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  4. Sexuality Support After Spinal Cord Injury: What is Provided in Australian Practice Settings?

Sexuality Support After Spinal Cord Injury: What is Provided in Australian Practice Settings?

Sexuality and Disability, 2022 · DOI: https://doi.org/10.1007/s11195-022-09756-w · Published: August 6, 2022

Spinal Cord InjuryUrologyHealthcare

Simple Explanation

This study aimed to understand the sexuality support that Australian health professionals provide to individuals with spinal cord injuries (SCI). It also explored their perspectives on improvements needed to better address the sexuality needs of this population. The study found that while most health professionals had provided some form of sexuality support, it was rarely a routine part of their practice. Many felt that sexuality was not adequately addressed in their workplaces. The study identified several barriers to providing sexuality support, including stigma and a lack of training for health professionals. It suggests that increased training, a team-based approach, early initiation of conversations about sexuality, and the inclusion of significant others could improve support.

Study Duration
March 2020 to January 2021
Participants
39 health professionals
Evidence Level
Cross-sectional survey

Key Findings

  • 1
    85% of participants had provided sexuality support, but this was rarely routine.
  • 2
    32% of participants felt sexuality was addressed ‘not well at all’ in their workplace.
  • 3
    Commonly suggested strategies to improve practice included increasing sexuality training, utilizing a team approach, initiating the conversation of sexuality early, and consensual inclusion of significant others in sexuality support.

Research Summary

The study investigated sexuality support provided by Australian health professionals to people with SCI, revealing it's not routinely provided and that the most frequently reported sexuality was only addressed ‘slightly well’ and ‘not well at all.’ The research highlights the need for increased training for health professionals, a multidisciplinary approach, and initiating conversations about sexuality early in the continuum of care. Stigma and a lack of education amongst HCP on sexuality after SCI are major barriers to providing adequate support. Addressing these issues could improve the quality of care for individuals with SCI.

Practical Implications

Improved Training

Implement comprehensive sexuality training programs for healthcare professionals working with individuals with SCI to increase their comfort, knowledge, and skills in addressing sexuality-related issues.

Team-Based Approach

Foster a multidisciplinary team approach to sexuality support, involving doctors, nurses, therapists, and peer support workers, to provide holistic and comprehensive care.

Early Intervention

Incorporate sexuality discussions as a routine part of care, initiating conversations early in the rehabilitation process and at multiple points across the continuum of care.

Study Limitations

  • 1
    Small sample size with limited representation from each discipline.
  • 2
    Convenience sampling methods were used.
  • 3
    Results may not be transferable across countries/populations.

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