Development of the "Sexual Well-Being Model" for nursing care: A practice case in infertile women

Objective: The aim of the study was to develop a model which nurses can use to promote sexual well-being of women in their care processes by using the Salutogenesis Model and research findings that evaluate effect of psychosexual nursing care structured for infertile women. Method: The theory-research-theory strategy was performed in the model development process. A mixed method study was conducted examining the effectiveness of the psychosexual nursing care program in infertile women which was adopted by based on the Salutogenesis Model. In the mixed method research, design of qualitative dimension was grounded theory, and design of quantitative dimension was randomized controlled study. During developing the model, findings obtained from the research, Salutogenesis Model and related literature were used. Results: It has been determined that psychosexual nursing care has protective effect on the sexual function and satisfaction levels, and promote effect on the levels of sexual self-esteem and self-efficacy of infertile women. From the qualitative findings, the core category "I first need to be empowered as an individual and to make sense of sexuality in order to reach the state of sexual well-being." has been obtained. Also, findings were obtained from qualitative study about the factors that support and restrict the development of sexual well-being. In line with the findings, The Sexual Well-being Model was developed. The basic concepts of the model are nurse, human, ease, disease, psychosexual nursing care and sexual well-being. The purpose, concepts, assumptions, use of the model in research and practice is presented. Conclusion: In the study, The Sexual Well-being Model which nurses may benefit from in providing effective care was developed by specifying the nursing interventions related to psychosexual nursing care. It is considered that psychosexual nursing care carried out with the use of the model will be effective in promote the sexual well-being of women.