Therapeutic communication techniques, practiced by certified nurses in wound, ostomy and continence nursing, regarding sexuality: extraction by conversation analysis

DOI Open Access
  • Miki Yoshiko
    Faculty of Health and Welfare Human Services, St. Catherine University
  • Sawai Naoko
    Kure City Medical Association Home Nursing Station
  • Takaki Yoshie
    Department of Nursing, International University of Health Welfare School of Nursing at Fukuoka
  • Maekawa Atsuko
    Shubun University, Faculty of Nursing, Department of Nursing
  • Hohashi Naohiro
    Department of Nursing, Graduate School of Health Sciences, Kobe University
  • Kunikata Hiroko
    Department of Nursing, Faculty of Health Sciences, Kagawa Prefectural University of Health Sciences
  • Toki Hiromi
    Department of Nursing, Faculty of Health Sciences, Kagawa Prefectural University of Health Sciences

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Other Title
  • 皮膚・排泄ケア認定看護師が実践するセクシュアリティに関する治療的コミュニケーション技術：会話分析による抽出

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Abstract

Purpose: To seek therapeutic communication techniques concerning sexuality and to clarify the situation for implementing the techniques.<BR>　Method: Conversations of nine WOC nurses in care settings were analyzed qualitatively and descriptively using a conversation analysis method.<BR>　Results: Four phases and nine characteristics of therapeutic communication techniques were found. The phase of “Building trust through daily care” was characterized by “Providing a sense of security through care that involves touching the body” and “ Consolidating a base that allows a person to express himself/herself. ” “ Introduction of difficult topics related to sexuality” was characterized by “ Suggestion of topics related to sexuality, ” “ Reducing reluctance to verbalize sexuality” and “Consciousness of everyday relationship with one’s sexual partner. ” “Developing the topic of sexuality” was characterized by “ Mutual recognition of the importance of sexuality in conversation” and “Promoting the airing of private thoughts about sexuality. ” “Maturity of positive sexual characteristics and the relationship between partners” was characterized by “Promoting of being loved by the sexual partner” and “Improving satisfaction of a mature relationship with one’s sexual partner. ”<BR>　Conclusion: WOC nurses provided sexuality support from experience and intuition based on underlying knowledge. Patients’ narratives were promoted and were used to enhance sexual well-being. Nurses' underlying knowledge refers to certain definitions of sexuality, subjective sexual well-being, and the sexuality satisfaction index.

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