Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

Hee Jung Wang; Hyun-Kyoung Kim; Hye Yeong Yoo

doi:10.7475/KJAN.2013.25.5.585

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Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

Hee Jung Wang¹, Hyun-Kyoung Kim², Hye Yeong Yoo³

Korean Journal of Adult Nursing 2013;25(5):585-595.
Published online: October 18, 2013

DOI: https://doi.org/10.7475/KJAN.2013.25.5.585

¹Cheil General Hospital & Women's Healthcare center, Seoul

²Department of Nursing, Doowon Technical University College, Anseong

³Lactation Team, Incheon Seoul Women's Hospital, Incheon, Korea

Corresponding author: Kim, Hyun-Kyoung Department of Nursing, Doowon Technical University College, 678 Jooksan-myeon, Anseong 456-718, Korea. Tel: +82-31-8056-7314, Fax: +82-31-8056-7269, E-mail: leomommy@hanmail.net

• Received: July 8, 2013 • Accepted: October 23, 2013

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
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Abstract

Purpose
This study aimed to identify if participating in a sexual education program, influences knowledge, and healthcare attitude among attitudes of nurse clinicians in Korea.
Methods
A cross-sectional study was conducted with 210 Korean nurse clinicians. Data were collected through self-reported questionnaires from July to August, 2011 from five hospitals in S and I cities. Data were analyzed using t-test, Pearson correlations, and multiple linear regression with SPSS/WIN 21.0.
Results
This study reported that the majority of nurse clinicians had attended sexual programs about sexual harassment, reproductive system and function. There were significant correlations between experience of attending sexual education(r=.32, p=.003) and sexual knowledge(r=.14, p=.047) with sexual healthcare attitude. Sexual education on the job(β=.13, p=.004), supplementary sexual education(β=.17, p=.009), sexual knowledge(β=.16, p=.048), and obstetrics and gynecology department carrier(β=.29, p<.001) explained 14.0% of sexual healthcare attitude.
Conclusion
This study's results demonstrate that advanced and continuous sexual health program is necessary for nurse clinicians. Proper sexual knowledge and positive attitude may promote nursing intervention and counseling concerning patients’ sexual problems.
Key Words: Attitude; Education; Knowledge; Nurse clinicians; Sex

Table 1.

Sexual Healthcare Attitude based on General and Sexual Characteristics (N=210)

Characteristics	Categories	n (%)	Sexual healthcare attitude
Characteristics	Categories	n (%)	M±SD	t or F	p
Age (year)	＜30^a	108 (51.4)	49.56 (4.82)	0.17	.431
	30~39^b	72 (34.3)	50.21 (5.13)
	≥40^c	30 (14.3)	49.65 (7.28)
Marital status	Unmarried	111 (52.9)	49.66 (4.68)	-0.83	.405
Marital status	Married	99 (47.1)	50.27 (5.85)	-0.83	.405
Education level	Baccalaureate	190 (90.5)	49.52 (5.15)	-3.28	.003
Education level	≥Master	20 (9.5)	52.95 (4.98)	-3.28	.003
Economic status	Insufficient	95 (45.2)	48.88 (6.45)	0.76	.450
Economic status	≥Moderate	115 (54.8)	49.70 (4.63)	0.76	.450
Occupational position	Staff nurse	129 (61.4)	49.86 (5.00)	-0.06	.995
Occupational position	≥Charge nurse	81 (38.6)	49.93 (5.63)	-0.06	.995
Type of hospital	General hospital	127 (60.5)	50.07 (5.47)	0.18	.858
Type of hospital	Advanced general hospital	83 (39.5)	49.76 (4.95)	0.18	.858
Working field	OBGY, DR, URO^a	94 (44.8)	51.15 (4.84)	3.27	.004 (a＞b, c, d, e)
	PED, NR, NICU^b	42 (20.0)	47.88 (3.91)
	MED^c	27 (12.9)	49.00 (5.46)
	OR, ER^d	27 (12.9)	49.73 (7.24)
	GS, ICU^e	20 (9.4)	47.50 (3.53)
Job experience (year)	＜6	106 (50.5)	49.53 (5.30)	0.17	.840
Job experience (year)	≥7	104 (49.5)	49.93 (4.84)	0.17	.840
Job experience of OBGY	Yes	112 (53.3)	51.79 (4.94)	5.74	＜.001
Job experience of OBGY	No	98 (46.7)	47.81 (4.95)	5.74	＜.001
Experience of coitus	Yes^a	123 (58.6)	50.50 (5.56)	-1.72	.068
	No^b	80 (38.1)	49.16 (4.97)
	No response^c	7 (3.3)	49.59 (5.23)
Family attitude to sex	Permissive	53 (25.3)	50.70 (5.08)	0.93	.427
Family attitude to sex	Not permissive	157 (74.7)	49.63 (5.33)	0.93	.427
Experience of attending sexual education	Yes	195 (92.9)	53.20 (5.17)	-2.50	.013
Experience of attending sexual education	No	15 (7.1)	49.20 (6.15)	-2.50	.013

OBGY=obstetric and gynecology; DR=delivery room; URO=urology; PED=pediatric; NR=nursery room; NICU=neonatal intensive care unit; MED=medicine; OR=operating room; ER=emergency room; GS=general surgery; ICU=intensive care unit.

Table 2.

Sexual Education Contents in Attendees (N=195)

Variables	Categories	n (%)
Sexual harrassment	Yes	145 (74.4)
	No	50 (25.6)
Reproductive system and function	Yes	136 (69.7)
	No	59 (30.3)
Pregnancy and birth	Yes	108 (55.4)
	No	87 (44.6)
Contraception	Yes	118 (60.5)
	No	77 (39.5)
Gender identity	Yes	9 (4.6)
	No	186 (95.4)
Sexual life	Yes	6 (3.1)
	No	189 (96.9)
Sexual counselling	Yes	3 (1.5)
	No	192 (98.5)

Table 3.

Score of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Variables	Subcategories	M±SD	Range	Agreement rate n (%)
Number of sexual education	School education^a	3.24±2.93	0~20
	Job training^b	2.58±3.58	0~19
	Continuing education^c	0.27±2.15	0~10
	Total score^(a+b+c)	5.64±4.86	0~32
Sexual knowledge	Total score	11.00±2.08	1~15
Sexual healthcare attitude	Perception of nurses' role and responsibility^a	14.64±1.80	8~20	146 (68.1)~193 (93.3)
	Perception of clients' and colleagues' responses^b	16.14±2.19	11~22	116 (55.2)~195 (92.9)
	Perception of available exemplars^c	3.83±0.46	2~4	131 (62.4)~146 (69.5)
	Perception of self-confidence^d	13.81±2.55	7~24	59 (28.1)~114 (45.7)
	Total score^(a+b+c+d)	49.94±5.32	33~68

Table 4.

Correlations between Number of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Variables	Experience of attending sexual education	Sexual knowledge
Variables	r (p)	r (p)
Sexual healthcare attitude	.32 (.003)	.14 (.047)

Table 5.

Impact Factors on Sexual Healthcare Attitude (N=210)

Variables	R²	Adjusted R²	B	β	t	p
(Constant)	.15	.14	48.28		24.95	＜.001
Job experience of OBGY^†			0.03	.29	4.39	＜.001
Sexual knowledge			0.32	.16	1.99	.048
Job training			0.19	.13	1.90	.004
Continuing education			0.75	.17	2.55	.009

OBGY=obstetric and gynecology.

^†Dummy coded: 0=no experience of OBGY.

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Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

Korean J Adult Nurs. 2013;25(5):585-595. Published online October 31, 2013

DOI: https://doi.org/10.7475/kjan.2013.25.5.585

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Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

Korean J Adult Nurs. 2013;25(5):585-595. Published online October 31, 2013

DOI: https://doi.org/10.7475/kjan.2013.25.5.585

Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

Table 1.

Sexual Healthcare Attitude based on General and Sexual Characteristics (N=210)

Characteristics	Categories	n (%)	Sexual healthcare attitude
Characteristics	Categories	n (%)	M±SD	t or F	p
Age (year)	＜30^a	108 (51.4)	49.56 (4.82)	0.17	.431
	30~39^b	72 (34.3)	50.21 (5.13)
	≥40^c	30 (14.3)	49.65 (7.28)
Marital status	Unmarried	111 (52.9)	49.66 (4.68)	-0.83	.405
Marital status	Married	99 (47.1)	50.27 (5.85)	-0.83	.405
Education level	Baccalaureate	190 (90.5)	49.52 (5.15)	-3.28	.003
Education level	≥Master	20 (9.5)	52.95 (4.98)	-3.28	.003
Economic status	Insufficient	95 (45.2)	48.88 (6.45)	0.76	.450
Economic status	≥Moderate	115 (54.8)	49.70 (4.63)	0.76	.450
Occupational position	Staff nurse	129 (61.4)	49.86 (5.00)	-0.06	.995
Occupational position	≥Charge nurse	81 (38.6)	49.93 (5.63)	-0.06	.995
Type of hospital	General hospital	127 (60.5)	50.07 (5.47)	0.18	.858
Type of hospital	Advanced general hospital	83 (39.5)	49.76 (4.95)	0.18	.858
Working field	OBGY, DR, URO^a	94 (44.8)	51.15 (4.84)	3.27	.004 (a＞b, c, d, e)
	PED, NR, NICU^b	42 (20.0)	47.88 (3.91)
	MED^c	27 (12.9)	49.00 (5.46)
	OR, ER^d	27 (12.9)	49.73 (7.24)
	GS, ICU^e	20 (9.4)	47.50 (3.53)
Job experience (year)	＜6	106 (50.5)	49.53 (5.30)	0.17	.840
Job experience (year)	≥7	104 (49.5)	49.93 (4.84)	0.17	.840
Job experience of OBGY	Yes	112 (53.3)	51.79 (4.94)	5.74	＜.001
Job experience of OBGY	No	98 (46.7)	47.81 (4.95)	5.74	＜.001
Experience of coitus	Yes^a	123 (58.6)	50.50 (5.56)	-1.72	.068
	No^b	80 (38.1)	49.16 (4.97)
	No response^c	7 (3.3)	49.59 (5.23)
Family attitude to sex	Permissive	53 (25.3)	50.70 (5.08)	0.93	.427
Family attitude to sex	Not permissive	157 (74.7)	49.63 (5.33)	0.93	.427
Experience of attending sexual education	Yes	195 (92.9)	53.20 (5.17)	-2.50	.013
Experience of attending sexual education	No	15 (7.1)	49.20 (6.15)	-2.50	.013

Table 2.

Sexual Education Contents in Attendees (N=195)

Variables	Categories	n (%)
Sexual harrassment	Yes	145 (74.4)
	No	50 (25.6)
Reproductive system and function	Yes	136 (69.7)
	No	59 (30.3)
Pregnancy and birth	Yes	108 (55.4)
	No	87 (44.6)
Contraception	Yes	118 (60.5)
	No	77 (39.5)
Gender identity	Yes	9 (4.6)
	No	186 (95.4)
Sexual life	Yes	6 (3.1)
	No	189 (96.9)
Sexual counselling	Yes	3 (1.5)
	No	192 (98.5)

Table 3.

Score of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Variables	Subcategories	M±SD	Range	Agreement rate n (%)
Number of sexual education	School education^a	3.24±2.93	0~20
	Job training^b	2.58±3.58	0~19
	Continuing education^c	0.27±2.15	0~10
	Total score^(a+b+c)	5.64±4.86	0~32
Sexual knowledge	Total score	11.00±2.08	1~15
Sexual healthcare attitude	Perception of nurses' role and responsibility^a	14.64±1.80	8~20	146 (68.1)~193 (93.3)
	Perception of clients' and colleagues' responses^b	16.14±2.19	11~22	116 (55.2)~195 (92.9)
	Perception of available exemplars^c	3.83±0.46	2~4	131 (62.4)~146 (69.5)
	Perception of self-confidence^d	13.81±2.55	7~24	59 (28.1)~114 (45.7)
	Total score^(a+b+c+d)	49.94±5.32	33~68

Table 4.

Correlations between Number of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Variables	Experience of attending sexual education	Sexual knowledge
Variables	r (p)	r (p)
Sexual healthcare attitude	.32 (.003)	.14 (.047)

Table 5.

Impact Factors on Sexual Healthcare Attitude (N=210)

Variables	R²	Adjusted R²	B	β	t	p
(Constant)	.15	.14	48.28		24.95	＜.001
Job experience of OBGY^†			0.03	.29	4.39	＜.001
Sexual knowledge			0.32	.16	1.99	.048
Job training			0.19	.13	1.90	.004
Continuing education			0.75	.17	2.55	.009

OBGY=obstetric and gynecology.

^†Dummy coded: 0=no experience of OBGY.

Table 1. Sexual Healthcare Attitude based on General and Sexual Characteristics (N=210)

Table 2. Sexual Education Contents in Attendees (N=195)

Table 3. Score of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Table 4. Correlations between Number of Experience of Attending Sexual Education, Knowledge and Healthcare Attitude (N=210)

Table 5. Impact Factors on Sexual Healthcare Attitude (N=210)

OBGY=obstetric and gynecology.

†

Dummy coded: 0=no experience of OBGY.

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