PSexuality in Maslow’s Hierarchy: A Cross-Sectional Study on Italian Nurses’ Competence
DOI:
https://doi.org/10.54103/dn/27593Keywords:
Sexuality, Nursing, Education, Caring, PatientsAbstract
Background: Sexuality in patients has historically been a taboo topic within the nursing profession and is rarely discussed among practitioners. This study aimed to assess the competencies of Italian nurses regarding patients' sexuality.
Methods: A cross-sectional study was conducted involving Italian nurses (n = 141) using the Comfort and Willingness Scale (CWS).
Results: The data indicated that older nurses exhibited a statistically significant difference in their approach to patient satisfaction regarding sexual life (p < 0.001), sexual dysfunctions (p = 0.01), and sexual orientation (p = 0.01). Nurses with over 30 years of experience were more likely to engage in therapeutic discussions about patients' sexual concerns compared to their younger counterparts. Conversely, younger nurses appeared to be more comfortable discussing sexuality than their older colleagues.
Conclusions: Nurses demonstrate inconsistent communication around sexuality and lack a standardized vocabulary, underscoring the need for enhanced training in this area of the Maslow's Paradigm.
Leading training institutions require training techniques from the nurse education program to address sexuality. Another critical strategy is to promote cultural competence within the professional field by addressing taboos surrounding sexuality.
Downloads
References
[1] World Health Organization. Defining sexual health: report of a technical consultation on sexual health, 28-31 January 2002, Geneva. World Health Organization; 2006.
[2] Maslow AH. A theory of human motivation. Psychol Rev 1943;50:370–96.
[3] Åling M, Lindgren A, Löfall H, Okenwa-Emegwa L. A Scoping Review to Identify Barriers and Enabling Factors for Nurse–Patient Discussions on Sexuality and Sexual Health. Nurs Rep 2021;11:253–66. https://doi.org/10.3390/nursrep11020025.
[4] Magnan MA, Reynolds KE, Galvin EA. Barriers to addressing patient sexuality in nursing practice. Medsurg Nursing 2005;14.
[5] Medina-Martínez J, Saus-Ortega C, Sánchez-Lorente MM, Sosa-Palanca EM, García-Martínez P, Mármol-López MI. Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review. International Journal of Environmental Research and Public Health 2021, Vol 18, Page 11801 2021;18:11801. https://doi.org/10.3390/IJERPH182211801.
[6] Fennell R, Grant B. Discussing sexuality in health care: A systematic review. J Clin Nurs 2019;28:3065–76. https://doi.org/10.1111/jocn.14900.
[7] Huang C-Y, Lee S, Yen W-J, Li C-R, Tsai L-Y. Nursing Intervention on Sexual Health: A Multilevel Behavioral Survey of Senior Nursing Students in Clinical Practice. International Journal of Sexual Health 2013;25:273–80. https://doi.org/10.1080/19317611.2013.815298.
[8] Shell JA. Including Sexuality in Your Nursing Practice. Nursing Clinics of North America 2007;42:685–96. https://doi.org/10.1016/j.cnur.2007.08.007.
[9] Paunonen M, Häggman‐Laitila A. Sexuality and the Satisfaction of Sexual Needs: A Study on the Attitudes of Aged Home‐Nursing Clients. Scand J Caring Sci 1990;4:163–8. https://doi.org/10.1111/J.1471-6712.1990.TB00067.X.
[10] Bauer M, McAuliffe L, Nay R. Sexuality, health care and the older person: an overview of the literature. Int J Older People Nurs 2007;2:63–8. https://doi.org/10.1111/J.1748-3743.2007.00051.X.
[11] Traumer L, Jacobsen MH, Laursen BS. Patients’ experiences of sexuality as a taboo subject in the Danish healthcare system: a qualitative interview study. Scand J Caring Sci 2019;33:57–66. https://doi.org/10.1111/SCS.12600.
[12] Mahieu L, Van Elssen K, Gastmans C. Nurses’ perceptions of sexuality in institutionalized elderly: A literature review. Int J Nurs Stud 2011;48:1140–54. https://doi.org/10.1016/J.IJNURSTU.2011.05.013.
[13] Mahieu L, de Casterlé BD, Acke J, Vandermarliere H, Van Elssen K, Fieuws S, et al. Nurses’ knowledge and attitudes toward aged sexuality in Flemish nursing homes. Nurs Ethics 2016;23:605–23. https://doi.org/10.1177/0969733015580813.
[14] Nakopoulou E, Papaharitou S, Hatzichristou D. Patients’ Sexual Health: A Qualitative Research Approach on Greek Nurses’ Perceptions. J Sex Med 2009;6:2124–32. https://doi.org/10.1111/J.1743-6109.2009.01334.X.
[15] Harris SM, Hays KW. Family therapist comfort with and willingness to discuss client sexuality. J Marital Fam Ther 2008;34:239–50. https://doi.org/10.1111/J.1752-0606.2008.00066.X.
[16] Dullius WR, Monteiro I, Baena de Moraes Lopes MH, Martins LB. The Mastery of Competencies for the Care of LGBT+ People by Different Health Professionals. J Homosex 2024;71:1279–96. https://doi.org/10.1080/00918369.2023.2169090.
[17] Manzer D, O’sullivan L, Doucet S, Ca O, Ca S. Culturally Competent Care of LGBT Patients: The NP Experience. International Journal of Advanced Nursing Education and Research 2019;4:53–68. https://doi.org/10.21742/ijaner.2019.4.3.09.
[18] Della Pelle C, Cerratti F, Di Giovanni P, Cipollone F, Cicolini G. Attitudes Towards and Knowledge About Lesbian, Gay, Bisexual, and Transgender Patients Among Italian Nurses: An Observational Study. Journal of Nursing Scholarship 2018;50:367–74. https://doi.org/10.1111/JNU.12388;SUBPAGE:STRING:FULL.
[19] Dorsen C, Van Devanter N. Open arms, conflicted hearts: nurse-practitioner’s attitudes towards working with lesbian, gay and bisexual patients. J Clin Nurs 2016;25:3716–27. https://doi.org/10.1111/JOCN.13464;REQUESTEDJOURNAL:JOURNAL:13652702.
[20] Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. STROBE Statement: linee guida per descrivere gli studi osservazionali. Traduzione italiana. 2008.
[21] Harris SM, Hays KW. Family therapist comfort with and willingness to discuss client sexuality. J Marital Fam Ther 2008;34:239–50.
[22] Brislin RW. Translation and content analysis of oral and written materials. Methodology 1980:389–444.
[23] Saunamäki N, Engström M. Registered nurses’ reflections on discussing sexuality with patients: Responsibilities, doubts and fears. J Clin Nurs 2014;23:531–40. https://doi.org/10.1111/jocn.12155.
[24] Saunamäki N, Andersson M, Engström M. Discussing sexuality with patients: Nurses’ attitudes and beliefs. J Adv Nurs 2010;66:1308–16. https://doi.org/10.1111/j.1365-2648.2010.05260.x.
[25] Cuellar NG, Brennan AMW, Vito K, de Leon Siantz M Lou. Cultural competence in the undergraduate nursing curriculum. Journal of Professional Nursing 2008;24:143–9.
[26] Aguilar RA. Sexual Expression of Nursing Home Residents: Systematic Review of the Literature. Journal of Nursing Scholarship 2017;49:470–7. https://doi.org/10.1111/JNU.12315.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Emanuele Primavera, Camilla Marzolani, Serena Pignatelli, Luca Natale

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Accepted 2025-06-26
Published 2025-07-31





