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1 – 10 of over 17000Ann Dadich, Penny Abbott and Hassan Hosseinzadeh
Evidence-based practice is pivotal to effective patient care. However, its translation into practice remains limited. Given the central role of primary care in many healthcare…
Abstract
Purpose
Evidence-based practice is pivotal to effective patient care. However, its translation into practice remains limited. Given the central role of primary care in many healthcare systems, it is important to identify strategies that bolster clinician-capacity to promote evidence-based care. The purpose of this paper is to identify strategies to increase Practice Nurse capacity to promote evidence-based sexual healthcare within general practice.
Design/methodology/approach
A survey of 217 Practice Nurses in an Australian state and ten respondent-interviews regarding two resources to promote evidence-based sexual healthcare – namely, a clinical aide and online training.
Findings
The perceived impact of both resources was determined by views on relevance and design – particularly for the clinical aide. Resource-use was influenced by role and responsibilities within the workplace, accessibility, and support from patients and colleagues.
Research limitations/implications
This is the first Australian study to reveal strategies to promote evidence-based sexual healthcare among Practice Nurses. The findings provide a platform for future research on knowledge translation processes, particularly among clinicians who might be disengaged from sexual healthcare.
Practical implications
Given the benefits of evidence-based practices, it is important that managers recognize their role, and the role of their services, in promoting these. Without explicit support for evidence-based care and recognition of the Practice Nurse role in such care, knowledge translation is likely to be limited.
Originality/value
Knowledge translation among Practice Nurses can be facilitated by: resources-deemed informative, relevant, and user-friendly, as well as support from patients, colleagues, and their workplace.
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This chapter looks at male-on-male sexual activity in the subaltern world of male sexual spaces. It examines the importance of such spaces regarding etiquette, negotiation…
Abstract
This chapter looks at male-on-male sexual activity in the subaltern world of male sexual spaces. It examines the importance of such spaces regarding etiquette, negotiation, opportunities, safety, safer sex practices, status, and navigation of sexual expression including experimentation, exploration, and risk-taking through sexual activity. It also explores how these time-limited communal engagements for sexual pleasure and affirmation contrast normative societal expectations. Through hard-copy and online content analysis as well as ethnographic immersion and observations in the subaltern world of gay male sexual spaces such as bathhouses, circuit clubs, dark rooms, fetish balls, porn theaters, sex clubs, and sex shops, a self-monitored subculture that creates its own tribal rituals at various odds with both mainstream societal and LGBTQ movement norms is examined. By deviating from and resisting such norms, this tribe demonstrates how it maintains a core drive of liberated sexuality outside of mainstreamed sexual governance. Premised on spatial theory, in which space, place, and spatial practices are deconstructed with regard to the creation and preservation of male-on-male fetish activities, a link is made to queer liberation theory that supports self-defined sexual expression, including that of kink.
Limited evidence exists on bacha bazi, Afghanistan's steadily revived practice involving transgenerational same-sex relationships, despite its frequent association with violence…
Abstract
Purpose
Limited evidence exists on bacha bazi, Afghanistan's steadily revived practice involving transgenerational same-sex relationships, despite its frequent association with violence towards young males, known as bacha bereesh. This paper aims to fill this critical gap.
Design/methodology/approach
The author conducted an integrative literature review using qualitative and quantitative secondary data. An ecological framework for violence was applied to the findings.
Findings
The findings offer a comprehensive overview of bacha bazi in its modern form, including the unique health needs, sexual practices, and gender identities and orientations of bacha bereesh. The author reveals how Afghan masculine identities and male-male sexual activity occur in relation to power structures and notions of honor. Numerous risk factors increasing bacha bereesh vulnerability for violence and socio-legal barriers constraining access to crucial services are also discussed.
Research limitations/implications
Afghanistan's shame-based culture limits accurate data collection by obscuring the practice and stigmatizing bacha bereesh who serve in feminized roles.
Practical implications
The research highlights the inadequacies of applying Western gender-binary frameworks to bacha bazi. It contributes to our understanding of sexuality, gender, masculinity, and male-directed sexual violence within Afghan culture. These insights will help us better address the health needs of this underserved population.
Originality/value
The lack of evidence addressing these topics highlights our paper's originality, while the literature firmly linking violence to poor physical and psychological health outcomes emphasizes the importance of its contribution.
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The aim of this paper is to critically evaluate sexuality and sexual symbolism within the organisational culture of an accounting firm to explore how it is implicated in processes…
Abstract
Purpose
The aim of this paper is to critically evaluate sexuality and sexual symbolism within the organisational culture of an accounting firm to explore how it is implicated in processes of gendering identities of employees within the firm.
Design/methodology/approach
The paper uses a reflexive autoethnographical approach, including short vignettes, to analyse the inter‐relationships between gender, sexuality and power.
Findings
By exploring the symbolic role of artefacts, images, language, behaviours and buildings in creating and maintaining gendered relations, male sexual cultures and female sexual countercultures, the paper finds that sexual symbolism in this accounting firm entwines gendered power and domination, practice and resistance, in complex cultural codes and behaviours. It draws out implications for organisations and accounting research.
Originality/value
The paper extends current conceptualisation of gendered constructs in accounting to include sexuality; applies organisational and feminist theory to autoethnographical experience in accounting; and contributes a seldom‐seen insight into the organisational symbolism and culture of a small accounting firm, rather than the oft‐seen focus on large firms.
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Kristina Areskoug Josefsson and Gerd Hilde Lunde
Sexual health is insufficiently addressed in health care and higher education, which can lead to lower quality of life and negative health outcomes. To improve the situation, it…
Abstract
Purpose
Sexual health is insufficiently addressed in health care and higher education, which can lead to lower quality of life and negative health outcomes. To improve the situation, it is necessary to address both the needs of patients and professionals and collaboratively engage in finding sustainable solutions. The purpose of this paper is to explore the feasibility and value of large-scale digital coproduction in higher education.
Design/methodology/approach
A study of a project that developed seven interprofessional, digital master-level courses covering different topics related to sexual health. The project was performed through digital coproduction in higher education, with over 100 persons with various backgrounds working together online in designing content and novel digital learning activities.
Findings
Large-scale digital coproduction in higher education is feasible and valuable, but the process demands sensitive leadership, understanding of coproduction processes and willingness to learn from each other. To meet the demands from practice it is important to understand the complexity, ever-changing and unpredictable working life changes which, in turn, demands engagement in continuous learning, training activities and the need for formal education.
Originality/value
The study provides learning of the feasibility of the value of large-scale digital coproduction in higher education, which is a novel way of working in higher education.
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Ian Hall and Evan Yacoub
The article reviews the policy, legislation and literature on sex and relationships for people with learning disability, through a search of electronic databases, journals and…
Abstract
The article reviews the policy, legislation and literature on sex and relationships for people with learning disability, through a search of electronic databases, journals and other resources. It reviews the rights of people with learning disabilities to a sexual life and their views of service responses, sexual offences legislation and the link between sexual knowledge and practice. It also explores sexual orientation and preference among people with learning disabilities, differences between the genders and sexual offending, including consideration of ‘victimless’ offences. It concludes that the balance between empowering and protecting people with learning disabilities is challenging but important. Interventions to promote safer, healthier sexual behaviour need to address more than improving knowledge. We need to find out more about what people with learning disabilities think about their sexual experiences and how they are supported in this area.
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The purpose of this paper is to interrogate ways in which sex and sexual orientation are excluded from the agenda of work relationships in one probation service.
Abstract
Purpose
The purpose of this paper is to interrogate ways in which sex and sexual orientation are excluded from the agenda of work relationships in one probation service.
Design/methodology/approach
The research was conducted through conversational interviews with members of a team responsible both for supervision of colleagues and for development of supervisory practice. Straight and lesbian officers responded to a perceived lack of skills to effectively “work with” sexuality issues.
Findings
Responses lead to discussion of the discursive “silence” of sex, and to the specific positioning of lesbian identity. Specifically, it critiques approaches to supervision that do not explicitly value lesbian experience
Research limitations/implications
This small study does not include the voices of black or gay male officers. It also does not explore the experience of bisexuality.
Practical implications
The finding of this research can be used to support development of good supervisory practice.
Social implications
The paper sheds light on day to day interactions that “silence” experience of sexual orientation.
Originality/value
The paper draws on original research interrogating both lesbian and straight experience. In so doing it sheds light on both discursive practices of a sexual agenda and practice issues in supervision.
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It is argued that the sexual revolution thesis lacks conviction. Changes in sexual attitudes and practices popularly thought to be “modern” are not “original” in any essential…
Abstract
It is argued that the sexual revolution thesis lacks conviction. Changes in sexual attitudes and practices popularly thought to be “modern” are not “original” in any essential sense. The evidence for and theories about such changes and their nature are critically examined.
John P. Elia and Jessica Tokunaga
The purpose of this paper is to examine how school-based sexuality education has had a long and troubled history of exclusionary pedagogical practices that have negatively…
Abstract
Purpose
The purpose of this paper is to examine how school-based sexuality education has had a long and troubled history of exclusionary pedagogical practices that have negatively affected such populations as lesbian, gay, bisexual, trans, queer (LGBTQ) individuals, people of color, and the disabled. The social ecological model is introduced as a way of offering sexuality educators and school administrators a way of thinking more broadly about how to achieve sexual health through sexuality education efforts inside and outside of the school environment.
Design/methodology/approach
This paper uses critical analysis of current and historical school-based sexuality education methods and curricula used in the USA. Authors use both academic journals and their own expertise/experience teaching sexuality education in the USA to analyze and critique the sources of sexuality education information and curricula used in schools.
Findings
Historically, sexuality education in school settings in the USA has been biased and has generally not offered an educational experience fostering sexual health for all students. There are now welcome signs of reform and movement toward a more inclusive and progressive approach, but there is still some way to go. Sexuality education programs in schools need to be further and fundamentally reformed to do more to foster sexual health particularly for LGBTQ individuals, students of color, and people with disabilities.
Practical implications
This paper offers sexuality educators ways of addressing structural issues within the sexuality education curriculum to better serve all students to increase the quality of their sexual health. Integrating critical pedagogy and anti-oppressive education can increase students’ sexual health along physical, social, emotional, intellectual, and spiritual dimensions.
Originality/value
This paper provides historical analysis along with the identification of structural difficulties in the sexuality education curriculum and proposes both critical pedagogy and anti-oppressive education as ways of addressing sex and relationships education.
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