Abstract
This study aimed to evaluate the effectiveness of a sexual healthcare training programme for clinical nurses, with respect to knowledge, attitudes and self-efficacy concerning sexual healthcare. Inadequate sexual healthcare can result in poor treatment and quality of life for patients. Few studies have examined the development of sexual healthcare and related interventions from nurses' perspectives. The study included two stages involving focus groups and a quasi-experimental design. The first stage consisted of an exploratory, descriptive session to assess nurses' perceptions and educational needs concerning sexual healthcare via two focus groups (N=16). The second stage involved a quasi-experimental session to evaluate the training programme, based on the results of the first stage. In total, 117 nurses were recruited from a Taiwanese hospital; the experimental group (n=59) completed a four-week (16hours) training programme, and the control group (n=58) did not participate in a training programme. Data were collected at four time points over 17weeks. Longitudinal changes that occurred over time were examined using hierarchical linear models. The experimental group demonstrated significant improvements in knowledge (β=0·16, p<0·01), attitude (β=0·18, p<0·05), and self-efficacy (β=0·73, p<0·001) scores. Relative to that of the control group, the experimental group showed significantly greater improvement in knowledge (β=-0·12, p<0·01) and attitudes regarding sexual healthcare (β=-0·25, p<0·05), but their improvement in self-efficacy concerning sexual healthcare was limited (p=0·179). The training programme for sexual healthcare could exert positive and beneficial effects on nurses' development of knowledge regarding sexual healthcare and clarify their values and attitudes. The training programme could reduce challenges related to sexual healthcare issues in nursing care.
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