[[alternative]]Exploring the clinical competence of sexual health nursing

[[abstract]]性健康照護為世界衛生組織((WHO) 持續重視之健康議題，醫護人員具有協助人類提升及維持性健康與生育之專業責任。本研究目的在探討護理人員執行性健康照護實務能力範圍與能力必備要項，並分析性健康照護能力必備要項於臨床成年病患照護情境中之重要性與常見性。本研究採用修正型德懷術研究法，採用戎瑾如等人所發展之性健康照護實務能力範圍與能力必備要項，為進行德懷專家意見調查之第一回合問卷，並邀請12位曾執行性健康照護實務工作及實證研究之學業界護理專家，進行兩回合問卷調查。兩回合問卷回收率均達100%，經過分析後共確認9類性健康照護實務能力範圍及78項能力必備要項。專家對於9類性健康照護實務能力範圍之定義與名稱之贊同度達100%。經交叉分析發現性健康照護實務能力必備要項中具高度重要性及常見性的有20項；具高度重要性與中度常見性的有49項；具高度重要性而低度常見性的有3項；具中度重要性和中度常見性的有3項；具中度重要性而低度常見性的有3項。整體而言，性健康照護實務能力必備要項中有88.6%(69項)的項目是高度重要，但另有7.6%(6項)的項目於臨床中是低度常見。本研究提供性健康照護實務能力之架構，此結果可為護理教育界與臨床業界規劃性健康護理課程與實務訓練之參考，以提升護理人員性健康照護實務能力與整體護理品質。[[abstract]]As the sexual health care has continuously been highly regarded by World Health Organization (WHO), the nursing staffs should carry out the responsibility of assisting human in maintaining sexual health and reproduction. This study aims to discuss the nursing staffs’ practical and essential competences for sexual health care, and analyze the importance and occurrence of the essential sexual health care competences toward the clinical of adult patient care. Through the Modified Delphi Technique and the practical and essential sexual health care competences developed by Dr. Rong et al, this study conducted the first round Delphi survey and invited 12 nursing experts and scholars who have provided the sexual health service and conducted the empirical research to run two rounds of Delphi questionnaire. All experts participated 2 rounded questionnaires with a return rate of 100%. The result indicates that nine dimensions and 78 essential competences of sexual health care were confirmed. The nursing experts and scholars 100% agreed with the definition and name of the 9 dimensions of the sexual health care. After the cross analysis, it is found that 20 items among the essential competences have high importance and occurrence in the clinical care; 49 items have high importance and moderate occurrence; 3 items have high importance and low occurrence; 3 items have moderate importance and occurrence; 3 items have moderate importance and low occurrence. In general, 88.6% (69 items) of the essential sexual health care competences in the clinical care are highly important. However, 7.6% (6 items) of the essential competences are rarely seen clinically. The structure of the practical competences for sexual health care provided by this research can be taken as references for nursing education to design the nursing curriculum for sexual health care and the practical training in order to improve the nursing staffs’ practical competences for sexual health care and the overall quality of nursing services