J Korean Acad Nurs.  2012 Dec;42(6):889-897. 10.4040/jkan.2012.42.6.889.

Evaluation and Application of the Korean Version of the Sexuality Attitudes and Beliefs Survey for Nurses

• Kim HW
• Jung YY
• Park S

• KMID: 1499516
• DOI: http://doi.org/10.4040/jkan.2012.42.6.889

Abstract

PURPOSE
This study was conducted to evaluate the validity and reliability of the Korean version of the Sexuality Attitudes and Beliefs Survey (SABS) and to assess SABS for Korean nurses.
METHODS
The Korean version of SABS was developed through forward-backward translation techniques. Internal consistency reliability and construct validity using confirmatory factor analysis were conducted using PASW+ PC Win (18.0) and AMOS (18.0). Data were collected from 567 nurses who worked in one of six general hospitals across the country.
RESULTS
The Korean version of SABS showed a reliable internal consistency with Cronbach's alpha of subscales ranging from .59 to .73. Factor loadings of the 10 items of three subscales ranged from .38 to .83. The three subscales model were validated by confirmatory factor analysis (GFI>.97, RMSEA<.05). Sexuality attitudes and beliefs for Korean nurses were more negative than that of European or American nurses. The SABS scores for Korean nurses were significantly different according to age, marriage, education, clinical experiences, and feeling about sexuality.
CONCLUSION
The Korean version of SABS has satisfactory construct validity and reliability to measure Korean nurses' attitudes and belief toward sexuality. Education is essential to enhance importance and self-efficacy and to relieve barriers to addressing patients' sexuality.

Keyword

Sexuality; Attitudes; Nurses; Culture

MeSH Terms

Adult
Asian Continental Ancestry Group
Attitude of Health Personnel
Female
Humans
Nursing Staff/*psychology
*Program Evaluation
Questionnaires
Republic of Korea
*Sexuality
Translating

Reference

1. Algier L, Kav S. Nurses' approach to sexuality-related issues in patients receiving cancer treatments. Turk J Cancer. 2008. 38:135–141.

2. Bagozzi RP, Yi Y. On the evaluation of structural equation models. J Acad Mark Sci. 1988. 16:74–94. http://dx.doi.org/10.1007/BF02723327.

3. Cort EM, Attenborough J, Watson JP. An initial explorationof community mental health nurses' attitudes to and experience of sexuality-related issues in their work with people experiencing mental health problems. J Psychiatr Ment Health Nurs. 2001. 8:489–499. http://dx.doi.org/10.1046/j.1351-0126.2001.00425.x.

4. Fornell C, Larcker DF. Evaluating structural equation models with unobserved variables and measurement error. J Mark Res. 1981. 18:39–50. http://dx.doi.org/10.2307/3151312.

5. Guthrie C. Nurses' perceptions of sexuality relating to patient care. J Clin Nurs. 1999. 8:313–321. http://dx.doi.org/10.1046/j.1365-2702.1999.00253.x.

6. Haboubi NHJ, Lincoln N. Views of health professionals on discussing sexual issues with patients. Disabil Rehabil. 2003. 25:291–296. http://dx.doi.org/10.1080/0963828021000031188.

7. Higgins A, Barker P, Begley CM. Sexuality: The challenge to espoused holistic care. Int J Nurs Pract. 2006. 12:345–351. http://dx.doi.org/10.1111/j.1440-172X.2006.00593.x.

8. Julien JO, Thom B, Kline NE. Identification of barriers to sexual health assessment in oncology nursing practice. Oncol Nurs Forum. 2010. 37:e186–e190. http://dx.doi.org/10.1188/10.ONF.E186-E190.

9. Kaiser HF. The Varimax criterion for analytic rotation in factor analysis. Psychometrika. 1958. 23:187–200. http://dx.doi.org/10.1007/BF02289233.

10. Katz A. Sexuality after hysterectomy: A review of the literature and discussion of nurses' role. J Adv Nurs. 2003. 42:297–303. http://dx.doi.org/10.1046/j.1365-2648.2003.02619.x.

11. Kautz DD, Dickey CA, Stevens MN. Using research to identify why nurses do not meet established sexuality nursing care standards. J Nurs Qual Assur. 1990. 4:69–78.

12. Kim NC. Nurses' attitudes and knowledge about sexuality of the aged. J Korean Gerontol Nurs. 2000. 2:195–203.

13. Lavin M, Hyde A. Sexuality as an aspect of nursing care for women receiving chemotherapy for breast cancer in an Irish context. Eur J Oncol Nurs. 2006. 10:10–18. http://dx.doi.org/10.1016/j.ejon.2005.03.013.

14. Lee HS. Korean dictionary. 2011. Paju: Bobmunsa.

15. Magnan MA, Reynolds KE, Galvin EA. Barriers to addressing patient sexuality in nursing practice. Medsurg Nurs. 2005. 14:282–289.

16. Ministry of Health & Welfare. Ministry of health and welfare year book 2010. 2011. Seoul: Author.

17. Park MS. Nursing students' knowledge and attitudes regarding sexuality in the aged. Theses Collect. 2008. 43:625–631.

18. Rana Y, Kanik A, Ozcan A, Yuzer S. Nurses' approaches towards sexuality of adolescent patients in Turkey. J Clin Nurs. 2007. 16:638–645. http://dx.doi.org/10.1111/j.1365-2702.2005.01523.x.

19. Reynolds KE, Magnan MA. Nursing attitudes and beliefs toward human sexuality: Collaborative research promoting evidence-based practice. Clin Nurse Spec. 2005. 19:255–259. http://dx.doi.org/10.1097/00002800-200509000-00009.

20. Robinson BBE, Bockting WO, Rosser BRS, Miner M, Coleman E. The sexual health model: Application of a sexological approach to HIV prevention. Health Educ Res. 2002. 17:43–57. http://dx.doi.org/10.1093/her/17.1.43.

21. Saunamäki N, Andersson M, Engström M. Discussing sexuality with patients: Nurses' attitudes and beliefs. J Adv Nurs. 2010. 66:1308–1316. http://dx.doi.org/10.1111/j.1365-2648.2010.05260.x.

22. Tak YR, Kang KA, Kim JH, Kim TK, Kim HO, Song JH, et al. Introduction to statistics for nurse. 2009. Seoul: Fornurse.

23. Volman L, Landeen J. Uncovering the sexual self in people with schizophrenia. J Psychiatr Ment Health Nurs. 2007. 14:411–417. http://dx.doi.org/10.1111/j.1365-2850.2007.01099.x.

24. World Association for Sexual Health. The sexual health for the Millennium. A declaration and technical document. 2008. Retrieved October 20, 2011. from http://www.worldsexualhealth.org/sites/default/files/Millennium%20Declaration%20(English).pdf.

25. World Health Organization. Sexual health. 2002. Retrieved July 13, 2010. from http://www.who.int/reproductive-health/gender/sexualhealth.html.