The teaching of sexuality in Undergraduate Nursing courses: a systematic literature review

Beraldi, Mariana Lectícia; Paranhos, Will; Garcia, Olga Regina Zigelli; Horta, Ana Lucia de Moraes

doi:10.1590/interface.240005

Mariana Lectícia Beraldi mlberaldi@hotmail.com

Pós-graduanda do Programa de Enfermagem (Doutorado), Escola Paulista de Enfermagem, Universidade Federal de São Paulo (Unifesp). Rua Botucatu, 740, Vila Clementino. São Paulo, SP, Brasil. 04023-062.

https://orcid.org/0000-0002-2730-7331

Will Paranhos williamroslindoparanhos@gmail.com

Pós-graduande do Programa de Pós-Graduação em Educação (Doutorado), Universidade do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil.

https://orcid.org/0000-0003-4454-4272

Olga Regina Zigelli Garcia olga.regina@ufsc.br

Departamento de Enfermagem, Centro de Ciências da Saúde, Universidade Federal de Santa Catarina. Florianópolis, SC, Brasil.

https://orcid.org/0000-0002-3636-8822

Ana Lucia de Moraes Horta ana.horta@unifesp.br

Departamento de Saúde Coletiva, Escola Paulista de Enfermagem, Unifesp. São Paulo, SP, Brasil.

https://orcid.org/0000-0001-5643-3321

mlberaldi@hotmail.com

williamroslindoparanhos@gmail.com

olga.regina@ufsc.br

ana.horta@unifesp.br

Authors’ contribution

All authors actively participated in all stages of preparing the manuscript.

Conflict of interest

The authors have no conflict of interest to declare.

Editor

Roseli Esquerdo Lopes

Associated editor

Josefina Leonor Brown

Translator

Félix Héctor Rigoli Caceres

Protocol	Description
Conceptual framework	Sexuality refers to the interaction of aspects such as sex, sexual identities and gender roles, sexual orientations, eroticism, pleasure, intimacy and reproduction, inherent to psychological, social, economic, political, cultural, legal, historical, religious and spiritual issues1.
Context	Human sexuality featuring in undergraduate nursing curricula.
Languages	English, Portuguese and Spanish.
Inclusion criteria	Studies carried out between January 2013 and September 30, 2022 (date of search). Studies within the scope of the research. Type of document: article of any kind. Studies that refer to undergraduate generalist nursing.
Exclusion criteria	Duplicate studies. Studies that do not cover the scope of the research. Studies which, in the end, only indicate the need to include human sexuality in curricula. Articles in repositories. Studies in other languages. Other types of documents.
Databases searched	Scopus, Web of Science, LILACS and PubMed.

Databases	Keywords	Results
Scopus	(nurse OR nursing) AND (“pre licensure” OR student* OR bachelor OR baccalaureate OR pupil) AND (curricula OR curriculum OR curricular) AND (“sex education” OR sexuality OR sexual OR sex OR “sexual health” OR “reproductive health”)	181
Web of Science	(nurse OR nursing) AND (“pre licensure” OR student* OR bachelor OR baccalaureate OR pupil) AND (curricula OR curriculum OR curricular) AND (“sex education” OR sexuality OR sexual OR sex OR “sexual health” OR “reproductive health”)	166
LILACS	(estudante OR universit) AND (graduaç) AND curricul* AND (enferm* OR nursing OR nurses) AND (ti:sex* OR sexualidade OR “educação sexual”)*	10
PubMed	(“nursing”[MeSH Terms] OR “nursing”[All Fields] OR “nursings”[All Fields] OR “nursing”[MeSH Subheading] OR “nursings”[All Fields] OR “nurse”[All Fields]) AND (“pre licensure”[Text Word] OR “student”[All Fields] OR “graduat”[All Fields] OR “undergraduat”[All Fields] OR (“bachelor”[All Fields] OR “bachelor s”[All Fields] OR “bachelors”[All Fields]) OR (“pupil”[MeSH Terms] OR “pupil”[All Fields] OR “pupils”[All Fields] OR “pupil s”[All Fields]) OR (“baccalaureate”[All Fields] OR “baccalaureates”[All Fields])) AND (“reproductive health”[Text Word] OR “sex education”[MeSH Terms] OR “sex”[Title] OR “sexual*”[Title] OR (“sexuality”[MeSH Terms] OR “sexual behavior”[MeSH Terms]) OR “sexuality”[Title] OR “sexual health”[MeSH Terms] OR “sexual and gender minorities”[MeSH Terms]) AND (“curriculum”[MeSH Terms] OR ““curriculum”[”[Title] OR ““curricula”[”[Title] OR ““program education”[Title] OR “program educational”[Title] OR ““degree education”[Title])	78
Total	435

Contents
Anatomy, physiology and biological aspects²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... ^,⁸8 Cappiello J, Coplon L, Carpenter H. Systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017; 46(5):e157-67. doi: 10.1016/j.jogn.2017.04.132. https://doi.org/10.1016/j.jogn.2017.04.1... ^,²⁰20 Clever K, Richter C, Meyer G. Current approaches to the integration of sex- and gender-specific medicine in teaching: a qualitative expert survey. GMS J Med Educ. 2020; 37(2):Doc26. doi: 10.3205/zma001319. https://doi.org/10.3205/zma001319...	Chronic diseases and sexuality²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... ^,³3 Hickerson K, Hawkins LA, Hoyt-Brennan AM. Sexual orientation/gender identity cultural competence: a simulation pilot study. Clin Simul Nurs. 2018; 16:2-5. doi: 10.1016/j.ecns.2017.10.011. https://doi.org/10.1016/j.ecns.2017.10.0... ^,⁸8 Cappiello J, Coplon L, Carpenter H. Systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017; 46(5):e157-67. doi: 10.1016/j.jogn.2017.04.132. https://doi.org/10.1016/j.jogn.2017.04.1... ^,¹⁷17 Bell LM, Brennan-Cook J, Sisson J, Steigerwald M, Cook C, Cicero EC, et al. Learning about culturally humble care of sexual and gender minority patients. Teach Learn Nurs. 2019; 14(3):216-8. doi: 10.1016/j.teln.2019.04.006. https://doi.org/10.1016/j.teln.2019.04.0... ^,¹⁹19 Burkey DF, Fetty A, Watson-Huffer K. Infusing LGBTQ cultural competency into nursing curriculum. Nurse Educ Today. 2021; 96:104642. doi: 10.1016/j.nedt.2020.104642. https://doi.org/10.1016/j.nedt.2020.1046... ^,²⁰20 Clever K, Richter C, Meyer G. Current approaches to the integration of sex- and gender-specific medicine in teaching: a qualitative expert survey. GMS J Med Educ. 2020; 37(2):Doc26. doi: 10.3205/zma001319. https://doi.org/10.3205/zma001319... ^,²⁸28 Maruca AT, Diaz DA, Stockmann C, Gonzalez L. Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: a multisite study. Nurs Educ Perspect. 2018; 39(4):225-9. doi: 10.1097/01.NEP.0000000000000302. https://doi.org/10.1097/01.NEP.000000000... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.
Sexual and reproductive health²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... ^,⁸8 Cappiello J, Coplon L, Carpenter H. Systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017; 46(5):e157-67. doi: 10.1016/j.jogn.2017.04.132. https://doi.org/10.1016/j.jogn.2017.04.1... ^,¹⁴14 Agramonte del Sol A. Enfoque interdisciplinario de la salud reproductiva y sexual en la formación de enfermeros universitarios en Cuba. Rev Cuba Enferm. 2013; 29(1):48-59. ^,²²22 Souza FTP, Silva CF, Moreira FTLS, Callou RCM, Belém JM, Albuquerque GA. Interface between women’s health and violence in the training of nurses in Brazil. Invest Educ Enferm. 2021; 39(1):e06. doi: 10.17533/udea.iee.v39n1e06. https://doi.org/10.17533/udea.iee.v39n1e... ^,²⁵25 Lima ACS, Alves MJH, Pereira EV, Pereira AP, Albuquerque GA, Belém JM. Gênero e sexualidade na formação de enfermeiros no ensino superior público brasileiro: estudo documental. Rev Enferm Centro-Oeste Min. 2021; 11:1-14. doi: 10.19175/recom.v11i0.3877. https://doi.org/10.19175/recom.v11i0.387... ^,⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Drugs and sexual behavior⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472...
Sexual violence against women¹⁵15 Aguiar FAR, Silva RM, Bezerra IC, Vieira LJES, Cavalcanti LF, Ferreira Jr AR. Vocational training and sexual assault against women: challenges for graduation in nursing. Esc Anna Nery. 2020; 24(1):e20190135. doi: 10.1590/2177-9465-EAN-2019-0135. https://doi.org/10.1590/2177-9465-EAN-20... ^,²²22 Souza FTP, Silva CF, Moreira FTLS, Callou RCM, Belém JM, Albuquerque GA. Interface between women’s health and violence in the training of nurses in Brazil. Invest Educ Enferm. 2021; 39(1):e06. doi: 10.17533/udea.iee.v39n1e06. https://doi.org/10.17533/udea.iee.v39n1e... ^,²⁶26 Magalhães BC, Silva CF, Silva Filho JA, Pinto AGA, Maia ER, Lopes MSV, et al. How is violence themed in nursing education? Curricular components in Northeastern Brazil. J Interpers Violence. 2022; 37(17-18):NP16859-84. doi: 10.1177/08862605211025845. https://doi.org/10.1177/0886260521102584...	Heteronormativity⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,³⁴34 Nietsche EA, Tassinari TT, Ramos TK, Beltrame G, Salbego C, Cassenote LG. Formação do enfermeiro para o cuidado à população homossexual e bissexual: percepção do discente. Rev Baiana Enferm. 2018; 32:e25174.^,⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...
Sexuality at different stages of life⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Basic concepts about genders⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,¹⁸18 Braun HM, Ramirez D, Zahner GJ, Gillis-Buck EM, Sheriff H, Ferrone M. The LGBTQI health forum: an innovative interprofessional initiative to support curriculum reform. Med Educ Online. 2017; 22(1):1306419. doi: 10.1080/10872981.2017.1306419.^,²⁰20 Clever K, Richter C, Meyer G. Current approaches to the integration of sex- and gender-specific medicine in teaching: a qualitative expert survey. GMS J Med Educ. 2020; 37(2):Doc26. doi: 10.3205/zma001319. https://doi.org/10.3205/zma001319... ^,⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...
Components of sexuality⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472...	Advanced concepts about genders⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,²⁹29 McCann E, Brown M. The needs of LGBTI+ people within student nurse education programmes: a new conceptualisation. Nurse Educ Pract. 2020; 47:102828. doi: 10.1016/j.nepr.2020.102828. https://doi.org/10.1016/j.nepr.2020.1028... ^,⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...
Human sexual response and sexual function²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... ^,⁸8 Cappiello J, Coplon L, Carpenter H. Systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017; 46(5):e157-67. doi: 10.1016/j.jogn.2017.04.132. https://doi.org/10.1016/j.jogn.2017.04.1... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Concepts about affective-sexual diversities/orientations⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.
Mental health and sexual health³⁸38 Pratt-Chapman ML. Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study. BMC Med Educ. 2020; 20(1):138. doi: 10.1186/s12909-020-02045-0. https://doi.org/10.1186/s12909-020-02045... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	LGBTIAP+ and queer health care²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... 3 Hickerson K, Hawkins LA, Hoyt-Brennan AM. Sexual orientation/gender identity cultural competence: a simulation pilot study. Clin Simul Nurs. 2018; 16:2-5. doi: 10.1016/j.ecns.2017.10.011. https://doi.org/10.1016/j.ecns.2017.10.0... 4 Bosse JD, Nesteby JA, Randall CE. Integrating sexual minority health issues into a health assessment class. J Prof Nurs. 2015; 31(6):498-507. doi: 10.1016/j.profnurs.2015.04.007. https://doi.org/10.1016/j.profnurs.2015.... ^-⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,¹⁶16 Aslan F, Şahin NE, Emiroğlu ON. Turkish nurse educators knowledge regarding LGBT health and their level of homophobia: a descriptive-cross sectional study. Nurse Educ Today. 2019; 76:216-21. doi: 10.1016/j.nedt.2019.02.014. https://doi.org/10.1016/j.nedt.2019.02.0... 17 Bell LM, Brennan-Cook J, Sisson J, Steigerwald M, Cook C, Cicero EC, et al. Learning about culturally humble care of sexual and gender minority patients. Teach Learn Nurs. 2019; 14(3):216-8. doi: 10.1016/j.teln.2019.04.006. https://doi.org/10.1016/j.teln.2019.04.0... 18 Braun HM, Ramirez D, Zahner GJ, Gillis-Buck EM, Sheriff H, Ferrone M. The LGBTQI health forum: an innovative interprofessional initiative to support curriculum reform. Med Educ Online. 2017; 22(1):1306419. doi: 10.1080/10872981.2017.1306419.^-¹⁹19 Burkey DF, Fetty A, Watson-Huffer K. Infusing LGBTQ cultural competency into nursing curriculum. Nurse Educ Today. 2021; 96:104642. doi: 10.1016/j.nedt.2020.104642. https://doi.org/10.1016/j.nedt.2020.1046... ^,²¹21 Cornelius JB, Enweana I, Alston CK, Baldwin DM. Examination of lesbian, gay, bisexual, and transgender health care content in North Carolina schools of nursing. J Nurs Educ. 2017; 56(4):223-6. doi: 10.3928/01484834-20170323-06. https://doi.org/10.3928/01484834-2017032... ^,²⁴24 Lim FA, Brown Jr DV, Jones H. Lesbian, gay, bisexual, and transgender health: fundamentals for nursing education. J Nurs Educ. 2013; 52(4):198-203. doi: 10.3928/01484834-20130311-02. https://doi.org/10.3928/01484834-2013031... ^,²⁶26 Magalhães BC, Silva CF, Silva Filho JA, Pinto AGA, Maia ER, Lopes MSV, et al. How is violence themed in nursing education? Curricular components in Northeastern Brazil. J Interpers Violence. 2022; 37(17-18):NP16859-84. doi: 10.1177/08862605211025845. https://doi.org/10.1177/0886260521102584... ^,²⁸28 Maruca AT, Diaz DA, Stockmann C, Gonzalez L. Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: a multisite study. Nurs Educ Perspect. 2018; 39(4):225-9. doi: 10.1097/01.NEP.0000000000000302. https://doi.org/10.1097/01.NEP.000000000... 29 McCann E, Brown M. The needs of LGBTI+ people within student nurse education programmes: a new conceptualisation. Nurse Educ Pract. 2020; 47:102828. doi: 10.1016/j.nepr.2020.102828. https://doi.org/10.1016/j.nepr.2020.1028... ^-³⁰30 McDowell A, Bower KM. Transgender health care for nurses: an innovative approach to diversifying nursing curricula to address health inequities. J Nurs Educ. 2016; 55(8):476-9. doi: 10.3928/01484834-20160715-11. https://doi.org/10.3928/01484834-2016071... ^,³²32 McNiel PL, Elertson KM. Advocacy and awareness: integrating LGBTQ health education into the prelicensure curriculum. J Nurs Educ. 2018; 57(5):312-4. doi: 10.3928/01484834-20180420-12. https://doi.org/10.3928/01484834-2018042... ^,³⁸38 Pratt-Chapman ML. Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study. BMC Med Educ. 2020; 20(1):138. doi: 10.1186/s12909-020-02045-0. https://doi.org/10.1186/s12909-020-02045... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84. ^,⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...
Sexual disorders and dysfunctions²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0... ^,⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472... ^,⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Cultural competence and humility in LGBTIAP+ and queer healthcare³3 Hickerson K, Hawkins LA, Hoyt-Brennan AM. Sexual orientation/gender identity cultural competence: a simulation pilot study. Clin Simul Nurs. 2018; 16:2-5. doi: 10.1016/j.ecns.2017.10.011. https://doi.org/10.1016/j.ecns.2017.10.0... 4 Bosse JD, Nesteby JA, Randall CE. Integrating sexual minority health issues into a health assessment class. J Prof Nurs. 2015; 31(6):498-507. doi: 10.1016/j.profnurs.2015.04.007. https://doi.org/10.1016/j.profnurs.2015.... ^-⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020.... ^,¹⁷17 Bell LM, Brennan-Cook J, Sisson J, Steigerwald M, Cook C, Cicero EC, et al. Learning about culturally humble care of sexual and gender minority patients. Teach Learn Nurs. 2019; 14(3):216-8. doi: 10.1016/j.teln.2019.04.006. https://doi.org/10.1016/j.teln.2019.04.0... 18 Braun HM, Ramirez D, Zahner GJ, Gillis-Buck EM, Sheriff H, Ferrone M. The LGBTQI health forum: an innovative interprofessional initiative to support curriculum reform. Med Educ Online. 2017; 22(1):1306419. doi: 10.1080/10872981.2017.1306419.^-¹⁹19 Burkey DF, Fetty A, Watson-Huffer K. Infusing LGBTQ cultural competency into nursing curriculum. Nurse Educ Today. 2021; 96:104642. doi: 10.1016/j.nedt.2020.104642. https://doi.org/10.1016/j.nedt.2020.1046... ^,²⁷27 Maley B, Gross R. A writing assignment to address gaps in the nursing curriculum regarding health issues of LGBT+ populations. Nurs Forum. 2019; 54(2):198-204. doi: 10.1111/nuf.12315. https://doi.org/10.1111/nuf.12315... 28 Maruca AT, Diaz DA, Stockmann C, Gonzalez L. Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: a multisite study. Nurs Educ Perspect. 2018; 39(4):225-9. doi: 10.1097/01.NEP.0000000000000302. https://doi.org/10.1097/01.NEP.000000000... ^-²⁹29 McCann E, Brown M. The needs of LGBTI+ people within student nurse education programmes: a new conceptualisation. Nurse Educ Pract. 2020; 47:102828. doi: 10.1016/j.nepr.2020.102828. https://doi.org/10.1016/j.nepr.2020.1028... ^,³¹31 McEwing E. Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: education for nursing students. Nurse Educ Today. 2020; 94:104573. doi: 10.1016/j.nedt.2020.104573. https://doi.org/10.1016/j.nedt.2020.1045...
Expression of love and attraction⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Gender equality⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...
Body image related to intimacy⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.

[1] mlberaldi@hotmail.com

Authors	Títle	Year	Journal
Aaberg V²2 Aaberg V. The state of sexuality education in baccalaureate nursing programs. Nurse Educ Today. 2016; 44:14-9. doi: 10.1016/j.nedt.2016.05.009. https://doi.org/10.1016/j.nedt.2016.05.0...	The state of sexuality education in baccalaureate nursing programs	2016	Nurse Education Today
Agramonte del Sol A¹⁴14 Agramonte del Sol A. Enfoque interdisciplinario de la salud reproductiva y sexual en la formación de enfermeros universitarios en Cuba. Rev Cuba Enferm. 2013; 29(1):48-59.	Enfoque interdisciplinario de la salud reproductiva y sexual en la formación de enfermeros universitarios en Cuba	2013	Revista Cubana de Enfermería
Aguiar FAR et al.¹⁵15 Aguiar FAR, Silva RM, Bezerra IC, Vieira LJES, Cavalcanti LF, Ferreira Jr AR. Vocational training and sexual assault against women: challenges for graduation in nursing. Esc Anna Nery. 2020; 24(1):e20190135. doi: 10.1590/2177-9465-EAN-2019-0135. https://doi.org/10.1590/2177-9465-EAN-20...	Vocational training and sexual assault against women: challenges for graduation in nursing	2020	Escola Anna Nery
Aslan F et al.¹⁶16 Aslan F, Şahin NE, Emiroğlu ON. Turkish nurse educators knowledge regarding LGBT health and their level of homophobia: a descriptive-cross sectional study. Nurse Educ Today. 2019; 76:216-21. doi: 10.1016/j.nedt.2019.02.014. https://doi.org/10.1016/j.nedt.2019.02.0...	Turkish nurse educators knowledge regarding LGBT health and their level of homophobia: a descriptive–cross sectional study	2019	Nurse Education Today
Bell LM et al.¹⁷17 Bell LM, Brennan-Cook J, Sisson J, Steigerwald M, Cook C, Cicero EC, et al. Learning about culturally humble care of sexual and gender minority patients. Teach Learn Nurs. 2019; 14(3):216-8. doi: 10.1016/j.teln.2019.04.006. https://doi.org/10.1016/j.teln.2019.04.0...	Learning about culturally humble care of sexual and gender minority patients	2019	Teaching and Learning in Nursing
Bosse JD et al.⁴4 Bosse JD, Nesteby JA, Randall CE. Integrating sexual minority health issues into a health assessment class. J Prof Nurs. 2015; 31(6):498-507. doi: 10.1016/j.profnurs.2015.04.007. https://doi.org/10.1016/j.profnurs.2015....	Integrating sexual minority health issues into a health assessment class	2015	Journal of Professional Nursing
Braun HM et al.¹⁸18 Braun HM, Ramirez D, Zahner GJ, Gillis-Buck EM, Sheriff H, Ferrone M. The LGBTQI health forum: an innovative interprofessional initiative to support curriculum reform. Med Educ Online. 2017; 22(1):1306419. doi: 10.1080/10872981.2017.1306419.	The LGBTQI health forum: an innovative interprofessional initiative to support curriculum reform	2017	Medical Education Online
Burkey DF et al.¹⁹19 Burkey DF, Fetty A, Watson-Huffer K. Infusing LGBTQ cultural competency into nursing curriculum. Nurse Educ Today. 2021; 96:104642. doi: 10.1016/j.nedt.2020.104642. https://doi.org/10.1016/j.nedt.2020.1046...	Infusing LGBTQ cultural competency into nursing curriculum	2021	Nurse Education Today
Burton CW et al.⁵5 Burton CW, Nolasco K, Holmes D. Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs. J Prof Nurs. 2021; 37(1):101-7. doi: 10.1016/j.profnurs.2020.07.003. https://doi.org/10.1016/j.profnurs.2020....	Queering nursing curricula: understanding and increasing attention to LGBTQIA+ health needs	2021	Journal of Professional Nursing
Cappiello J et al.⁸8 Cappiello J, Coplon L, Carpenter H. Systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017; 46(5):e157-67. doi: 10.1016/j.jogn.2017.04.132. https://doi.org/10.1016/j.jogn.2017.04.1...	Systematic review of sexual and reproductive health care content in nursing curricula	2017	Journal of Obstetric, Gynecologic, and Neonatal Nursing
Clever K et al.²⁰20 Clever K, Richter C, Meyer G. Current approaches to the integration of sex- and gender-specific medicine in teaching: a qualitative expert survey. GMS J Med Educ. 2020; 37(2):Doc26. doi: 10.3205/zma001319. https://doi.org/10.3205/zma001319...	Current approaches to the integration of sex- and gender-specific medicine in teaching: a qualitative expert survey	2020	Journal of Medical Education
Cornelius JB et al.²¹21 Cornelius JB, Enweana I, Alston CK, Baldwin DM. Examination of lesbian, gay, bisexual, and transgender health care content in North Carolina schools of nursing. J Nurs Educ. 2017; 56(4):223-6. doi: 10.3928/01484834-20170323-06. https://doi.org/10.3928/01484834-2017032...	Examination of lesbian, gay, bisexual, and transgender health care content in North Carolina schools of nursing	2017	Journal of Nursing Education
Hickerson K et al.³3 Hickerson K, Hawkins LA, Hoyt-Brennan AM. Sexual orientation/gender identity cultural competence: a simulation pilot study. Clin Simul Nurs. 2018; 16:2-5. doi: 10.1016/j.ecns.2017.10.011. https://doi.org/10.1016/j.ecns.2017.10.0...	Sexual orientation/gender identity cultural competence: a simulation pilot study	2018	Clinical Simulation in Nursing
Souza FTP et al.²²22 Souza FTP, Silva CF, Moreira FTLS, Callou RCM, Belém JM, Albuquerque GA. Interface between women’s health and violence in the training of nurses in Brazil. Invest Educ Enferm. 2021; 39(1):e06. doi: 10.17533/udea.iee.v39n1e06. https://doi.org/10.17533/udea.iee.v39n1e...	Interface between women’s health and violence in the training of nurses in Brazil	2021	Investigación y Educación en Enfermería
Kim M et al.²³23 Kim M, Shin M. Development and evaluation of simulation-problem-based learning for sex education. Comput Inform Nurs. 2016; 34(1):17-25. doi: 10.1097/CIN.0000000000000200. https://doi.org/10.1097/CIN.000000000000...	Development and evaluation of simulation-problem-based learning for sex education	2016	Computers, Informatics, Nursing
Lim FA et al.²⁴24 Lim FA, Brown Jr DV, Jones H. Lesbian, gay, bisexual, and transgender health: fundamentals for nursing education. J Nurs Educ. 2013; 52(4):198-203. doi: 10.3928/01484834-20130311-02. https://doi.org/10.3928/01484834-2013031...	Lesbian, gay, bisexual, and transgender health: fundamentals for nursing education	2013	Journal of Nursing Education
Lima ACS et al.²⁵25 Lima ACS, Alves MJH, Pereira EV, Pereira AP, Albuquerque GA, Belém JM. Gênero e sexualidade na formação de enfermeiros no ensino superior público brasileiro: estudo documental. Rev Enferm Centro-Oeste Min. 2021; 11:1-14. doi: 10.19175/recom.v11i0.3877. https://doi.org/10.19175/recom.v11i0.387...	Gênero e sexualidade na formação de enfermeiros no ensino superior público brasileiro: estudo documental	2021	Revista de Enfermagem do Centro-Oeste Mineiro
Magalhães BC et al.²⁶26 Magalhães BC, Silva CF, Silva Filho JA, Pinto AGA, Maia ER, Lopes MSV, et al. How is violence themed in nursing education? Curricular components in Northeastern Brazil. J Interpers Violence. 2022; 37(17-18):NP16859-84. doi: 10.1177/08862605211025845. https://doi.org/10.1177/0886260521102584...	How is violence themed in nursing education? Curricular components in Northeastern Brazil	2022	Journal of Interpersonal Violence
Maley B et al.²⁷27 Maley B, Gross R. A writing assignment to address gaps in the nursing curriculum regarding health issues of LGBT+ populations. Nurs Forum. 2019; 54(2):198-204. doi: 10.1111/nuf.12315. https://doi.org/10.1111/nuf.12315...	A writing assignment to address gaps in the nursing curriculum regarding health issues of LGBT+ populations	2019	Nursing Forum
Maruca AT et al.²⁸28 Maruca AT, Diaz DA, Stockmann C, Gonzalez L. Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: a multisite study. Nurs Educ Perspect. 2018; 39(4):225-9. doi: 10.1097/01.NEP.0000000000000302. https://doi.org/10.1097/01.NEP.000000000...	Using simulation with nursing students to promote affirmative practice toward the lesbian, gay, bisexual, and transgender population: a multisite study	2018	Nursing Education Perspectives
McCann E, Brown M²⁹29 McCann E, Brown M. The needs of LGBTI+ people within student nurse education programmes: a new conceptualisation. Nurse Educ Pract. 2020; 47:102828. doi: 10.1016/j.nepr.2020.102828. https://doi.org/10.1016/j.nepr.2020.1028...	The needs of LGBTI+ people within student nurse education programmes: a new conceptualisation	2020	Nurse Education in Practice
McDowell A, Bower KM³⁰30 McDowell A, Bower KM. Transgender health care for nurses: an innovative approach to diversifying nursing curricula to address health inequities. J Nurs Educ. 2016; 55(8):476-9. doi: 10.3928/01484834-20160715-11. https://doi.org/10.3928/01484834-2016071...	Transgender health care for nurses: an innovative approach to diversifying nursing curricula to address health inequities	2016	Journal of Nursing Education
McEwing E³¹31 McEwing E. Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: education for nursing students. Nurse Educ Today. 2020; 94:104573. doi: 10.1016/j.nedt.2020.104573. https://doi.org/10.1016/j.nedt.2020.1045...	Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT) population: education for nursing students	2020	Nurse Education Today
McNiel PL et al.³²32 McNiel PL, Elertson KM. Advocacy and awareness: integrating LGBTQ health education into the prelicensure curriculum. J Nurs Educ. 2018; 57(5):312-4. doi: 10.3928/01484834-20180420-12. https://doi.org/10.3928/01484834-2018042...	Advocacy and awareness: integrating LGBTQ health education into the prelicensure curriculum	2018	Journal of Nursing Education
Morris M et al.³³33 Morris M, Cooper RL, Ramesh A, Tabatabai M, Arcury TA, Shinn M, et al. Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review. BMC Med Educ. 2019; 19(1):325. doi: 10.1186/s12909-019-1727-3. https://doi.org/10.1186/s12909-019-1727-...	Training to reduce LGBTQ-related bias among medical, nursing, and dental students and providers: a systematic review	2019	BMC Medical Education
Nietsche EA et al.³⁴34 Nietsche EA, Tassinari TT, Ramos TK, Beltrame G, Salbego C, Cassenote LG. Formação do enfermeiro para o cuidado à população homossexual e bissexual: percepção do discente. Rev Baiana Enferm. 2018; 32:e25174.	Nursing training for care to the homosexual and bisexual population: students’ perception	2018	Revista Baiana de Enfermagem
Paiva EM et al.³⁵35 Paiva EMC, Ramos SCS, Martins NS, Nascimento MC, Calheiros AP, Calheiros CAP. Sexualidade e infecções sexualmente transmissíveis: análise da formação de alunos da área da saúde. Rev Pesq Cuid Fundam. 2021; 13:809-14. doi: 10.9789/2175-5361.rpcfo.v13.9190. https://doi.org/10.9789/2175-5361.rpcfo....	Sexualidade e infecções sexualmente transmissíveis: análise da formação de alunos da área da saúde	2021	Revista de Pesquisa Cuidado é Fundamental Online
Petry S et al.³⁶36 Petry S, Padilha MI, Bellaguarda MLR, Vieira AN, Neves VR. The said and the unsaid in the teaching of sexually transmitted infections. Acta Paul Enferm. 2021; 34: eAPE001855. doi: 10.37689/acta-ape/2021AO001855. https://doi.org/10.37689/acta-ape/2021AO...	The said and the unsaid in the teaching of sexually transmitted infections	2021	Acta Paulista de Enfermagem
Petry S et al.³⁷37 Petry S, Padilha MI. Approaching sexually transmitted infections in a nursing undergraduate curriculum. Rev Esc Enferm USP. 2021; 55:e20210019. doi: 10.1590/1980-220X-REEUSP-2021-0019. https://doi.org/10.1590/1980-220X-REEUSP...	Approaching sexually transmitted infections in a nursing undergraduate curriculum	2021	Revista da Escola de Enfermagem da USP
Pratt-Chapman ML³⁸38 Pratt-Chapman ML. Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study. BMC Med Educ. 2020; 20(1):138. doi: 10.1186/s12909-020-02045-0. https://doi.org/10.1186/s12909-020-02045...	Implementation of sexual and gender minority health curricula in health care professional schools: a qualitative study	2020	BMC Medical Education
Rosser BRS et al.³⁹39 Rosser BRS, Mkoka DA, Rohloff CT, Mgopa LR, Ross MW, Lukumay GG, et al. Tailoring a sexual health curriculum to the sexual health challenges seen by midwifery, nursing and medical providers and students in Tanzania. Afr J Prim Health Care Fam Med. 2022; 14(1):e1-e9. doi: 10.4102/phcfm.v14i1.3434. https://doi.org/10.4102/phcfm.v14i1.3434...	Tailoring a sexual health curriculum to the sexual health challenges seen by midwifery, nursing and medical providers and students in Tanzania	2022	African Journal of Primary Health Care & Family Medicine
Saus-Ortega C et al.⁴⁰40 Saus-Ortega C, Ballestar-Tarín ML, Chover-Sierra E, Martínez-Sabater A. Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study. Int J Environ Res Public Health. 2021; 18(21):11472. doi: 10.3390/ijerph182111472. https://doi.org/10.3390/ijerph182111472...	Contents of the sexual and reproductive health subject in the undergraduate nursing curricula of Spanish universities: a cross-sectional study	2021	International Journal of Environmental Research and Public Health
Sheinfeld L et al.⁴¹41 Sheinfeld L, Arnott G, El-Haddad J, Foster AM. Assessing abortion coverage in nurse practitioner programs in Canada: a national survey of program directors. Contraception. 2016; 94(5):483-8. doi: 10.1016/j.contraception.2016.06.020. https://doi.org/10.1016/j.contraception....	Assessing abortion coverage in nurse practitioner programs in Canada: a national survey of program directors	2016	Contraception
Sherman ADF et al.⁴²42 Sherman ADF, McDowell A, Clark KD, Balthazar M, Klepper M, Bower K. Transgender and gender diverse health education for future nurses: students’ knowledge and attitudes. Nurse Educ Today. 2021; 97:104690. doi: 10.1016/j.nedt.2020.104690. https://doi.org/10.1016/j.nedt.2020.1046...	Transgender and gender diverse health education for future nurses: students’ knowledge and atitudes	2020	Nurse Education Today
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Tsai LY et al.⁴⁴44 Tsai LY, Huang CY, Shih FF, Li CR, Lai TJ. Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan. Nagoya J Med Sci. 2014; 76(3-4):273-84.	Undergraduate nursing education to address patients’ concerns about sexual health: the perceived learning needs of senior traditional four-year and two-year recurrent education (RN-BSN) undergraduate nursing students in Taiwan	2014	Nagoya Journal of Medical Science
Yang H-C⁴⁵45 Yang HC. What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students. Int J Environ Res Public Health. 2020; 17(18):6555. doi: 10.3390/ijerph17186555. https://doi.org/10.3390/ijerph17186555...	What should be taught and what is taught: integrating gender into medical and health professions education for medical and nursing students	2020	Research and Public Health