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Sexual Counseling in Patients With Heart Failure A Silent Phenomenon: Results From a Convergent Parallel Mixed Method Study
University of Appl Science, Switzerland.
University of Witten Herdecke, Germany.
University of Witten Herdecke, Germany.
Linköping University, Department of Social and Welfare Studies, Division of Health, Activity and Care. Linköping University, Faculty of Medicine and Health Sciences.
2016 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 31, no 1, 53-61 p.Article in journal (Refereed) PublishedText
Abstract [en]

Background: Patients with heart failure (HF) often worry about resuming sexual activity and may need information. Nurses have a role in helping patients to live with the consequences of HF and can be expected to discuss patients sexual concerns. Objective: The aims of this study were to identify whether nurses discuss consequences of HF on sexuality with patients and to explore their perceived role and barriers regarding this topic. Methods: A cross-sectional research design with a convergent parallel mixed method approach was used combining qualitative and quantitative data collected with a self-reported questionnaire. Results: Nurses in this study rarely addressed sexual issues with their patients. The nurses did not feel that discussing sexual concerns with their patients was their responsibility, and only 8% of the nurses expressed confidence to do so. The main phenomenon in discussing sexual concerns seems to be one of silence: Neither patients nor nurses talk about sexual concerns. Factors influencing this include structural barriers, lack of knowledge and communication skills, as well as relevance of the topic and relationship to patients. Conclusion: Cardiac nurses in Germany rarely practice sexual counseling. It is a phenomenon that is silent. Education and skill-based training might hold potential to break the silence.

Place, publisher, year, edition, pages
LIPPINCOTT WILLIAMS & WILKINS , 2016. Vol. 31, no 1, 53-61 p.
Keyword [en]
heart failure; nursing; sex counseling
National Category
URN: urn:nbn:se:liu:diva-124107DOI: 10.1097/JCN.0000000000000215ISI: 000366717400015PubMedID: 25478826OAI: diva2:897173

Funding Agencies|Heart Failure Association of the European Society of Cardiology

Available from: 2016-01-25 Created: 2016-01-19 Last updated: 2016-03-14

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The full text will be freely available from 2017-01-16 08:06
Available from 2017-01-16 08:06

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