Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence

Tiny Jaarsma, Anna Stromberg, Bengt Fridlund, Sabina De Geest, Jan Martensson, Philip Moons, Tone M. Norekval, Karen Smith, Elaine Steinke, David R. Thompson

    Research output: Contribution to journalArticle

    83 Citations (Scopus)

    Abstract

    BACKGROUND: Cardiac patients may experience problems with sexual activity as a result of their disease, medications or anxiety and nurses play an important role in sexual counselling. We studied the practice, responsibility and confidence of cardiac nurses in the sexual counselling of these patients. METHOD: An adapted version of the nurses' survey of sexual counselling of MI patients was administered during a scientific meeting of the Council on Cardiovascular Nursing and Allied Professionals within the European Society of Cardiology. RESULTS: Most of the 157 cardiovascular nurses (87%) who completed the survey felt responsible to discuss sexual concerns with their clients, especially when patients initiated a discussion. However in practice, most respondents rarely addressed sexual issues. The items that nurses reported to counsel patients were closely related to the cardiac disease, symptoms and medications and seldom more sensitive subjects (e.g. foreplay, positions). Nurses estimated that their patients could be upset (67%), embarrassed (72%) or anxious (68%) if they were asked about sexual concerns. One-fifth of the nurses felt they had insufficient knowledge and 40% sometimes hesitated to discuss sexual concerns with clients because they might not know how to answer questions. Additional education on sexuality was significantly related to being more comfortable and active in sexual counselling. CONCLUSION: Although cardiac nurses feel responsible and not anxious discussing patients' sexual concerns, these issues are not often discussed in daily practice. Nurses might need more knowledge and specific practical training in providing information on sexual concerns and sexual counselling to cardiac patients
    Original languageEnglish
    Pages (from-to)24-29
    Number of pages6
    JournalEuropean Journal of Cardiovascular Nursing
    Volume9
    Issue number1
    DOIs
    Publication statusPublished - 2010

    Fingerprint

    Counseling
    Nurses
    Cardiovascular Nursing
    Sexuality
    Sexual Behavior
    Heart Diseases
    Anxiety
    Education
    Surveys and Questionnaires

    Keywords

    • Nurses attitudes
    • Sexuality
    • Sexual counselling

    Cite this

    Jaarsma, T., Stromberg, A., Fridlund, B., De Geest, S., Martensson, J., Moons, P., ... Thompson, D. R. (2010). Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. European Journal of Cardiovascular Nursing, 9(1), 24-29. https://doi.org/10.1016/j.ejcnurse.2009.11.003
    Jaarsma, Tiny ; Stromberg, Anna ; Fridlund, Bengt ; De Geest, Sabina ; Martensson, Jan ; Moons, Philip ; Norekval, Tone M. ; Smith, Karen ; Steinke, Elaine ; Thompson, David R. / Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. In: European Journal of Cardiovascular Nursing. 2010 ; Vol. 9, No. 1. pp. 24-29.
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    abstract = "BACKGROUND: Cardiac patients may experience problems with sexual activity as a result of their disease, medications or anxiety and nurses play an important role in sexual counselling. We studied the practice, responsibility and confidence of cardiac nurses in the sexual counselling of these patients. METHOD: An adapted version of the nurses' survey of sexual counselling of MI patients was administered during a scientific meeting of the Council on Cardiovascular Nursing and Allied Professionals within the European Society of Cardiology. RESULTS: Most of the 157 cardiovascular nurses (87{\%}) who completed the survey felt responsible to discuss sexual concerns with their clients, especially when patients initiated a discussion. However in practice, most respondents rarely addressed sexual issues. The items that nurses reported to counsel patients were closely related to the cardiac disease, symptoms and medications and seldom more sensitive subjects (e.g. foreplay, positions). Nurses estimated that their patients could be upset (67{\%}), embarrassed (72{\%}) or anxious (68{\%}) if they were asked about sexual concerns. One-fifth of the nurses felt they had insufficient knowledge and 40{\%} sometimes hesitated to discuss sexual concerns with clients because they might not know how to answer questions. Additional education on sexuality was significantly related to being more comfortable and active in sexual counselling. CONCLUSION: Although cardiac nurses feel responsible and not anxious discussing patients' sexual concerns, these issues are not often discussed in daily practice. Nurses might need more knowledge and specific practical training in providing information on sexual concerns and sexual counselling to cardiac patients",
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    Jaarsma, T, Stromberg, A, Fridlund, B, De Geest, S, Martensson, J, Moons, P, Norekval, TM, Smith, K, Steinke, E & Thompson, DR 2010, 'Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence', European Journal of Cardiovascular Nursing, vol. 9, no. 1, pp. 24-29. https://doi.org/10.1016/j.ejcnurse.2009.11.003

    Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence. / Jaarsma, Tiny; Stromberg, Anna; Fridlund, Bengt; De Geest, Sabina; Martensson, Jan; Moons, Philip; Norekval, Tone M.; Smith, Karen; Steinke, Elaine; Thompson, David R.

    In: European Journal of Cardiovascular Nursing, Vol. 9, No. 1, 2010, p. 24-29.

    Research output: Contribution to journalArticle

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    T1 - Sexual counselling of cardiac patients: nurses' perception of practice, responsibility and confidence

    AU - Jaarsma, Tiny

    AU - Stromberg, Anna

    AU - Fridlund, Bengt

    AU - De Geest, Sabina

    AU - Martensson, Jan

    AU - Moons, Philip

    AU - Norekval, Tone M.

    AU - Smith, Karen

    AU - Steinke, Elaine

    AU - Thompson, David R.

    N1 - dc.publisher: Elsevier

    PY - 2010

    Y1 - 2010

    N2 - BACKGROUND: Cardiac patients may experience problems with sexual activity as a result of their disease, medications or anxiety and nurses play an important role in sexual counselling. We studied the practice, responsibility and confidence of cardiac nurses in the sexual counselling of these patients. METHOD: An adapted version of the nurses' survey of sexual counselling of MI patients was administered during a scientific meeting of the Council on Cardiovascular Nursing and Allied Professionals within the European Society of Cardiology. RESULTS: Most of the 157 cardiovascular nurses (87%) who completed the survey felt responsible to discuss sexual concerns with their clients, especially when patients initiated a discussion. However in practice, most respondents rarely addressed sexual issues. The items that nurses reported to counsel patients were closely related to the cardiac disease, symptoms and medications and seldom more sensitive subjects (e.g. foreplay, positions). Nurses estimated that their patients could be upset (67%), embarrassed (72%) or anxious (68%) if they were asked about sexual concerns. One-fifth of the nurses felt they had insufficient knowledge and 40% sometimes hesitated to discuss sexual concerns with clients because they might not know how to answer questions. Additional education on sexuality was significantly related to being more comfortable and active in sexual counselling. CONCLUSION: Although cardiac nurses feel responsible and not anxious discussing patients' sexual concerns, these issues are not often discussed in daily practice. Nurses might need more knowledge and specific practical training in providing information on sexual concerns and sexual counselling to cardiac patients

    AB - BACKGROUND: Cardiac patients may experience problems with sexual activity as a result of their disease, medications or anxiety and nurses play an important role in sexual counselling. We studied the practice, responsibility and confidence of cardiac nurses in the sexual counselling of these patients. METHOD: An adapted version of the nurses' survey of sexual counselling of MI patients was administered during a scientific meeting of the Council on Cardiovascular Nursing and Allied Professionals within the European Society of Cardiology. RESULTS: Most of the 157 cardiovascular nurses (87%) who completed the survey felt responsible to discuss sexual concerns with their clients, especially when patients initiated a discussion. However in practice, most respondents rarely addressed sexual issues. The items that nurses reported to counsel patients were closely related to the cardiac disease, symptoms and medications and seldom more sensitive subjects (e.g. foreplay, positions). Nurses estimated that their patients could be upset (67%), embarrassed (72%) or anxious (68%) if they were asked about sexual concerns. One-fifth of the nurses felt they had insufficient knowledge and 40% sometimes hesitated to discuss sexual concerns with clients because they might not know how to answer questions. Additional education on sexuality was significantly related to being more comfortable and active in sexual counselling. CONCLUSION: Although cardiac nurses feel responsible and not anxious discussing patients' sexual concerns, these issues are not often discussed in daily practice. Nurses might need more knowledge and specific practical training in providing information on sexual concerns and sexual counselling to cardiac patients

    KW - Nurses attitudes

    KW - Sexuality

    KW - Sexual counselling

    U2 - 10.1016/j.ejcnurse.2009.11.003

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