Quality and measurement properties of sexual health knowledge tools for adolescents: A rapid review

OBJECTIVE

To evaluate the effectiveness of instruments designed for assessing sexual and reproductive health knowledge among adolescents.

METHODS

Rapid review using the 2018 version of the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) checklist.

RESULTS

This review included fourteen studies from 1983-2022, identifying sixteen Patient-Reported Outcome Measures (PROMs), mainly using Likert scales and self-administration. The overall methodological quality was deemed "Inadequate" per COSMIN standards. Although studies often addressed reliability and structural validity, only five covered hypothesis testing. Responsiveness and interpretability were addressed in one study each, while criterion validity was neglected. Among the instruments, the Sexual Health Questionnaire (SHQ) was distinguished for its robustness in several areas including notable construct validity, explaining 68.25% of the variance, high internal consistency (Cronbach's alpha: 0.90), and reliable test-retest results over 7 weeks, confirmed by Wilcoxon nonparametric test.

CONCLUSION

The study underscores the urgent need for standardised, comprehensive development and validation of the PROMs on sexual health in adolescents.

PRACTICE IMPLICATIONS

This review highlights the urgent need for research to refine existing PROMs and develop new ones for assessing adolescent sexual and reproductive health knowledge, aligning with global educational commitments and advancing the field.

Parents' Challenges to Health Services for Children with Disabilities during the COVID-19 Pandemic: Literature Review

Health services are important in supporting one's health. Due to social restrictions and regulations during a pandemic, access to health services also adapts to existing conditions. The purpose of this literature study is to identify challenges for parents in providing health services for children with disabilities during the COVID-19 pandemic. This research method used a literature review design using the PubMed, ProQuest, and ScienceDirect electronic databases. It was found that 7 articles were reviewed after fulfilling the inclusion criteria and were analysed. The results of the review found that a number of reasons for children with disabilities not participating in health services were due to several factors such as social restrictions, parents, and technology. Various relevant barriers to accessing health services are identified in this literature review. Challenges to social distancing were the most frequently reported in studies. The description in this study can be used as input in considering access and form of health services for children with disabilities.

New nurses and community maternal care education: A qualitative study

There is ongoing focus in Indonesia to lower the maternal mortality rate. One strategy has been increasing numbers of health care practitioners, including nurses, in the community. While much is known about transition experiences of new registered nurses, little is known about the adequacy of educational preparation of new nurses in Indonesia to provide maternal care in community settings. This qualitative descriptive study explored new diploma prepared nurses' perceptions of their educational preparation for providing community maternal care. Semi-structured interviews were conducted with five new nurses working in community health care centres in Gowa District, South Sulawesi, Indonesia. Thematic analysis was used to analyse data. Three key themes emerged: Practice context, Professional role delineation, and Education programs. Nurses reported encountering a range of aspects of maternal care, and community expectations of their skills and knowledge. These were particularly necessary in rural areas. Educational preparation was found to be insufficient for the activities that graduates were engaged in. There is a need for more research into maternal care content in undergraduate nursing programs in Indonesia to ensure optimal maternal care in community settings.