{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T02:45:06Z","timestamp":1773456306042,"version":"3.50.1"},"reference-count":40,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2018,11,20]],"date-time":"2018-11-20T00:00:00Z","timestamp":1542672000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100011447","name":"Science and Technology Department of Henan Province","doi-asserted-by":"publisher","award":["182102310200"],"award-info":[{"award-number":["182102310200"]}],"id":[{"id":"10.13039\/501100011447","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe nurses\u2019 attitudes, beliefs, and practices regarding sexuality care for patients with cardiovascular disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Limited sexual activity is common among patients with cardiovascular disease, yet assessment of sexuality and counselling is frequently not undertaken by nurses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study recruited 268 cardiac nurses from seven tertiary hospitals in five cities of Henan province. The Sexual Attitudes and Beliefs Survey, along with investigator\u2010developed questions regarding practices and perceived barriers, was administered to the nurses. The STROBE checklist was used to ensure quality reporting during this observational study (see Supporting Information Data <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#jocn14692-sup-0001\">S1<\/jats:ext-link>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age of nurses who participated was 31.81\u00a0years (<jats:italic>SD<\/jats:italic>\u00a0=\u00a07.41). The average score of Sexual Attitudes and Beliefs Survey was 47.72 (<jats:italic>SD<\/jats:italic>\u00a0=\u00a07.40), indicating moderate attitudinal barriers for nurses to discuss sexual activities with patients. Most nurses (91%) perceived that sexuality was too private to discuss with patients. Only 20% of nurses expressed that they would provide time to discuss sexual concerns with patients. Eighty per cent of nurses revealed that they felt uncomfortable discussing sexuality; moreover, they believed that hospitalised patients were too sick to be engaged in these types of conversations. Additionally, almost 85% of nurses conveyed that they have never conducted discussions regarding sexuality care in patients with cardiovascular disease. The most frequently reported perceived barriers preventing nurses from discussing sexual concerns included fear of offending patients (77.2%), uncertainty of how to communicate with patients (69.4%), feelings of embarrassment (67.5%), lack of safe and private environments (61.9%) and lack of knowledge (54.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nurses in this cross\u2010sectional sample rarely discussed sexual concerns with their patients. There were several key barriers identified by nurses regarding providing sexuality care, including personal attitudes and beliefs, limited skills and knowledge, culture and organizational\u2010related barriers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Targeted training for nurses and creating a culturally safe environment is recommended to improve management of sexuality in patients with CVD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14692","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T10:40:09Z","timestamp":1539945609000},"page":"980-986","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Nurses\u2019 attitudes, beliefs and practices on sexuality for cardiovascular care: A cross\u2010sectional study"],"prefix":"10.1111","volume":"28","author":[{"given":"Panpan","family":"Wang","sequence":"first","affiliation":[{"name":"School of Nursing Zhengzhou University  Zhengzhou China"},{"name":"Nursing Department The First Affiliated Hospital of Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiansai","family":"Ai","sequence":"additional","affiliation":[{"name":"Nursing Department The Third Affiliated Hospital of Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0299-6289","authenticated-orcid":false,"given":"Patricia M.","family":"Davidson","sequence":"additional","affiliation":[{"name":"Department of Acute and Chronic Care Johns Hopkins University School of Nursing  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tammy","family":"Slater","sequence":"additional","affiliation":[{"name":"Department of Acute and Chronic Care Johns Hopkins University School of Nursing  Baltimore Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruofei","family":"Du","sequence":"additional","affiliation":[{"name":"Nursing Department The First Affiliated Hospital of Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2151-7351","authenticated-orcid":false,"given":"Changying","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing Zhengzhou University  Zhengzhou China"},{"name":"Nursing Department The First Affiliated Hospital of Zhengzhou University  Zhengzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.113.000199"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/1474515115597353"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195-014-9361-9"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195-010-9157-5"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCC.0b013e31829980d1"},{"key":"e_1_2_11_8_1","first-page":"70","article-title":"The Effect of sexual satisfaction on the quality of life on patients with cardiovascular disease","volume":"5","author":"Borji M.","year":"2016","journal-title":"International Journal of Medical Research & Health Sciences"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2296-11-40"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2008.02570.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JCN.0000317446.97951.c2"},{"key":"e_1_2_11_12_1","first-page":"1","article-title":"China cardiovascular diseases report 2015: A summary","volume":"14","author":"Chen W. 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