title: Baccalaureate nursing students' application of social-cognitive sexual counseling for cardiovascular patients: A web-based educational intervention.
abstract: BACKGROUND
  A gap in knowledge and practice exists for sexual counseling of cardiovascular patients, and innovative approaches are needed to address patients' sexual quality of life.
  
  
  OBJECTIVE
  To evaluate a web-based social-cognitive intervention for evidence-based sexual counseling by baccalaureate nursing students with cardiovascular patients.
  
  
  METHODS
  A pre- post-test survey design was used: pre-test (T1), immediate post-test after intervention (T2), and at 4 to 6weeks post-intervention (T3). Data were collected using the Survey of Sexuality Related Nursing Practices -Cardiac version (SSRNP-CV). Data were analyzed using descriptive statistics and t-tests.
  
  
  RESULTS
  From T1 to T2, students (N=95) significantly increased their responsibility and confidence in sexual counseling; from T1 to T3 (N=57), students significantly improved sexual counseling for confidence and practice subscales, total SSRNP score, and cardiac-specific subscales of sexual counseling, sexual activity, and gender.
  
  
  CONCLUSIONS
  This study clearly demonstrated that a web-based social-cognitive sexual counseling intervention was effective in improving students' ability to provide evidence-based sexual counseling of cardiovascular patients.
authors.affiliation: School of Nursing, Wichita State University, 1845 Fairmount, Wichita, KS 67260-0041, United States. Electronic address: Elaine.Steinke@wichita.edu.
authors.forename: Elaine E
authors.initials: EE
authors.lastname: Steinke
authors.affiliation: College of Nursing-Lincoln Division, University of Nebraska Medical Center, Suite 131, 1230 "O" Street, PO Box 880220, Lincoln, NE 68588-0220, United States. Electronic address: sbarnaso@unmc.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Barnason
authors.affiliation: School of Nursing, Wichita State University, 1845 Fairmount, Wichita, KS 67260-0041, United States. Electronic address: Victoria.Mosack@wichita.edu.
authors.forename: Victoria
authors.initials: V
authors.lastname: Mosack
authors.affiliation: School of Nursing, Wichita State University, 1845 Fairmount, Wichita, KS 67260-0041, United States; Department of Sociology, Wichita State University, 1845 Fairmount, Wichita, KS 67260, United States. Electronic address: Twyla.Hill@wichita.edu.
authors.forename: Twyla J
authors.initials: TJ
authors.lastname: Hill
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002318:Cardiovascular Diseases / Q000451:nursing*; D003376:Counseling; D004508:Education, Nursing, Baccalaureate; D004521:Educational Measurement; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D012736:Sex Education
keywords: Baccalaureate nursing education; Cardiovascular diseases; Online learning; Sexual counseling; Sexuality; Social cognitive theory