educators, we have an ethical duty to include gender-affirming health in health science curricula in order to prevent harm to the trans and gender diverse patients that our students will provide care for in the future.
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            International technical guidance on sexuality education: an evidence-informed approach

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              Predictors of condom‐related behaviors among first‐year college students

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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2022
                : 21
                : 65
                : 473-503
                Affiliations
                [3] Burgos Castilla y León orgnameUniversidad de Burgos orgdiv1Facultad de Ciencias de la Salud orgdiv2Departamento de Ciencias de la Salud, Área de Enfermería Spain
                [1] Burgos Castilla y León orgnameUniversidad de Burgos orgdiv1Facultad de Educación orgdiv2Departamento de Ciencias de la Educación, Área de Didáctica y Organización Escolar Spain lamartinez@ 123456ubu.es
                [2] orgnameSouth Tyneside and Sunderland National Health System (NHS) Foundation Trust UK
                Article
                S1695-61412022000100473 S1695-6141(22)02106500473
                10.6018/eglobal.474821
                6388d32f-0c72-472b-9d80-4455620fd870

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 29 March 2021
                : 03 July 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 31
                Product

                SciELO Spain

                Categories
                Originales

                Sexualidad,Sexuality,Nurses,Gender identity,Education,Attitude of Health Personnel,Identidad de Género,Enfermeras y Enfermeros,Educación,Actitud del Personal de Salud

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