title: Nursing interventions on sexual health: validation of the NISH Scale in baccalaureate nursing students in Taiwan.
abstract: BACKGROUND
  No widely accepted tool is available to assess nursing interventions on patient's sexual health among nursing students. Consequently, nursing school faculty cannot determine the sexual healthcare-related skills of nursing students.
  
  
  OBJECTIVE
  The aim of this article was to develop and test a scale to assess nursing interventions on sexual health.
  
  
  METHODS
  A 19-item instrument Nursing Interventions on Sexual Health (NISH) was developed using 10 semi-structured interviews of senior nursing students, expert review, and comparative analysis of text and field notes. A total of 198 senior nursing students were recruited from two nursing schools in central Taiwan to test the instrument. Exploratory factor analysis (EFA) was used to measure construct validity and Cronbach's alpha to measure internal consistency.
  
  
  METHODS
  Validity and reliability of the NISH scale based on the Permission, Limited Information, Specific Suggestion, and Intensive Therapy (PLISSIT) model.
  
  
  RESULTS
  Three factors (permission, limited information, and specific suggestion) were retained after EFA of the 19 items of NISH. Cronbach's alpha for the subscales increased from 0.71-0.93 to 0.74-0.94 and from 0.93 to 0.95 for the total scale, with 72.42% of the cumulative variance explained by these three factors. Nursing students' age (P=0.019) correlated positively with total score.
  
  
  CONCLUSIONS
  NISH is a useful and reliable scale for assessing the frequency of PLISSIT-related behaviors used by nursing students to address patient's sexual health concerns. Nursing faculties can use this scale to assess students' performance and find their omitted behaviors in clinical practice regarding sexual health care.
authors.affiliation: Institute of Medicine, School of Nursing, Chung Shan Medical University, Chung Shan Medical University Hospital, Taichung, Taiwan.
authors.forename: Cheng-Yi
authors.initials: CY
authors.lastname: Huang
authors.forename: Li-Ya
authors.initials: LY
authors.lastname: Tsai
authors.forename: Wen-Chun
authors.initials: WC
authors.lastname: Liao
authors.forename: Sheuan
authors.initials: S
authors.lastname: Lee
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004508:Education, Nursing, Baccalaureate / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research / Q000379:methods*; D015203:Reproducibility of Results; D060728:Reproductive Health; D013338:Students, Nursing / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013624:Taiwan; D055815:Young Adult