Abstract
Objectives: To explore healthcare professional perceived barriers and facilitators to discussing sexual health and wellbeing with patients after diagnosis of chronic illness. Methods: Five databases were searched and included data were synthesised using a meta-ethnographic approach. Confidence in findings was assessed using the GRADE-CERQual framework. Searches, extraction and quality assessment procedures were conducted independently by at least two authors. Results: Concepts extracted from 30 included studies were used to develop a conceptual framework based on five overarching themes. These were [1] individual and societal attitudes to sex and sexual wellbeing [2], patient specific factors [3], organizational and professional factors [4], strategies to overcome barriers in practice and [5] perceived training needs. Healthcare professionals acknowledged the importance of discussing and providing support for sexual wellbeing needs, but recognized it is not routinely provided. Conclusions: While patient specific factors and organizational issues such as lack of time were frequently identified as barriers, intra-personal and social perceptions appear to have the strongest influence on healthcare professional perspectives. Practice implications: Brief education and tools to support healthcare professionals to have effective conversations with patients are required. These should address social barriers, normalise sexual issues, and support healthcare professionals to initiate discussions around sexual concerns.
| Language | English |
|---|---|
| Article number | 5 |
| Pages | 850-863 |
| Number of pages | 14 |
| Journal | Patient Education and Counseling |
| Volume | 102 |
| Issue number | 5 |
| Early online date | 13 Dec 2018 |
| DOIs | |
| Publication status | Published - 1 May 2019 |
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Keywords
- Communication
- Sexual wellbeing
- Quality of life
- Chronic illness
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Healthcare professional perceived barriers and facilitators to discussing sexual wellbeing with patients after diagnosis of chronic illness: A mixed-methods evidence synthesis. / O'Connor, Sean; Connaghan, John; Maguire , Roma; Kotronoulas, Grigorios; Flannagan, Carrie; Jain , Suniel; Brady, Nuala; McCaughan, Eilis.
In: Patient Education and Counseling, Vol. 102, No. 5, 5, 01.05.2019, p. 850-863.Research output: Contribution to journal › Review article
TY - JOUR
T1 - Healthcare professional perceived barriers and facilitators to discussing sexual wellbeing with patients after diagnosis of chronic illness: A mixed-methods evidence synthesis
AU - O'Connor, Sean
AU - Connaghan, John
AU - Maguire , Roma
AU - Kotronoulas, Grigorios
AU - Flannagan, Carrie
AU - Jain , Suniel
AU - Brady, Nuala
AU - McCaughan, Eilis
N1 - Checked with Univ of Glasgow; not compliant as only deposited to Enlighten on 17-7-19.
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Objectives: To explore healthcare professional perceived barriers and facilitators to discussing sexual health and wellbeing with patients after diagnosis of chronic illness. Methods: Five databases were searched and included data were synthesised using a meta-ethnographic approach. Confidence in findings was assessed using the GRADE-CERQual framework. Searches, extraction and quality assessment procedures were conducted independently by at least two authors. Results: Concepts extracted from 30 included studies were used to develop a conceptual framework based on five overarching themes. These were [1] individual and societal attitudes to sex and sexual wellbeing [2], patient specific factors [3], organizational and professional factors [4], strategies to overcome barriers in practice and [5] perceived training needs. Healthcare professionals acknowledged the importance of discussing and providing support for sexual wellbeing needs, but recognized it is not routinely provided. Conclusions: While patient specific factors and organizational issues such as lack of time were frequently identified as barriers, intra-personal and social perceptions appear to have the strongest influence on healthcare professional perspectives. Practice implications: Brief education and tools to support healthcare professionals to have effective conversations with patients are required. These should address social barriers, normalise sexual issues, and support healthcare professionals to initiate discussions around sexual concerns.
AB - Objectives: To explore healthcare professional perceived barriers and facilitators to discussing sexual health and wellbeing with patients after diagnosis of chronic illness. Methods: Five databases were searched and included data were synthesised using a meta-ethnographic approach. Confidence in findings was assessed using the GRADE-CERQual framework. Searches, extraction and quality assessment procedures were conducted independently by at least two authors. Results: Concepts extracted from 30 included studies were used to develop a conceptual framework based on five overarching themes. These were [1] individual and societal attitudes to sex and sexual wellbeing [2], patient specific factors [3], organizational and professional factors [4], strategies to overcome barriers in practice and [5] perceived training needs. Healthcare professionals acknowledged the importance of discussing and providing support for sexual wellbeing needs, but recognized it is not routinely provided. Conclusions: While patient specific factors and organizational issues such as lack of time were frequently identified as barriers, intra-personal and social perceptions appear to have the strongest influence on healthcare professional perspectives. Practice implications: Brief education and tools to support healthcare professionals to have effective conversations with patients are required. These should address social barriers, normalise sexual issues, and support healthcare professionals to initiate discussions around sexual concerns.
KW - Communication
KW - Sexual wellbeing
KW - Quality of life
KW - Chronic illness
UR - http://www.scopus.com/inward/record.url?scp=85058940713&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2018.12.015
DO - 10.1016/j.pec.2018.12.015
M3 - Review article
VL - 102
SP - 850
EP - 863
JO - Patient Education and Counseling
T2 - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 5
M1 - 5
ER -