Magnan and Reynolds, (2006) [45] United States

302 nurses A descriptive correlational design

Nurses’ perception that patients do not expect nurses to address sexual health. Lack of comfort and confidence Nurses’ inability to make time for sexual health discussion

Educational programs about sexual health to overcome perceived barriers Using nursing competencies to develop creative methods to overcome barriers to addressing patient sexual health Conducting more research to study patients’ expectations

O’Donovan, (2012) [46] Irland

Both patients with MI and nurses

Nurses embarrassment Nurses Uncomfortable with his or her own sexuality. Nurses’ feeling that discussion sexual health is an invasion of the patient’s privacy. Nurses are busy due to workload Lack suitable place to conduct sexual health assessment Nurses consider patients with MI are too ill

Conducting workshops about sexual health Encourage discussion of sexual health through using of open questions Providing patient with educational materials

Saunamäki and Engström, (2014) [30] Sweden

10 nurses A descriptive design and qualitative content analysis

Nurses feel embarrassment, fear and sexual health assessment is not their responsibility Lack of time, support and privacy Sexual related topics are taboo

Inspire nurses to understand how they can addressing patients’ sexual health. Health care institutions have to encourage nurses and provide them with access to address sexual health. Increase nurses’ knowledge and comfort