Journal of Japanese Society of Wound, Ostomy and Continence Management
Online ISSN : 1884-2321
Print ISSN : 1884-233X
Original Article
Therapeutic communication techniques, practiced by certified nurses in wound, ostomy and continence nursing, regarding sexuality: extraction by conversation analysis
Yoshiko MikiNaoko SawaiYoshie TakakiAtsuko MaekawaNaohiro HohashiHiroko KunikataHiromi Toki
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2021 Volume 25 Issue 1 Pages 1-9

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Abstract

 Purpose: To seek therapeutic communication techniques concerning sexuality and to clarify the situation for implementing the techniques.
 Method: Conversations of nine WOC nurses in care settings were analyzed qualitatively and descriptively using a conversation analysis method.
 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. ”
 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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