Unravelling current sexual care in chronic kidney disease; perspective of social workers

Gaby F. Van Ek, Dirry Keurhorst, Esmée M. Krouwel, Melianthe P.j. Nicolai, Marjolein E.m. Den Ouden, Henk W. Elzevier, Hein Putter, Rob C.m. Pelger, B.L. den Oudsten

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background
Fifty to eighty percent of patients suffering from chronic kidney disease (CKD) experience a form of sexual dysfunction (SD), even after renal transplantation. Despite this, inquiring about SD is often not included in the daily practice of renal care providers.
Objectives
This paper explores the perspectives of renal social workers regarding sexual care for patients and evaluates their practice, attitude towards responsibility and knowledge of SD.
Design
A cross-sectional study was conducted using a 41-item online survey.
Participants
Seventy-nine members of the Dutch Federation of Social Workers Nephrology.
Results
It was revealed that 60% of respondents discussed SD with a fifth of their patients. Frequency of discussion was associated with experience (p = 0.049), knowledge (p = 0.001), supplementary education (p = 0.006), and the availability of protocols on sexual care (p = 0.007). Main barriers towards discussing SD consisted of ‘culture and religion’ (51.9%), ‘language and ethnicity’ (49.4%), and ‘presence of a third person’ (45.6%). Sufficient knowledge of SD was present in 28% of respondents. The responsibility for discussion was 96% nephrologists and 81% social workers.
Conclusion
This study provides evidence that a part of Dutch nephrology social workers do not provide sexual care regularly, due to insufficient experience and sexual knowledge, absence of privacy and protocols and barriers based on cultural diversity. According to the respondents the responsibility for this aspect of care should be multidisciplinary. Recommendations include a need for further education on the topic, private opportunities to discuss SD and multidisciplinary guidelines on sexual care.
Original languageEnglish
Pages (from-to)30-37
JournalJournal of Renal Care
Volume44
Issue number1
DOIs
Publication statusPublished - 2018

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Nephrology
Kidney
Education
Cultural Diversity
Privacy
Kidney Transplantation
Language
Cross-Sectional Studies
Surveys and Questionnaires
Nephrologists

Cite this

Van Ek, G. F., Keurhorst, D., Krouwel, E. M., Nicolai, M. P. J., Den Ouden, M. E. M., Elzevier, H. W., ... den Oudsten, B. L. (2018). Unravelling current sexual care in chronic kidney disease; perspective of social workers. Journal of Renal Care, 44(1), 30-37. https://doi.org/10.1111/jorc.12228
Van Ek, Gaby F. ; Keurhorst, Dirry ; Krouwel, Esmée M. ; Nicolai, Melianthe P.j. ; Den Ouden, Marjolein E.m. ; Elzevier, Henk W. ; Putter, Hein ; Pelger, Rob C.m. ; den Oudsten, B.L. / Unravelling current sexual care in chronic kidney disease; perspective of social workers. In: Journal of Renal Care. 2018 ; Vol. 44, No. 1. pp. 30-37.
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title = "Unravelling current sexual care in chronic kidney disease; perspective of social workers",
abstract = "BackgroundFifty to eighty percent of patients suffering from chronic kidney disease (CKD) experience a form of sexual dysfunction (SD), even after renal transplantation. Despite this, inquiring about SD is often not included in the daily practice of renal care providers.ObjectivesThis paper explores the perspectives of renal social workers regarding sexual care for patients and evaluates their practice, attitude towards responsibility and knowledge of SD.DesignA cross-sectional study was conducted using a 41-item online survey.ParticipantsSeventy-nine members of the Dutch Federation of Social Workers Nephrology.ResultsIt was revealed that 60{\%} of respondents discussed SD with a fifth of their patients. Frequency of discussion was associated with experience (p = 0.049), knowledge (p = 0.001), supplementary education (p = 0.006), and the availability of protocols on sexual care (p = 0.007). Main barriers towards discussing SD consisted of ‘culture and religion’ (51.9{\%}), ‘language and ethnicity’ (49.4{\%}), and ‘presence of a third person’ (45.6{\%}). Sufficient knowledge of SD was present in 28{\%} of respondents. The responsibility for discussion was 96{\%} nephrologists and 81{\%} social workers.ConclusionThis study provides evidence that a part of Dutch nephrology social workers do not provide sexual care regularly, due to insufficient experience and sexual knowledge, absence of privacy and protocols and barriers based on cultural diversity. According to the respondents the responsibility for this aspect of care should be multidisciplinary. Recommendations include a need for further education on the topic, private opportunities to discuss SD and multidisciplinary guidelines on sexual care.",
author = "{Van Ek}, {Gaby F.} and Dirry Keurhorst and Krouwel, {Esm{\'e}e M.} and Nicolai, {Melianthe P.j.} and {Den Ouden}, {Marjolein E.m.} and Elzevier, {Henk W.} and Hein Putter and Pelger, {Rob C.m.} and {den Oudsten}, B.L.",
year = "2018",
doi = "10.1111/jorc.12228",
language = "English",
volume = "44",
pages = "30--37",
journal = "Journal of Renal Care",
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Van Ek, GF, Keurhorst, D, Krouwel, EM, Nicolai, MPJ, Den Ouden, MEM, Elzevier, HW, Putter, H, Pelger, RCM & den Oudsten, BL 2018, 'Unravelling current sexual care in chronic kidney disease; perspective of social workers', Journal of Renal Care, vol. 44, no. 1, pp. 30-37. https://doi.org/10.1111/jorc.12228

Unravelling current sexual care in chronic kidney disease; perspective of social workers. / Van Ek, Gaby F.; Keurhorst, Dirry; Krouwel, Esmée M.; Nicolai, Melianthe P.j.; Den Ouden, Marjolein E.m.; Elzevier, Henk W.; Putter, Hein; Pelger, Rob C.m.; den Oudsten, B.L.

In: Journal of Renal Care, Vol. 44, No. 1, 2018, p. 30-37.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Unravelling current sexual care in chronic kidney disease; perspective of social workers

AU - Van Ek, Gaby F.

AU - Keurhorst, Dirry

AU - Krouwel, Esmée M.

AU - Nicolai, Melianthe P.j.

AU - Den Ouden, Marjolein E.m.

AU - Elzevier, Henk W.

AU - Putter, Hein

AU - Pelger, Rob C.m.

AU - den Oudsten, B.L.

PY - 2018

Y1 - 2018

N2 - BackgroundFifty to eighty percent of patients suffering from chronic kidney disease (CKD) experience a form of sexual dysfunction (SD), even after renal transplantation. Despite this, inquiring about SD is often not included in the daily practice of renal care providers.ObjectivesThis paper explores the perspectives of renal social workers regarding sexual care for patients and evaluates their practice, attitude towards responsibility and knowledge of SD.DesignA cross-sectional study was conducted using a 41-item online survey.ParticipantsSeventy-nine members of the Dutch Federation of Social Workers Nephrology.ResultsIt was revealed that 60% of respondents discussed SD with a fifth of their patients. Frequency of discussion was associated with experience (p = 0.049), knowledge (p = 0.001), supplementary education (p = 0.006), and the availability of protocols on sexual care (p = 0.007). Main barriers towards discussing SD consisted of ‘culture and religion’ (51.9%), ‘language and ethnicity’ (49.4%), and ‘presence of a third person’ (45.6%). Sufficient knowledge of SD was present in 28% of respondents. The responsibility for discussion was 96% nephrologists and 81% social workers.ConclusionThis study provides evidence that a part of Dutch nephrology social workers do not provide sexual care regularly, due to insufficient experience and sexual knowledge, absence of privacy and protocols and barriers based on cultural diversity. According to the respondents the responsibility for this aspect of care should be multidisciplinary. Recommendations include a need for further education on the topic, private opportunities to discuss SD and multidisciplinary guidelines on sexual care.

AB - BackgroundFifty to eighty percent of patients suffering from chronic kidney disease (CKD) experience a form of sexual dysfunction (SD), even after renal transplantation. Despite this, inquiring about SD is often not included in the daily practice of renal care providers.ObjectivesThis paper explores the perspectives of renal social workers regarding sexual care for patients and evaluates their practice, attitude towards responsibility and knowledge of SD.DesignA cross-sectional study was conducted using a 41-item online survey.ParticipantsSeventy-nine members of the Dutch Federation of Social Workers Nephrology.ResultsIt was revealed that 60% of respondents discussed SD with a fifth of their patients. Frequency of discussion was associated with experience (p = 0.049), knowledge (p = 0.001), supplementary education (p = 0.006), and the availability of protocols on sexual care (p = 0.007). Main barriers towards discussing SD consisted of ‘culture and religion’ (51.9%), ‘language and ethnicity’ (49.4%), and ‘presence of a third person’ (45.6%). Sufficient knowledge of SD was present in 28% of respondents. The responsibility for discussion was 96% nephrologists and 81% social workers.ConclusionThis study provides evidence that a part of Dutch nephrology social workers do not provide sexual care regularly, due to insufficient experience and sexual knowledge, absence of privacy and protocols and barriers based on cultural diversity. According to the respondents the responsibility for this aspect of care should be multidisciplinary. Recommendations include a need for further education on the topic, private opportunities to discuss SD and multidisciplinary guidelines on sexual care.

U2 - 10.1111/jorc.12228

DO - 10.1111/jorc.12228

M3 - Article

VL - 44

SP - 30

EP - 37

JO - Journal of Renal Care

JF - Journal of Renal Care

SN - 1019-0872

IS - 1

ER -

Van Ek GF, Keurhorst D, Krouwel EM, Nicolai MPJ, Den Ouden MEM, Elzevier HW et al. Unravelling current sexual care in chronic kidney disease; perspective of social workers. Journal of Renal Care. 2018;44(1):30-37. https://doi.org/10.1111/jorc.12228