Abstract
Amaç : Bu çalışmada, hemşirelerin cinsel sağlık bakım uygulamalarını değerlendirmede kullanılacak geçerli ve güvenilir bir ölçüm aracı oluşturma amacıyla Cinsel Sağlık Bakım Uygulamaları Değerlendirme Ölçeği (CSBU-DÖ) geliştirilmiştir.
Yöntemler : Araştırmada kesitsel ve metodololojik araştırma yöntemleri kullanılmıştır. Araştırmanın evrenini Orta Karadeniz Bölgesi'ndeki hastanelerde çalışan hemşireler, örneklemini ise gelişigüzel örneklem yöntemi ile seçilen 309 hemşireden oluşmuştur. Veriler, tanıtıcı bilgi formu ve CSBU-DÖ kullanılarak toplanmıştır. Ölçeğin geçerliğinin saptanmasında kapsam geçerliği ve faktör analizi, güvenilirliğinin saptanmasında iki yarım test güvenirliliği kullanılmış, Cronbach Alpha güvenilirlik katsayısı hesaplanmıştır.
Bulgular : Ölçeğin açıklayıcı faktör analizi sonuçlarına göre Kaiser-Meyer-Olkin test değeri 0,98, Barlett testi χ2 = 13275,67, df = 703, P <,000 olarak bulunmuştur. CSBU-DÖ “İletişimi Başlatma ve Sürdürme” ve “Cinsel Sağlık Bakım Uygulamaları” başlıklı iki alt boyut ve 30 maddeden oluşmuştur. Ölçeğin tüm alt boyutlarında Cronbach Alpha değerleri ölçek geneli için 0,98, alt gruplar için 0,96 ve 0,94 olarak bulunmuştur. McDonald's Omega Katsayısı değerleri ölçek geneli için 0,98, alt gruplar için 0,98 ve 0,94 olarak bulunmuştur. İki yarım test güvenirliliği ölçek eşdeğer iki yarıya bölündükten sonra Spearman Brown formülü ile hesaplanmış ve sonuç 0,98 olarak bulunmuştur.
Sonuç : Araştırmada CSBU-DÖ’nün hemşirelerin cinsel sağlık bakım uygulamalarını belirlemede geçerli ve güvenilir bir ölçme aracı olduğu saptanmıştır. Ölçeğin psikometrik yapısının daha kapsamlı ve farklı örneklemler üzerinde yapılacak çalışmalarla değerlendirilmesi önerilmektedir.
References
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- 5. Azar M, Kroll T, Bradbury-Jones C. How do nurses and midwives perceive their role in sexual healthcare? BMC Women’s Health. 2022;22(1):330. https://doi.org/10.1186/s12905-022-01891-y
- 6. Annerstedt CF, Glasdam S. Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses. J Clin Nurs. 2019;28(19-20):3556-3566. https://doi.org/10.1111/jocn.14949
- 7. Akcan K, Turhan İ. Cinsel Danışmanlık Modelleri. Gevher Nesibe Journal of Medical & Health Sciences. 2022;7(17):50-56. https://doi.org/10.46648/gnj.382
- 8. Temizkan E, Daşıkan Z. Kadın cinsel sağlığının PLISSIT modeli ile değerlendirilmesi. KASHED. 2021;7(2):135-148. https://dergipark.org.tr/tr/download/article-file/1893153#974779]-1893153.pdf
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- 15. Abed M, Raeisi Z, Rezaei-Jamalouei H, Ansari Shahidi M. Promoting sexual self-efficacy of men with spinal cord injury using PLISSIT model. Psychol. Sex. 2022;13(2):371-386. https://psycnet.apa.org/doi/10.1080/19419899.2020.1789893
- 16. Mashhadi ZN, Irani M, Ghorbani M, Ghanzafarpour M, Nayyeri S, Ghodrati A. The effects of counseling based on PLISSIT model on sexual dysfunction: a systematic review and meta-analysis. Res Health Med Sci. 2022;1(2):16-29. https://jrhms.thums.ac.ir/article-1-38-en.pdf
- 17. Cesnik VM, Zerbini T. Ações educacionais em sexualidade para profissionais de saúde: uma revisão de literatura. Resumos. 2014;34(1):161-172. http://dx.doi.org/10.1590/1982-02752017000100016
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- 19. Klaeson K, Hovlin L, Guvå H, Kjellsdotter A. Sexual health in primary health care–a qualitative study of nurses’ experiences. J Clin Nurs. 2017;26(11-12):1545-1554. https://doi.org/10.1111/jocn.13454
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- 28. Åling M, Lindgren A, Löfall H, Okenwa-Emegwa L. A scoping review to identify barriers and enabling factors for nurse–patient discussions on sexuality and sexual health. Nurs. Rep. 2021;11(2):253-266. https://doi.org/10.3390/nursrep11020025
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Abstract
Introduction: It is essential to use valid and reliable tools in evaluating nurses' sexual health care practices. This study aims to develop a valid and reliable Sexual Health Care Practices Evaluation Scale (SHCPES) to be used in evaluating the sexual healthcare practices of nurses.
Method: Cross-sectional and methodological research methods were used in the research. The research sample consisted of 309 nurses working in hospitals in Turkey's Central Black Sea Region. The results of quantitative and qualitative studies in the relevant literature were used to create the scale item pool. Expert opinion was taken to test the validity of the content. Content validity and factor analysis were used to determine the scale's validity, two-half test reliability was used to determine its reliability, and the Cronbach Alpha reliability coefficient was calculated.
Results: According to the exploratory factor analysis results of the scale, the Kaiser-Meyer-Olkin test value was found to be 0.98, Bartlett test χ2 = 13275.67, df = 703, p <.000. After removing items with factor loading values below 0.40 from the scale, the factor structure obtained explained 68.71% of the total variance. According to the confirmatory factor analysis results, χ2 =.000, CMIN/DF = 2.74, RMSEA = 0.07, GFI = 0.79, NFI = 0.90, TLI = 0.92, and CFI = 0.93. . CSBU-SS consists of two sub-dimensions titled "Initiating and Maintaining Communication" and "Sexual Health Care Practices" and 30 items. In all subscales of the scale, Cronbach Alpha values were found to be 0.98 for the overall scale, 0.96, and 0.94 for the subgroups. McDonald's Omega Coefficient was used to show that the scale's internal consistency was strong, and similar results were obtained. McDonald's Omega Coefficient values were 0.98 for the overall scale and 0.98–0.94 for the subgroups. Split test reliability was calculated with the Spearman-Brown formula after dividing the scale into two equivalent halves, and the result was found to be 0.98.
Conclusion: The study determined that CSBU-DS is a valid and reliable measurement tool in determining nurses' sexual health care practices. It is recommended that the psychometric structure of the scale be evaluated in more comprehensive studies on different samples.
References
- 1. World Health Organization. Defining sexual health: report of a technical consultation on sexual health. 28–31 January 2002. Accessed March 14 2025. https://www3.paho.org/hq/dmdocuments/2009/defining_sexual_health.pdf
- 2. Krouwel E, Albers L, Nicolai MPJ, et al. Discussing sexual health in the medical oncologist’s practice: exploring current practice and challenges. J Cancer Educ. 2020;35:1072-1088. https://doi.org/10.1007/s13187-019-01559-6
- 3. Cesnik VM, Zerbini T. Sexuality education for health professionals: A literature review. Estudos de Psicologia. 2017;34:161-172. https://psycnet.apa.org/doi/10.1590/1982-02752017000100016
- 4. Zangeneh S, Savabi-Esfahani M, Taleghani F, Sharbafchi MR, Salehi M. Effectiveness of online sexual education based on the extended PLISSIT model on sexual function and sexual satisfaction in women undergoing breast cancer treatment. J Educ Health Promot. 2023;(1):311. https://doi.org/10.4103/jehp.jehp_1318_22
- 5. Azar M, Kroll T, Bradbury-Jones C. How do nurses and midwives perceive their role in sexual healthcare? BMC Women’s Health. 2022;22(1):330. https://doi.org/10.1186/s12905-022-01891-y
- 6. Annerstedt CF, Glasdam S. Nurses' attitudes towards support for and communication about sexual health—A qualitative study from the perspectives of oncological nurses. J Clin Nurs. 2019;28(19-20):3556-3566. https://doi.org/10.1111/jocn.14949
- 7. Akcan K, Turhan İ. Cinsel Danışmanlık Modelleri. Gevher Nesibe Journal of Medical & Health Sciences. 2022;7(17):50-56. https://doi.org/10.46648/gnj.382
- 8. Temizkan E, Daşıkan Z. Kadın cinsel sağlığının PLISSIT modeli ile değerlendirilmesi. KASHED. 2021;7(2):135-148. https://dergipark.org.tr/tr/download/article-file/1893153#974779]-1893153.pdf
- 9. Olcer ZO, Oskay U. Effects of the better model based counseling on sexuality of women with breast cancer. Int J Sex Health. 2022;34(1):41-54. https://doi.org/10.1080/19317611.2021.1979161
- 10. Aguiar Frias AM, Soto-Fernandez I, Mota de Sousa LM, et al. Sexuality attitudes and beliefs survey (SABS): Validation of the instrument for the Spanish nursing students. Healthcare (Basel. 2021;9(3):294. https://doi.org/10.3390/healthcare9030294
- 11. Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: a primer. Front Public Health. 2018;6:149. https://doi.org/10.3389/fpubh.2018.00149
- 12. Carpenter S. Ten steps in scale development and reporting: A guide for researchers. Commun. Methods Meas. 2018;12(1):25-44. https://doi.org/10.1080/19312458.2017.1396583
- 13. Osborne JW. Best practices in exploratory factor analysis. Scotts Valley. CreateSpace Independent Publishing; 2014.
- 14. Hair JF, Ringle CM, Sarstedt M. Partial Least Squares Structural Equation Modeling: Rigorous Applications, Better Results and Higher Acceptance. Long Range Planning. 2013;46:1-2. https://doi.org/10.1016/j.lrp.2013.01.001
- 15. Abed M, Raeisi Z, Rezaei-Jamalouei H, Ansari Shahidi M. Promoting sexual self-efficacy of men with spinal cord injury using PLISSIT model. Psychol. Sex. 2022;13(2):371-386. https://psycnet.apa.org/doi/10.1080/19419899.2020.1789893
- 16. Mashhadi ZN, Irani M, Ghorbani M, Ghanzafarpour M, Nayyeri S, Ghodrati A. The effects of counseling based on PLISSIT model on sexual dysfunction: a systematic review and meta-analysis. Res Health Med Sci. 2022;1(2):16-29. https://jrhms.thums.ac.ir/article-1-38-en.pdf
- 17. Cesnik VM, Zerbini T. Ações educacionais em sexualidade para profissionais de saúde: uma revisão de literatura. Resumos. 2014;34(1):161-172. http://dx.doi.org/10.1590/1982-02752017000100016
- 18. Nakopoulou E, Papaharitou S, Hatzichristou D. Patients’ sexual health: a qualitative research approach on Greek nurses’ perceptions. J Sex Med. 2009;6(8):2124-2132. https://doi.org/10.1111/j.1743-6109.2009.01334.x
- 19. Klaeson K, Hovlin L, Guvå H, Kjellsdotter A. Sexual health in primary health care–a qualitative study of nurses’ experiences. J Clin Nurs. 2017;26(11-12):1545-1554. https://doi.org/10.1111/jocn.13454
- 20. Yusoff MSB. ABC of content validation and content validity index calculation. Education in Medicine Journal. 2019;11(2):49-54. https://doi.org/10.21315/eimj2019.11.2.6
- 21. Yaşlıoğlu MM. Sosyal bilimlerde faktör analizi ve geçerlilik: Keşfedici ve doğrulayıcı faktör analizlerinin kullanılması. İstanbul Üniversitesi İşletme Fakültesi Dergisi. 2017;46:74-85. https://doi.org/10.1111/jocn.13454
- 22. Çokluk Ö, Şekercioğlu G, Büyüköztürk Ş. Sosyal bilimler için çok değişkenli istatistik: SPSS ve LISREL uygulamaları. 2.Baskı. Pegem Akademi ; 2012.
- 23. Orçan F. Comparison of cronbach’s alpha and McDonald’s omega for ordinal data: Are they different?. International Journal of Assessment Tools in Education. 2023;10(4):709-722. https://doi.org/10.21449/ijate.1271693
- 24. Hayes AF, Coutts JJ. Use omega rather than Cronbach’s alpha for estimating reliability. But. Commun. Methods Meas. 2020;14(1):1-24. https://doi.org/10.1080/19312458.2020.1718629
- 25. Karaca E. Sosyal hizmet araştırmalarında ölçek geliştirme ve bu süreçte SPSS kullanımı. I.Baskı. Nisan Kitabevi; 2020.
- 26. Uzunsakal E, Yıldız D. Alan araştırmalarında güvenilirlik testlerinin karşılaştırılması ve tarımsal veriler üzerine bir uygulama. Uygulamalı Sosyal Bilimler Dergisi. 2018;2(1):14-28. https://dergipark.org.tr/tr/download/article-file/507218
- 27. Bdair IAA, ConsTantino RE. Barriers and promoting strategies to sexual health assessment for patients with coronary artery diseases in nursing practice: A literature review. Health. 2017;9(3):473-492. https://doi.org/10.4236/health.2017.93034
- 28. Åling M, Lindgren A, Löfall H, Okenwa-Emegwa L. A scoping review to identify barriers and enabling factors for nurse–patient discussions on sexuality and sexual health. Nurs. Rep. 2021;11(2):253-266. https://doi.org/10.3390/nursrep11020025
- 29. Karani S, McLuskey J. Facilitators and barriers for nurses in providing sexual education to myocardial-infarction patients: A qualitative systematic review. Intensive Crit Care Nurs. 2020;58:102802. https://doi.org/10.1016/j.iccn.2020.102802
- 30. Gölbaşı Z, Evcili F. Hasta cinselliğinin değerlendirilmesi ve hemşirelik: engeller ve öneriler. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi (Online). 2013;16(3):182-189. https://dergipark.org.tr/tr/download/article-file/29639
- 31. Ozolins U, Hale S, Cheng X, Hyatt A, Schofield P. Translation and back-translation methodology in health research–a critique. Expert Rev Pharmacoecon Outcomes Res. 2020;20(1):69-77. https://doi.org/10.1080/14737167.2020.1734453
- 32. Polit DF, Beck CT. Generalization in quantitative and qualitative research: Myths and strategies. Int J Nurs Stud. 2010;47(11):1451-1458. https://doi.org/10.1016/j.ijnurstu.2010.06.004
- 33. Tavşancıl E. Tutumların ölçülmesi ve SPSS ile veri analizi. 6. Baskı. Nobel Akademik Yayıncılık; 2010.
- 34. Goretzko D, Pham TTH, Bühner M. Exploratory factor analysis: Current use, methodological developments and recommendations for good practice. Curr Psychol. 2021;40:3510–3521. https://doi.org/10.1007/s12144-019-00300-2
- 35. Piedmont RL. Inter-Item Correlations. In: Michalos, A.C., Ed., Encyclopedia of Quality of Life and Well-Being Research, Springer; 2014. https://doi.org/10.1007/978-94-007-0753-5_1493
Details
| Primary Language | English |
|---|---|
| Subjects | Obstetrics and Gynocology Nursing |
| Journal Section | Research Articles |
| Authors | |
| Early Pub Date | May 28, 2025 |
| Publication Date | June 17, 2025 |
| Submission Date | March 18, 2024 |
| Acceptance Date | February 6, 2025 |
| Published in Issue | Year 2025 Volume: 28 Issue: 2 |
