Men's Health in Nursing Practice: A Survey of Senior Nurses
Main Article Content
Abstract
Background: Australian men are likelier to die younger than women, often from preventable diseases or conditions. Gendered health promotion has improved men’s engagement with health services, with nurses playing a central role in information and healthcare design. The primary aim of this research was to survey
senior clinical and executive nurses on their understanding and perception of men’s health.
Methods: A cross-sectional quantitative online survey was attended by senior nurses within a single hospital setting in metropolitan Sydney between June 2022 and July 2022. Sampling selection was conducted of nurses who currently hold senior clinical or management roles within the health district (Nurse Manager, Nurse Unit Manager, Director of Nursing, Nurse Practitioner, Transitional Nurse Practitioner, Clinical Nurse Consultant, Clinical Nurse Specialist, Nurse Educator, Clinical Nurse Educator) with descriptive analysis applied to interpret the data sets.
Results: A total of 84 responses were received, representing a 33% survey participation rate. A key finding was that 89.1% of senior nurses believed that traditional masculine traits affected health-seeking behaviour. However, 60.2% had not discussed men’s-specific agencies with male patients, and 33.7% of senior nurses believed that gender was not a determinant of health. There was strong endorsement (74.6%) for a men’s health education program to be developed specifically for nurses.
Conclusion: The results of this single-site online survey of senior nurses illustrate that while foundational understandings of gender as a determinant of health were divided, there remained strong endorsement for targeted men’s health promotion to patients and the development of men’s health educational programs to support nurses in providing holistic care for their male patients.
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Whitehead, M., Hayes, M., & Whitehead, C. (2023). Men’s Health in Nursing Practice: A Survey of Senior Nurses. International Journal of Mens Social and Community Health, 6(1), e20-e30. https://doi.org/10.22374/ijmsch.v6i1.106
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3. Courtenay W. A global perspective on the field ofmen’s health: an editorial. International Journal of Mens Health. 2002 Jan 31;1:1-4.
4. Australian Institute of Health and Welfare. Australia’s health 2022: In brief [Internet]. 2022. Available from: https://www.aihw.gov.au/reports/australias-health/australias-health-2022-in-brief/summary>.
5. Men’s Health and Well-Being in the WHO European Region 2018. Available from: https://www.euro.who.int/__data/assets/pdf_file/0019/381403/who-mhr-fs-eng.pdf>.
6. Centers for Disease Control and Prevention 2023, Life Stages and Population, Men’s Health. Available here: https://www.cdc.gov/nchs/fastats/mens-health.htm>.
7. Heymann J, Levy JK, Bose B, Ríos-Salas V, Mekonen Y, Swaminathan H, Omidakhsh N, Gadoth A, Huh K, Greene ME, Darmstadt GL. Improving health with programmatic, legal, and policy approaches to reduce gender inequality and change restrictive gender norms. The Lancet. 2019 Jun 22;393(10190):2522-34. https://www.sciencedirect.com/science/article/abs/pii/S0140673619306567>.
8. Crespí-Lloréns N, Hernández-Aguado I, Chilet-Rosell E. Have policies tackled gender inequalities in health? A scoping review. International Journal of Environmental Research and Public Health. 2021 Jan;18(1):327. https://www.mdpi.com/1660-4601/18/1/327>.
9. Smith JA, Watkins DC, Griffith DM. Equity, gender and health: New directions for globalmen’s health promotion. Health Promotion Journal of Australia: Official Journal of Australian Association of Health Promotion Professionals. 2020 Apr;31(2):161-5 Equity, gender and health: New directions for global men’s health promotion (umich.edu)>.
10. Greaves L, Ritz SA. Sex, gender and health: Mapping the landscape of research and policy. International Journal of Environmental Research and Public Health. 2022 Feb 23;19(5):2563. https://www.mdpi.com/1660-4601/19/5/2563>.
11. New South Wales Health Department. Moving Forward in men’s Health [Internet]. 1999.[cited 2019, Apr 20] Available from: https://gamh.org/wp-content/uploads/2015/07/NSW.Moving-forward-in-mens-health.pdf>.
12. The Australian Government Department of Health. National men’s health policy 2010 [Internet]. 2010. Available from: https://www.health.gov.au/resources/publications/national-mens-health-policy-2010?language=en>.
13. Foley A, Golding B, Weadon H. Respite, renewal, retirement and tensions: AustralianMen’s Sheds and the impact on significant others. Ageing & Society. 2021 Aug 17:1-22.
https://www.researchgate.net/profile/Annette-Foley/publication/353956665_Respite_renewal_retirement_and_tensions_Australian_Men's_Sheds_and_the_impact_on_significant_others/links/612867d30360302a005f48cd/Respite-renewal-retirement-and-tensions-Australian-Mens-Sheds-and-the-impact-on-significant-others.pdf>.
14. Landau M. Movember—Owen Sharp and Paul Villanti. Clinical Chemistry. 2019 Jan 1;65(1):4-14. https://academic.oup.com/clinchem/article/65/1/4/5607942.
15. The Australian Government Department of Health. National men’s health strategy [Internet]. 2019 [cited 2019 Apr 20]. Available from: https://www1.health.gov. au/internet/main/publishing.nsf/Content/national%20 mens%20health-1>.
16. Australian Health Practitioner Regulation Agency (Ahpra). 2021. [cited 2021, Apr 22]. Available from:
https://www.ahpra.gov.au/Publications/Annual-reports/Annual-Report-2021.aspx>.
17. World Health Organisation: State of the World’s Nursing 2020: investing in education, jobs and leadership. 2020. [cited Apr 22].Available from: https://apps.who.int/iris/bitstream/handle/10665/331673/9789240003293-eng.pdf>.
18. Salvage J, White J. Nursing leadership and health policy:everybody’s business. International nursing review. 2019 Jun;66(2):147-50. https://onlinelibrary.wiley.com/doi/abs/10.1111/inr.12523>.
19. Cusson RM, Meehan C, Bourgault A, Kelley T. Educating the next generation of nurses to be innovators and change agents. Journal of Professional Nursing. 2020 Mar 1;36(2):13-9.
20. Solbakken R, Bergdahl E, Rudolfsson G, Bondas T. International nursing: caring in nursing leadership—a meta-ethnography from the nurseleader’s perspective. Nursing Administration Quarterly. 2018 Oct;42(4):E1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6155347/>.
21. Allen DG, Whatley M. Nursing andmen’s health: Some critical considerations. Nursing Clinics of North America. 1986 Mar 1;21(1):3-13.
22. Bozett FW, Forrester DA. A proposal for amen’s health nurse practitioner. Image: Journal of Nursing Scholarship. 1989 Sep;21(3):158-61.
23. Porche DJ, Willis DG. Nursing andmen’s health movement: considerations for the 21st century. Nursing Clinics. 2004 Jun 1;39(2):251-8.
24. White AK.Men’s Health in the 21st Century. International Journal ofMen’s Health. 2006 Mar 1;5(1).
25. Santos KC, Fonseca DF, Oliveira PP, Duarte AG, Melo JM, Souza RS. Men’s health care: construction and validation of a tool for nursing consultation. Revista Brasileira de Enfermagem. 2020 Apr 22;73. https://www.scielo.br/j/reben/a/8Wxv8ZPGD4P8G9dz9f9WJQR/?format=pdf&lang=en>.
https://www.scielo.br/j/reben/a/wGPNZGF6CxdNNKB6RRPFN6R/?format=pdf&lang=en>.
26. Rizio TA, Thomas WJ,O’Brien AP, Collins V, et al. Engaging primary healthcare nurses inmen’s health education: A pilot study. Nurse Education in Practice. 2016 Mar 1;17:128-33. Engaging primary healthcare nurses in men’s health education: A pilot study - ScienceDirect.
27. Lovett D, Rasmussen B, Holden C, Livingston PM. Are nurses meeting the needs of men in primary care? Australian Journal of Primary Health. 2017 Sep 11;23(4):319-22. https://www.publish.csiro.au/PY/pdf/PY16106>.
28. Sousa AR, Oliveira JA, Almeida MS, Pereira Á, Almeida ÉS, Vergara Escobar OJ. Implementation of the National Policy for Comprehensive Attention to Men’s Health: challenges experienced by nurses. Revista da Escola de Enfermagem da USP. 2021 Jul 16;55.
29. Oliveira JA, Araújo IF, Silva GT, Sousa AR, Pereira Á. Strategies and competences of nurses in men’s health care: an integrative review. Revista Brasileira de Enfermagem. 2020 Dec 21;73.
30. McKinlay E, Kljakovic M, McBain L. New Zealand men’s health care: are we meeting the needs of men in general practice? Journal of Primary Health Care. 2009;1(4):302-10. https://www.publish.csiro.au/HC/HC09302>.
31. Kirkwood L. Nurses putmen’s health in spotlight. Professional Nurse (London, England). 2003 Dec 1;19(4):227.
32. Zanchetta MS, Metersky K, Nazzal A, Dumitriu ME, Pais S, Mok YW, Lam-Kin-Teng MR, Yu C. Awakening Undergraduate Nursing Students’ Critical Awareness AboutMen’s Health, Health Literacy and Nursing Practice. Canadian Journal of Nursing Research. 2022 Dec 15:08445621221144131. https://journals.sagepub.com/doi/pdf/10.1177/08445621221144131.
33. Rosu MB, Oliffe JL, Kelly MT. Nurse practitioners and men’s primary health care. American Journal ofMen’s Health. 2017 Sep;11(5):1501-11.
34. Houman JJ, Eleswarapu SV, Mills JN. Current and future trends in men’s health clinics. Translational Andrology and Urology. 2020 Mar;9(Suppl 2):S116. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108990/>.
35. Seidler ZE, Rice SM, Dhillon HM, Herrman H. Why it’s time to focus on masculinity in mental health training and clinical practice. Australasian Psychiatry. 2019 Apr;27(2):157-9.
36. Giorgianni Jr SJ, Porche DJ, Williams ST, Matope JH, Leonard BL. Developing the discipline and practice of comprehensive men’s health. American Journal ofMen’s Health. 2013 Jul;7(4):342-9. https://journals.sagepub.com/doi/pdf/10.1177/1557988313478649>.
37. Holden CA, Collins VR, Anderson CJ, Pomeroy S, et al. “Men’s health–a little in the shadow”: a formative evaluation of medical curriculum enhancement with men’s health teaching and learning. BMC Medical Education. 2015 Dec;15(1):1-9. https://link.springer.com/article/10.1186/s12909-015-0489-9>.
38. Ruane-McAteer E, Amin A, Hanratty J, Lynn F, van Willenswaard KC, Reid E, Khosla R, Lohan M. Interventions addressing men, masculinities and gender equality in sexual and reproductive health and rights: an evidence and gap map and systematic review of reviews. BMJ Global Health. 2019 Sep 1;4(5):e001634.
39. Manandhar M, Hawkes S, Buse K, Nosrati E, et al. Gender, health and the 2030 agenda for sustainable development. Bulletin of the World Health Organization. 2018 Sep 9;96(9):644. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6154065/>.
40. de Keijzer B, Cuellar AC, Mayorga AV, Hommes C, Caffe S, Mendoza F, Cayetano C, Vega E. Masculinities and men's health in the Region of the Americas Masculinidades e saúde dos homens na Região das Américas. Revista panamericana de salud publica= Pan American Journal of Public Health. 2022 Jul 20;46:e93. https://www.paho.org/journal/en/articles/masculinities-and-mens-health-region-americas>.
41. World Health Organization. The Health and Well-Being of Men in the WHO European Region: Better Health Through a Gender Approach. World Health Organization. Regional Office for Europe; 2018. https://apps.who.int/iris/handle/10665/329686>.
42. Europe WH. Strategy on The Health and Well-Being of Men in the WHO European Region. Regional Committee for Europe. 2018. https://www.euro.who.int/__data/assets/pdf_file/0003/378165/68wd12e_MensHealthStrategy_180480.pdf
43. McGregor AJ, Chin EL, Rojek MK, Digre KB, Lopez AM, Jenkins K, Johnston L, Jenkins M. Sex and gender health education summit: advancing curricula through a multidisciplinary lens. Journal ofWomen’s Health. 2019 Dec 1;28(12):1728-36.
https://www.liebertpub.com/doi/pdf/10.1089/jwh.2018.7301>
44. Anselmann V, Mulder RH. Transformational leadership, knowledge sharing and reflection, and work teams’ performance: A structural equation modelling analysis. Journal of Nursing Management. 2020 Oct;28(7):1627-34. https://onlinelibrary.wiley.com/doi/pdf/10.1111/jonm.13118>.
45. Lathrop B. Moving toward health equity by addressing social determinants of health. Nursing forWomen’s Health. 2020 Feb 1;24(1):36-44. https://www.nwhjournal.org/article/S1751-4851(19)30228-4/fulltext>.
46. Phillips J, Richard A, Mayer KM, Shilkaitis M, et al. Integrating the social determinants of health into nursing practice:Nurses’ perspectives. Journal of Nursing Scholarship. 2020 Sep;52(5):497-505. https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/jnu.12584
47. Schneiderman JU, Olshansky EF. Nurses’ perceptions: Addressing social determinants of health to improve patient outcomes. InNursing Forum 2021 Apr 56(2)313-321).
48. Rice S, Oliffe J, Seidler Z, Borschmann R, et al. Gender norms and the mental health of boys and young men. The Lancet Public Health. 2021 Aug 1;6(8):e541-2.
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