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Kommunicera om sexuell hälsa vid cancersjukdom: En litteraturöversikt om sjuksköterskors upplevelser
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Communicating about sexual health during cancer illness : A literature review about nurses’ experiences (English)
Abstract [sv]

Bakgrund: Cancer är en vanligt förekommande sjukdom som kan påverka patienters sexuella hälsa negativt. Sexuell hälsa är ett tillstånd av balans mellan välbefinnande och sexualitet, vilket inkluderar emotionella, fysiska och sociala aspekter. Patienter med cancer har olika behov kring hur den sexuella hälsan ska hanteras av sjuksköterskan. Vissa patienter upplever skamkänslor och vill på grund av dessa undvika ämnet, medan andra önskar att deras sexuella hälsa inkluderas i omvårdnaden. Det åligger sjuksköterskans ansvar att adressera frågor rörande sexuell hälsa.

Syfte: Syftet var att beskriva sjuksköterskors upplevelser av att kommunicera om sexuell hälsa med patienter som har en cancersjukdom.

Metod: Litteraturöversikten baserades på 10 vetenskapliga artiklar, varav fyra kvalitativa, fem kvantitativa och en mixad metod. Artiklarna inhämtades från databaserna PubMed och Cinahl Complete. Dataanalysen utfördes i enlighet med Fribergs modell.

Resultat: I resultatet presenteras fyra huvudteman; Tidsbrist, ett hinder i samtalet om sexuell hälsa, Sjuksköterskans känsla kring det sexuella samtalet, Sjuksköterskans antaganden om patienternas behov ochSjuksköterskans kunskapsbrist gällande den sexuella hälsan. Resultatet visar att dessa huvudteman tillsammans utgör hinder för sjuksköterskor i kommunikationen gällande sexuell hälsa inom den onkologiska omvårdnaden.  

Diskussion: Litteraturöversiktens resultat diskuteras utifrån Joyce Travelbees interaktionsteori. I diskussionen belyses sjuksköterskornas känslor av det sexuella samtalet, samt deras upplevelser kring kunskapsbristen som ett kommunikationshinder med patienter med en cancerdiagnos.  

Abstract [en]

Background: Cancer is a common disease that can have a negative impact on patients' sexual health. Sexual health is a state of balance between well-being and sexuality, which includes emotional, physical and social aspects. Patients with cancer have different needs for how the sexual health should be handled by the nurse. Some patients experience feelings of shame and, because of this, want to avoid the topic, while others wish for their sexual health to be included in the nursing care. It is the responsibility of the nurse to address issues relating to sexual health.

 Aim: The aim was to describe nurses’ experiences in communicating about sexual health with patients who have a cancer illness.

Method: The literature review was based on 10 scientific articles, of which four were qualitative, five quantitative and one mixed method. The articles were obtained from the databases PubMed and Cinahl Complete. The data analysis was carried out in accordance with Friberg's model.

Results: In the result, four main themes are presented; Lack of time, an obstacle in the conversation about sexual health, The nurse's feeling about the sexual conversation, The nurse's assumptions about the patients' needs and The nurse's lack of knowledge regarding sexual health. The result shows that these main themes together hinder nurses in the communication regarding sexual health within the oncological nursing.

Discussion: The results of the literature review are discussed based on Joyce Travelbee's interaction theory. The discussion sheds light on the nurses' feelings regarding the sexual conversation, as well as their experiences about the lack of knowledge as a communication barrier with patients with a cancer diagnosis.

Place, publisher, year, edition, pages
2019. , p. 36
Keywords [en]
Sexual health, sexuality, nurse experience, communication, cancer
Keywords [sv]
Sexuell hälsa, sexualitet, sjuksköterskors upplevelse, kommunikation, cancer
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7548OAI: oai:DiVA.org:esh-7548DiVA, id: diva2:1318819
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-05-28 Created: 2019-05-28 Last updated: 2019-05-28Bibliographically approved

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