Determination of Nursing Students' Levels of Knowledge in Sexual Health/Reproductive Health during Emergency Status and Influencing Factors

Yıl 2024, Cilt: 7 Sayı: 2, 154 - 165, 31.08.2024

Ebru Cirban Ekrem , Burcu Küçükkaya

https://doi.org/10.54803/sauhsd.1472070

Öz

Objective: The aim is to determine nursing students' sexual/reproductive health knowledge levels and affecting factors in extraordinary situations.
Methods: This cross-sectional study was carried out with 356 nursing students between November-December 2023 at Bartın University of Health Sciences, Department of Nursing. Data were collected through a survey including the Introductory Information Form and the Sexual and Reproductive Health Knowledge Scale in Emergencies (SRHKSE).
Results: The mean age of nursing students was 20.53±2.57. The average score on the SRHKSE was 84.90±7.91. The sub-dimensions of the SRHKSE revealed the following average scores: women's health empowerment 46.17±4.72, material supply for implementing the minimum initial service package in emergencies 17.79±2.42, basic knowledge of the minimum initial service package in emergencies 10.07±1.27, and strategy and education for the minimum initial service package in emergencies 10.87±1.72. Nursing students who were female, in their 3rd year, had income exceeding expenses, had mothers with primary/secondary education, and had knowledge in reproductive and sexual health showed significantly higher SRHKSE scores (p<.001).
Conclusion: In our study, nursing students exhibited high levels of knowledge in sexual and reproductive health during emergency status. The levels of knowledge in sexual and reproductive health during emergency status were found to be affected by gender, academic year, income level, maternal education, and awareness of reproductive and sexual health. It is recommended to conduct different research on the subject and develop the literature.

Anahtar Kelimeler

Nursing, Student, Emergency Status, Sexual/Reproductive Health, Knowledge

Etik Beyan

Ethical approval was obtained from the Bartın University Social and Human Sciences Ethics Committee to conduct the research (Protocol Number: 2023-SBB-0666, Meeting Date: 16.11.2023). Institutional permission was received from the institution where the research was conducted. Informed consent was obtained from all participants included in this study. Throughout the research process, adherence to the principles of the Helsinki Declaration and Publication Ethics was maintained.

Destekleyen Kurum

None.

Proje Numarası

This study was not carried out within the scope of the project.

Teşekkür

We thank all participants who participated in the study. This research was presented as an oral presentation at the International Çeşm-i Cihan Health Congress in a changing world held between 15-16 December 2023.

Hemşirelik Öğrencilerinin Olağanüstü Durumlarda Cinsel Sağlık/Üreme Sağlığı Bilgi Düzeylerinin ve Etkileyen Faktörlerin Belirlenmesi

Öz

Amaç: Bu çalışma, hemşirelik öğrencilerinin olağanüstü durumlarda cinsel sağlık/üreme sağlığı bilgi düzeylerinin ve etkileyen faktörlerin belirlenmesi amacıyla yapılmıştır.
Yöntem: Kesitsel tipteki bu çalışma Bartın Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Bölümü'nde Kasım-Aralık 2023 tarihleri arasında 356 hemşirelik öğrencisi ile gerçekleştirilmiştir. Veriler Tanıtıcı Bilgi Formu ve Olağanüstü Durumlarda Cinsel Sağlık ve Üreme Sağlığı Bilgi Ölçeği'ni (ODCSÜSBÖ) içeren anket aracılığıyla toplanmıştır.
Bulgular: Hemşirelik öğrencilerinin yaş ortalamasının 20,53±2,57 idi. Hemşirelik öğrencilerinin ODCSÜSBÖ puan ortalaması 84,90±7,91, ODCSÜSBÖ’nün alt boyutları olan kadın sağlığının güçlendirilmesi puan ortalaması 46,17±4,72, olağanüstü durumlarda asgari başlangıç hizmet paketini uygulamak için malzeme tedariği puan ortalaması 17,79±2,42, olağanüstü durumlarda asgari başlangıç hizmet paketi temel bilgisi puan ortalaması 10,07±1,27 ve olağanüstü durumlarda asgari başlangıç hizmet paketi strateji ve eğitimi puan ortalaması 10,87±1,72 olduğu belirlenmiştir. Kadın, 3. sınıf, geliri giderinden fazla, anne eğitimi ilkokul/ortaokul olan ve üreme/cinsel sağlık konusunda bilgi sahibi olan hemşirelik öğrencilerinin ODCSÜSBÖ puan ortalamasının yüksek ve farkın istatistiksel olarak anlamlı olduğu bulunmuştur (p <,001). Öğrencilerin ODCSÜSBÖ toplam ve alt boyutlarından aldıkları puanlar arasında istatistiksel olarak anlamlı pozitif bir ilişki vardı (p< ,001).
Sonuç: Araştırmamızda, hemşirelik öğrencilerinin olağanüstü durumlarda cinsel sağlık/üreme sağlığı bilgi düzeylerinin yüksek olduğu görüldü. Olağanüstü durumlarda cinsel sağlık/üreme sağlığı bilgi düzeylerinin cinsiyet, sınıf, gelir düzeyi, anne eğitim durumu ve üreme/cinsel sağlık konusunda bilgi sahibi olma durumundan etkilendiği belirlendi. Konu ile ilgili farklı araştırmaların yapılması ve literatürün geliştirilmesi önerilmektedir.

Anahtar Kelimeler

Hemşirelik, öğrenci, olağanüstü durum, cinsel sağlık/üreme sağlığı, bilgi

Etik Beyan

Ethical approval was obtained from the Bartın University Social and Human Sciences Ethics Committee to conduct the research (Protocol Number: 2023-SBB-0666, Meeting Date: 16.11.2023). Institutional permission was received from the institution where the research was conducted. Informed consent was obtained from all participants included in this study. Throughout the research process, adherence to the principles of the Helsinki Declaration and Publication Ethics was maintained.

Destekleyen Kurum

None.

Proje Numarası

This study was not carried out within the scope of the project.

Teşekkür

We thank all participants who participated in the study. This research was presented as an oral presentation at the International Çeşm-i Cihan Health Congress in a changing world held between 15-16 December 2023.

Kaynakça

• Koç Akgül S. Olağanüstü durumlar, iletişim ve habercilik yaklaşımları. TRT Akademi. 2017;2(3):6-47.
• Askew I, Khosla R, Daniels U, Krause S, Lofthouse C, Say L, et al. Sexual and reproductive health and rights in emergencies. Bull. World Health Organ. 2016;94(5):311. https://doi.org/10.2471/BLT.16.173567
• Canbulat Ş. Doğal afetler ve olağanüstü durumlarda görülen salgın hastalıklar. Tarsus Üniversitesi Uygulamalı Bilimler Fakültesi Dergisi. 2023;3(1):47-64.
• Singh NS, Smith J, Aryasinghe S, Khosla R, Say L, Blanchet K. Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review. PLoS ONE 2018;3(7):1–19. https://doi.org/10.1371/journal.pone.0199300
• Krause SK, Chynoweth SK, Tanabe M. Sea-change in reproductive health in emergencies: How systemic improvements to address the MISP were achieved. SRHM. 2017;25(51):7–17. https://doi.org/10.1080/09688080.2017.1401894
• Stephens JH, Lassa JA. Sexual and reproductive health during disasters: A scoping review of the evidence. IJDRR. 2020;50:101733.
• Inter Agency Working Group. Chapter 3: Minimum initial service package (MISP), 2018. https://iawgfieldmanual.com/manual/misp#introduction Accessed Date: 5 December 2023.
• Beek K, Drysdale R, Kusen M, Dawson A. Preparing for and responding to sexual and reproductive health in disaster settings: evidence from Fiji and Tonga. Reprod Health. 2021;18(1):1–13. https://doi.org/10.1186/s12978-021-01236-2
• Roxo U, Linda Mobula M, Walker D, Fincht A, Yeiser S. Prioritizing the sexual and reproductive health and rights of adolescent girls and young women within HIV treatment and care services in emergency settings: A girl-centered agenda. Reprod Health. 2019;16(Suppl 1): https://doi.org/10.1186/s12978-019-0710-0
• Singh NS, Smith J, Aryasinghe S, Khosla R, Say L, Blanchet K. Evaluating the effectiveness of sexual and reproductive health services during humanitarian crises: A systematic review. PLoS ONE. 2018;13(7):e0199300. https://doi.org/10.1371/journal.pone.0199300
• Cirban Ekrem E. Afetlerde cinsel sağlık/üreme sağlığı ve hemşirelik yaklaşımı. İçinde: Gülcan D, editör. Sağlık & Bilim: Hemşirelik. İstanbul: Efe Akademi Yayınları; 2021. p. 115-124.
• Cirban Ekrem E, Kurt A. Developing the sexual and reproductive health knowledge scale in emergencies. EJOG. 2023;289:177-182. https://doi.org/10.1016/j.ejogrb.2023.08.392
• Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Ann Intern Med. 2011;155(2):97–107, https://doi.org/10.7326/0003-4819-155-2-201107190-00005
• Champion JD, Harlin B, Collins JL. Sexual risk behavior and STI health literacy among ethnic minority adolescent women. Appl Nurs Res. 2013;26:204–209. http://dx.doi.org/10.1016/j.apnr.2013.06.003. pmid:23867137
• Hailegebreal S, Gilano G, Seboka BT., Sidelil H, Awol SM, Haile Y, et al. Prevalence and associated factors of early sexual initiation among female youth in East Africa: Further analysis of recent demographic and health survey. BMC Women's Health. 2022;22(1):1-9.
• Vongxay V, Albers F, Thongmixay S, Thongsombath M, Broerse JEW, Sychareun V, et al. Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS ONE. 2019;14(1):e0209675.
• Rajabi E, Khankeh H, Ranjbar M, Mousavi M, Norouzi M, Farokhi M. Evaluation of women’s reproductive health status after the 2017 earthquake in Kermanshah, Iran. Health in Emergencies and Disasters Quarterly. 2022;7(4):183-192. http://dx.doi.org/10.32598/hdq.7.4.271.2
• Seid K, Kebede T, Dessalegn N, Ejara Y, Moga F, Daniel M, et al. Nursing students’ attitudes and beliefs regarding sexual healthcare in Ethiopia: An online cross-sectional study. PLoS ONE. 2022;17(12):e0278760. https://doi.org/10.1371/journal.pone.0278760
• Senturk Erenel A, Cicek Ozdemir S. Attitude and behaviors of senior nursing students in assessment of sexual health. Sex Disabil. 2020;38:503–514. https://doi.org/10.1007/s11195-020-09642-3
• Koçoğlu F, Kocaöz S, Kara P. Hemşirelik öğrencilerinin üreme sağlığı tutumlarının belirlenmesi. Ordu Univercity J Nurs Stud. 2022;5(3):355-364. https://doi.org/10.38108/ouhcd.932843
• Karakurt P, Köse Tuncer S. Üniversite öğrencilerinin cinsel sağlığa yönelik tutumlarının belirlenmesi: Hemşirelik öğrencileri örneği. Gevher Nesibe Journal of Medical & Health Sciences. 2022;7(20):131-139. http://dx.doi.org/10.5281/zenodo.713359
• Dişsiz M, Akkurt Yalçıntürk A, Sümer G, Tavşan C, Dede S, Durmuş Ş, et al. Hemşirelik öğrencilerinin cinsel sağlık konusundaki bilgi düzeyleri ve görüşleri. Zeynep Kâmil Med J. 2020;51(2):78-83. https://doi.org/10.16948/zktipb.691007
• Üstgörül S, Önür H, Tekin Önür H. Üniversite öğrencilerinin toplumsal cinsiyet algıları ile cinsel tutumlarının incelenmesi. Al Farabi-Injosos. 2020;5(3):77-87.
• Omar NA, Nazri MA, Ali MH, Alam SS. The panic buying behavior of consumers during the COVID-19 pandemic: Examining the influences of uncertainty, perceptions of severity, perceptions of scarcity, and anxiety. J Retail Consum Serv. 2021;62:102600. https://doi.org/10.1016/j.jretconser.2021.102600
• Cirban Ekrem E, Kuş T, Erkmen E, Dursun N. The investigation of the impact of education on sexual health/reproductive health knowledge levels of nurses and midwives in extraordinary situations ‒ Evidence from Turkey. Eur J Clin Exp Med. 2023;21(4):802-811. https://doi.org/10.15584/ejcem.2023.4.22
• Evcili F, Golbasi Z. Sexual myths and sexual health knowledge levels of Turkish university students. Sex Cult. 2017;21:976–990. https://doi.org/10.1007/s12119-017-9436-8