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Original Research

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

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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

© 2013 Korean Society of Adult Nursing

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

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 educationa 3.24±2.93 0~20  
Job trainingb 2.58±3.58 0~19
Continuing educationc 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 responsibilitya 14.64±1.80 8~20 146 (68.1)~193 (93.3)
Perception of clients' and colleagues' responsesb 16.14±2.19 11~22 116 (55.2)~195 (92.9)
Perception of available exemplarsc 3.83±0.46 2~4 131 (62.4)~146 (69.5)
Perception of self-confidenced 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
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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    DOI: https://doi.org/10.7475/kjan.2013.25.5.585
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    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
    Experience of Attending Sexual Health Education, Knowledge and Healthcare Attitude of Nurse Clinicians

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

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

    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.

    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)

    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 educationa 3.24±2.93 0~20  
    Job trainingb 2.58±3.58 0~19
    Continuing educationc 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 responsibilitya 14.64±1.80 8~20 146 (68.1)~193 (93.3)
    Perception of clients' and colleagues' responsesb 16.14±2.19 11~22 116 (55.2)~195 (92.9)
    Perception of available exemplarsc 3.83±0.46 2~4 131 (62.4)~146 (69.5)
    Perception of self-confidenced 13.81±2.55 7~24 59 (28.1)~114 (45.7)
    Total score(a+b+c+d) 49.94±5.32 33~68

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

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

    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)

    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)

    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.

    Table 1.

    Table 2.

    Table 3.

    Table 4.

    Table 5.

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