Fear of COVID-19 among professional caregivers of the elderly in Central Alentejo, Portugal.

The coronavirus disease 2019 (COVID-19) has infected many institutionalised elderly people. In Portugal, the level of pandemic fear among professional caregivers of the elderly is unknown, as are its predictive factors. This study aimed to investigate predictors of fear of COVID-19 among workers caring for institutionalised elderly people in nursing homes. This is a cross-sectional study using multiple linear regression applied to a population of 652 caregivers located in 14 municipalities in Central Alentejo, Portugal, at March 2021. The criterion variable was the fear of COVID-19. Standardised regression coefficients showed that the higher the level of education, the lower the level of fear (ß = - 0.158; t = - 4.134; p < .001). Other predictors of the level of fear were gender, with women having higher levels (ß = 0.123; t = t = 3.203; p < 0.001), higher scores on COVID-19-like suspicious symptoms (ß = 0.123; t = 3.219; p < 0.001) and having received a flu vaccine (ß = 0.086; t = 2.252; p = 0.025). The model explains 6.7% of the variation in fear of COVID-19 (R2Adj = 0.067). Health literacy can minimise the impact on the physical and mental health of these workers. In Central Alentejo, caregivers of the elderly play a fundamental role in social balance. Further studies are needed to better understand the factors that can improve their personal and professional well-being.

Effects of vitamin D levels during pregnancy on prematurity: a systematic review protocol.

INTRODUCTION: Prematurity is an urgent public health problem worldwide. Recent studies associate maternal hypovitaminosis D during pregnancy with an increased risk of prematurity. However, the evidence on this association remains inconclusive, and there is lack of consensus in the literature. The exact mechanism by which low vitamin D levels may increase the risk of preterm birth is not yet fully understood. Nevertheless, it is known that vitamin D may play a role in maintaining a healthy pregnancy by regulating inflammation and immunomodulation by acting on the maternal and fetal immune systems. Inflammation and immune dysregulation are both associated with preterm birth, and low vitamin D levels may exacerbate these processes. The results of this review may have important implications for clinical practice and public health policy, particularly regarding vitamin D supplementation during pregnancy. METHODS AND ANALYSIS: A systematic review of the literature will be conducted. The search will be performed in electronic databases: CINAHL; MEDLINE; Cochrane Central Register of Controlled Trials; Cochrane Library; Academic Search Complete; Information Science and Technology Abstracts; MedicLatina; SCOPUS; PubMed; and Google Scholar, with the chronological range of January 2018 to November 2022. The search strategy will include the following Medical Subject Headings or similar terms: 'Vitamin D'; '25-hydroxyvitamin D'; 'Hypovitaminosis D'; 'Pregnancy'; 'Pregnant women'; 'Expectant mother'; 'Prematurity'; 'Premature birth'; 'Premature delivery'; 'Preterm birth'; and 'Preterm labour'. This review will include quantitative primary studies, both experimental (clinical trials) and observational (cohort, cross-sectional, and case-control). The quality of each selected study and the results obtained will be assessed by two reviewers separately, using the Cochrane risk of bias tool for evaluating randomised clinical trials or the Newcastle Ottawa Scale for non-randomised studies, following the respective checklist. In case of disagreement, a third reviewer will be consulted. ETHICS AND DISSEMINATION: This study does not involve human subjects and therefore does not require ethics approval. The results will be disseminated through publication in a peer-reviewed scientific journal and through conference presentations. All changes made to the protocol will be registered in PROSPERO, with information on the nature and justification for the changes made. PROSPERO REGISTRATION NUMBER: CRD42022303901.

Sex, cognitive state and falls as factors associated with malnutrition: a cross-sectional study of institutionalized older adults living in a rural area of Portugal.

BACKGROUND: Malnutrition is an underestimated geriatric problem, with a high prevalence in institutionalized older adults. The identification of risk factors for malnutrition in elderly individuals must be a priority for governmental organizations worldwide. METHODS: A total of 98 institutionalized seniors were enrolled in a cross-sectional study. For the assessment of risk factors, sociodemographic characteristics and health-related information were collected. The Mini-Nutritional Assessment Short-Form test was used to assess malnutrition in the sample population. RESULTS: A significantly greater proportion of women than men were malnourished or at risk of malnutrition. In addition, the comparative analysis revealed that comorbidity, arthritis, balance impairment, dementia and fall episodes with serious injuries were significantly more frequent in the older adults categorized as malnourished or at risk of malnutrition than in those categorized as well-nourished. CONCLUSIONS: Multivariable regression analysis revealed that being female, having a poor cognitive status and experiencing falls with injuries are the main independent factors influencing nutritional status in institutionalized older adults living in a rural area of Portugal.

Exclusive breastfeeding after breast cancer. Case study.

OBJETIVE: To develop a care plan focused on assisting a puerperal woman who decides to feed their child through breastfeeding on the contralateral breast. METHODS: A case study conducted with a 36-year-old primiparous woman who underwent tumorectomy and left axillary emptying, chemotherapy and radiotherapy 8 years ago. The data were collected in the Nursing process, with initial assessment using the Marjory Gordon functional health patterns. The care plan used the NANDA-I, NIC and NOC taxonomies. RESULTS: Three diagnoses were identified: [00208] Readiness for Enhanced Childbearing Process, [00106] Readiness for Enhanced Breastfeeding and [00167] Readiness for Enhanced Self-Concept. The indicators were evaluated in the initial and later phase, with gains in the first two diagnoses. The third diagnosis proved to be partially sufficient, as it did not allow assessing the developmental and non-pathological self-image in the puerperium. In the puerperal phase, maternal roles are challenging and demanding. Nursing care contributed to the adaptation to breastfeeding in the contralateral breast and to the guarantee of adequate nutrition for the newborn. The childbearing process was strengthened. Breastfeeding is carried out with maternal satisfaction, good latch and normal weight evolution in the newborn. CONCLUSIONS: The case study strengthened knowledge by addressing a little investigated theme. The NANDA-I taxonomy may need further study in the Self-perception domain, more specifically in the self-image reported during the pregnancy-puerperal phase.

Exclusive breastfeeding after breast cancer. Case study / Lactancia materna exclusiva después del cáncer de mama. Estudio de caso / Aleitamento materno exclusivo pós cancro da mama. Estudo de caso

Objective. To develop a care plan focused on assisting a puerperal woman who decides to feed their child through breastfeeding on the contralateral breast. Methods. A case study conducted with a 36-year-old primiparous woman who underwent tumorectomy and left axillary emptying, chemotherapy and radiotherapy 8 years ago. The data were collected in the Nursing process, with initial assessment using the Marjory Gordon functional health patterns. The care plan used the NANDA-I, NIC and NOC taxonomies. Results. Three diagnoses were identified: [00208] Readiness for Enhanced Childbearing Process, [00106] Readiness for Enhanced Breastfeeding and [00167] Readiness for Enhanced Self-Concept. The indicators were evaluated in the initial and later phase, with gains in the first two diagnoses. The third diagnosis proved to be partially sufficient, as it did not allow assessing the developmental and non-pathological self-image in the puerperium. In the puerperal phase, maternal roles are challenging and demanding. Nursing care contributed to the adaptation to breastfeeding in the contralateral breast and to the guarantee of adequate nutrition for the newborn. The childbearing process was strengthened. Breastfeeding is carried out with maternal satisfaction, good latch and normal weight evolution in the newborn. Conclusion. The case study strengthened knowledge by addressing a little investigated theme. The NANDA-I taxonomy may need further study in the Self-perception domain, more specifically in the self-image reported during the pregnancy-puerperal phase.

Objetivo. Presentar un estudio de caso y elaborar un plan de cuidados para asistir a la puérpera que decide amamantar con la mama contralateral.Métodos. Estudio de caso de una primípara de 36 años, a quien se le realizó ablación de tumor y disección axilar izquierda, quimioterapia y radioterapia hace 8 años. Los datos se recolectaron en el Proceso de Enfermería y en la entrevista, con evaluación inicial en la que se emplearon los estándares funcionales de salud de Marjory Gordon. El plan de cuidados utilizó las taxonomías NANDA-I, NIC y NOC. Resultados.Se identificaron tres diagnósticos: [00208] Voluntad de mejorar el proceso perinatológico después del nacimiento, [00106] Voluntad de mejorar la lactancia y [00167] Voluntad de mejorar el autoconcepto. Después de evaluar los indicadores en la fase inicial y posteriormente, se observaron beneficios en los dos primeros diagnósticos. El tercer diagnóstico resultó ser parcialmente suficiente, ya que no permitió evaluar la autoimagen evolutiva no patológica durante el puerperio. En la fase puerperal, los roles maternos son desafiantes y exigentes. Los cuidados de Enfermería contribuyeron para la adaptación a la lactancia materna en la mama contralateral y para asegurar una adecuada nutrición del recién nacido. Se fortaleció el proceso perinatal. La lactancia materna se realiza con satisfacción materna, buen agarre y desarrollo normal del peso del recién nacido. Conclusión. El estudio de caso benefició el conocimiento al abordar un tema poco investigado. La taxonomía NANDA-I quizás necesite más estudio en el dominio de la Autopercepción, más específicamente en la autoimagen relacionada con la fase de embarazo-puerperio.

Objetivo. Apresentar um estudo de caso e elaborar um plano de cuidados de assistência àpuérpera que se decide pelo aleitamento na mama contra-lateral. Métodos. Estudo de caso referente a primípara de 36 anos, submetida a tumorectomia e esvaziamento axilar esquerdo, quimioterapia e radioterapia há 8 anos. Dados recolhidos no processo de enfermagem e em entrevista, com apreciação inicial utilizando-se os padrões funcionais de saúde de Marjory Gordon. O plano de cuidados utilizou a taxonomia NANDA-I, NIC e NOC. Resultados. Identificaram-se três diagnósticos: [00208] Disposição para processo perinatológico melhorado após o nascimento, [00106] Disposição para amamentação melhorada e [00167] Disposição para autoconceito melhorado. Avaliados os indicadores em fase inicial e posteriormente, nos dois primeiros diagnósticos, constataram-se ganhos. O terceiro diagnóstico revelou-se parcialmente suficiente, pois não permitiu a avaliação da autoimagem desenvolvimental, não patológica, no puerpério. Os papéis maternos, em fase puerperal, são desafiadores e exigentes. A assistência de enfermagem contribuiu para a adaptação à amamentação na mama contra-lateral e para a garantia de nutrição adequada do recém-nascido. O processo perinatalógico ficou robustecido. A amamentação realiza-se com satisfação materna, boa pega e evolução ponderal normal do recém-nascido. Conclusão. O estudo de caso beneficiou o conhecimento, ao abordar temática pouco investigada. A taxonomia NANDA-I necessita porventura de maior aprofundamento no domínio da autoperceção, mais especificamente na autoimagem reportada à fase gravídico-puerperal.

Conocimiento del VIH-SIDA en estudiantes que visitan el pabellón de la universidad en un evento popular en Évora-Portugal / Sensibilização para o VIH-SIDA entre estudantes que visitam o pavilhão universitário num evento popular em Évora-Portugal / HIV-AIDS knowledge among students visiting the university pavilion at a popular event in Évora-Portugal

El VIH infecta a más de 2,6 millones de personas/año, alcanzando en 2019 cerca 38,0 millones de infectados. La OMS reconoció la enfermedad como grave amenaza para la humanidad.Objetivo. Evaluar el nivel de conocimiento del VIH-SIDA y factores asociados en estudiantes durante eventos populares, Évora-Portugal.Métodos. Estudio cuantitativo transversal, muestra deconveniencia, 313 estudiantes que visitaron el pabellón institucional, sur Portugal. Recogieron datossociodemográficos, se aplicó el Cuestionario de Conocimientos sobre VIH (HIV-KQ-18). La pruebade Kuder-Richardson arrojó un coeficiente de 0.847. Análisis de datos SPSS versión 24.0. Resultados.El 56.9% fueron mujeres (16 y 30 años). Excepto en 5 ítems, en los que el porcentaje de respuestascorrectas superó al 50%, de sujetos que respondió incorrectamente sobre la transmisión del VIH. Laspruebas de Mann-Whitney y Kruskall-Walis, no detectaron diferencias en conocimientos de hombres/mujeres, grupos de edad y disponibilidad de preservativos. El análisis de conglomerados mostró dos perfiles: 1) mayor conocimiento universitarios, ser mujer, 19-21 años, consumo bajo o muyalto. 2) conocimiento bajo/muy bajo con factores asociados consumo moderado de alcohol, representado por varones (22-24 años). Conclusión. La realización de este tipo de encuestas permite quelos programas de educación aborden carencias concretas sobre el VIH/SIDA

O VIH infecta mais de 2,6 milhões de pessoas/ano, atingindo 38,0 milhões em 2019. A OMSreconheceu a doença como uma grande ameaça para a humanidade. Objectivo. Para avaliar o nívelde conhecimento do VIH-SIDA e factores associados nos estudantes durante eventos populares,Évora-Portugal. Métodos. Estudo transversal quantitativo, amostra de conveniência, 313 estudantesque visitaram o pavilhão institucional, Sul de Portugal. Foram recolhidos dados sociodemográficos,foi aplicado o Questionário de Conhecimento sobre VIH (HIV-KQ-18). O teste Kuder-Richardsonproduziu um coeficiente de 0,847. Análise de dados SPSS versão 24.0. Resultados. 56,9% eram dosexo feminino (16 e 30 anos). Excepto em 5 itens, em que a percentagem de respostas correctas excedeu 50%, os sujeitos responderam incorrectamente sobre a transmissão do VIH. Os testes MannWhitney e Kruskall-Walis não detectaram diferenças no conhecimento masculino/feminino, gruposetários e disponibilidade de preservativos. A análise de cluster mostrou dois perfis: 1) conhecimentouniversitário superior, sendo do sexo feminino, 19-21 anos de idade, uso baixo ou muito alto. 2)conhecimento baixo/muito baixo com factores associados consumo moderado de álcool, representado por homens (22-24 anos). Conclusão. A realização deste tipo de inquérito permite que os programas educativos abordem as lacunas específicas do VIH/SIDA.(AU)

HIV infects more than 2.6 million people/year, reaching 38.0 million by 2019.WHO recognized the disease as a major threat to humanity. Objective. To assess the level ofknowledge of HIV-AIDS and associated factors in students during popular events, Évora-Portugal.Methods. Quantitative cross-sectional study, convenience sample, 313 students who visited the institutional pavilion, South Portugal. Sociodemographic data were collected, the HIV Knowledge Questionnaire (HIV-KQ-18) was applied. The Kuder-Richardson test yielded a coefficient of 0.847.Data analysis SPSS version 24.0. Results. 56.9% were female (16 and 30 years). Except for 5 items,where the percentage of correct responses exceeded 50%, subjects answered incorrectly about HIVtransmission. Mann-Whitney and Kruskall-Walis tests detected no differences in male/femaleknowledge, age groups and condom availability. Cluster analysis showed two profiles: 1) higheruniversity knowledge, being female, 19-21 years old, low or very high use. 2) low/very lowknowledge with associated factors moderate alcohol consumption, represented by males (22-24years). Conclusion. Conducting this type of survey allows education programmes to address spe-cific HIV/AIDS gaps.(AU)

Adaptation and Validation of the Sexuality Attitudes and Beliefs Scale for the Italian Context.

BACKGROUND: Nurses dealing with a patient's sexuality must start from an awareness of their own experience, specific attitudes, and possible limits. What emerges from the literature is a conservative tendency in nurses, which underlines the difficulty in this awareness, but even a difficulty in improving the necessary knowledge/skills. It is, therefore, essential to create tools that can raise awareness of these limits. OBJECTIVE: the present study aims to explore the psychometric properties of the Attitudes and Beliefs about Sexuality Scale, adapted and validated for the Italian context. METHOD: This is an instrumental, cross-sectional piece of research, whose SABS validation process applies the steps of Beaton and Valmi. The convenience sample collected data from 223 participants in the first approach. This was followed by a retest involving 44 students randomly selected from those who responded in the first phase. Ethical principles were respected. RESULTS: The SABS questionnaire demonstrated good test-retest reliability, good internal consistency, and adequate construct validity. CONCLUSIONS: The Italian version of the SABS is valid and reliable for use with nursing students. This is the fourth language in which the SABS is available for research.

Childbirth Experience Questionnaire: Cross-cultural validation and psychometric evaluation for European Portuguese.

BACKGROUND: Self-reported measures are relevant both for the clinic and for health evaluation because they provide an interpretation of quality parameters. Women who experience labour can express themselves through these measures, identifying indicators that need improvement. OBJECTIVE: The objective of this study is to adapt the Childbirth Experience Questionnaire to the Portuguese context and to determine its psychometric properties. METHOD: A methodological study carried out with a convenience sample where the participants were 161 female users of a hospital in southern Portugal. They were aged between 20 and 43 years (M = 31.05, SD = 4.87) and answered a questionnaire approximately 48 h postpartum, preserving the ethical principles. The original instrument, with 22 items, underwent the linguistic and cultural adequacy process. RESULTS: Factor analysis with Varimax rotation was performed, revealing a set of 19 items with factor weights above .400. The set of items remained four-dimensional as the original, explaining 62.517% of the variance. In the retest, the reliability results showed that similar characteristics to the original study are maintained in the two subscales that express 'Participation' (three items) and 'Professional Support' (four items), with internal consistency values of .807 and .782. The 'Own Performance' and 'Own Threshold' subscales were elaborated from the results of the Varimax rotation, presenting Cronbach's alpha coefficients of .840 and 714, respectively. The total scale showed alpha values of .873 and .823 in the test and retest, respectively. Time stability showed a positive association, with r = .659 (p < .001). Accuracy through the split-half method reached an alpha value of .880 with Spearman-Brown correction. The floor effect was high in the 'Participation' subscale, both in the test and in the retest. Convergent validity between the instrument and the 'Index of Strategies for Pain Relief in Labour' discrete variable showed a Spearman's rho value of .209 (p = .011) in the total scale. In discriminating validity, the Mann-Whitney test reveals that the women who recognize interactions with the midwife have more favourable scores in Childbirth Experience Questionnaire (U = 2748.000; Z = 2.905; p = .004). CONCLUSION: The current version in European Portuguese suggests that it is a valid and reliable measure. This study may facilitate other validation processes in Lusophony countries.

Analysis of the Concept of Obstetric Violence: Scoping Review Protocol.

(1) Background: Obstetric violence has been highlighted in the political and social agenda of several countries. Efforts have been made to create policies to humanize obstetric care, guarantee the rights of pregnant women and respond to this form of violence. The lack of consensus on the appropriate terminology to name and define the behaviours that constitute obstetric violence, hinders this process. (2) Objective: To analyse the concept of obstetric violence related to assistance to women during labor. (3) Methodology: Scoping review protocol, according to the Joanna Briggs Institute method. The search will be performed on EBSCOhost Research Platform, PubMed, Virtual Health Library and SciVerse Scopus databases. The Open Scientific Repository of Portugal will also be considered. All types of studies, published in the last 10 years, in English, Spanish and Portuguese languages, constitute inclusion criteria. Studies of women experiencing labor, in a hospital setting, that address the dimensions of the concept of obstetric violence will be reviewed. (4) Discussion: The results will serve as a basis for identifying the appropriate terminology of the concept of obstetric violence, in order to direct future research with interest in the problem.

Nurse Caring Patient Scale (NCPS): Cross-Cultural Validation and Psychometric Testing of the Portuguese Version in Puerperal Context.

AIM: This study aimed to adapt and validate the Nurse Caring Patient Scale (NCPS) in a puerperal context to the European Portuguese. METHOD: This research was a methodological study. The participant sample comprised 100 puerperal women, with an average age of 31.3 years (SD = 5.65), who attended a public hospital in southern Portugal. The instrument, originally consisting of 22 items, underwent translation, back translation, and semantic and colloquial conciliation. Ethical aspects have been respected. RESULTS: Factor analysis with varimax rotation revealed a set of 17 items with factor weights greater than .400. Three factors emerged, which explain 65.537% of the variance, namely "Being-at-the-Moment" (8 items), "Responsibility-for-the-Other" (5 items) and "Care-Diligent" (4 items). Reliability through Cronbach's alpha coefficient in the total scale was .881, and in the subscales, ranged from .713 to .938. Precision was analyzed using the split-half method, reaching an alpha with Spearman-Brown correction of .900. The convergent validity between the instrument versus the discrete variable Care-Offered showed, in the total scale, a Spearman rho of .851 and in the subscales between .528 and .616. In the discriminating validity, the Mann-Whitney test revealed that Portuguese women, vis-à-vis foreign women significantly value the dimensions "Being-at-the Moment" and "Responsibility-for-the-Other" (p < .05), while in the "Care-Diligent" component, there are no significant differences (p > .05). CONCLUSION: The European Portuguese version of the NCPS, in an obstetric context, has reliability and validity. A further study in a random sample and validation in other Lusophone countries will be appropriate.

Attitudes and Beliefs of Portuguese and American Nursing Students about Patients' Sexuality.

Nursing school graduates must be prepared to interact comfortably and effectively with patients about their sexual health. This study analyses the attitudes and beliefs about patient sexuality held by Portuguese and American nursing students. OBJECTIVE: In Portuguese and American nursing students, (1) we analyzed students' attitudes and beliefs towards sexuality using the Sexuality Attitudes and Beliefs Survey (SABS); (2) we identified nationality, socio-demographic information, and affective-sexual beliefs and attitudes. METHOD: Quantitative, cross-sectional study; convenience sample of 296 students (63.2% Portuguese; 36.8% American); mean age: 21.9 years (SD = 3.12); two-way ANOVA and multiple correspondence analyses were performed. RESULTS: Attitudes and beliefs toward sexuality: Portuguese women are more liberal than men, contrary to American students. Among both nationalities, participants with multiple sexual partners held more conservative attitudes. Sexual orientation: bisexual American students and homosexual Portuguese students are conservative. Multiple correspondence analysis revealed two profiles: (1) Portuguese students: liberal-tolerant in attitudes towards patient sexuality, live with family/roommate, 18 to 21 years old, no or one sexual partner; (2) US students: traditionalist attitudes towards patient sexuality, share house, 22 and 23 years old, multiple partners. CONCLUSION: Human sexuality must be addressed in nursing education curricula.

Sexual Quality of Life-Female (SQoL-F): Cultural Adaptation and Validation of European Portuguese Version.

The Sexual Quality of Life-Female (SQoL-F) questionnaire was developed with qualitative data to assess the impact of sexual dysfunction in women. OBJECTIVES: the aim was to conduct a cross-cultural adaptation and psychometric analysis of a European Portuguese version of the Sexual Quality of Life-Female questionnaire. METHODS: Methodological study of the processes of translation and cultural adaptation. This is a retrospective study in which nursing students participated. DATA COLLECTION: Lime Survey platform in a convenience sample was carried out in two stages, the latter being re-testing data. The instrument analysed, presented as a latent variable, consisted of 18 items on a Likert scale. The study was approved by the Ethics Committee. PARTICIPANTS: the sample was 113 women, mean age 21.99 years (±3.76), attending classes in the first 4 years of the first cycle of nursing. RESULTS: Reliability was analysed and stability was found in the test-retest (rs = 0.658) and in the intraclass coefficient (rs = 0.821). The internal consistency analysis showed an alpha value of 0.846. Discriminant validity analysis using the Mann-Whitney test revealed a higher score of the quality of sexual life of students living with parents/surrogates. Factor validity analysis was conducted using Oblimin rotation with four-, three- and two-factor tests. Parallel analysis of the empirical matrix compared to the random matrix showed that the instrument was unidimensional. CONCLUSIONS: the assessment of the properties of the SQoL-F is valuable, as the provision of a valid and reliable instrument contributes to the quality of subsequent studies, including for local and multicentre research.

Sexuality Attitudes and Beliefs Survey (SABS): Validation of the Instrument for the Spanish Nursing Students.

Patient sexuality is a fundamental subject in nursing student's education. However, beliefs about patient sexuality can influence the care offered. The aim of this psychometric study was to describe the validation process and the psychometrics properties of the Sexuality Attitudes and Beliefs Survey (SABS) for Spanish nursing students. The convenience sample was 283 nursing students from a state university in Spain. Participants ranged from 18 to 30 years (M = 19.66; SD = 1.85). Data collection happened in 2019-2020. The translation, back translation and adaptation to Spanish was discussed and refined, ensuring the semantic, idiomatic and conceptual meaning of the items. The psychometric properties were assessed through analysis of validity and reliability. The Cronbach's alpha for the final version of 12 items was 0.65. Although it has low reliability, the Spanish version of the SABS seems to be a valid and useful tool to measure nursing students' beliefs about patient sexuality. In addition, it can be a resource for the assessment of the ability of Spanish nursing faculty in engaging topics involving the student's vision of patient sexuality.

Sexual Competence in Higher Education: Global Perspective in a Multicentric Project in the Nursing Degree.

Sexuality is an important issue in the university careers of nursing students to ensure that they provide comprehensive care. It is necessary according to the recommendation of the World Health Organization. However, research reveals deficiencies and the need for further development. The aim of the study is to describe the perspective of teachers and students on the content of sexuality in nursing education. The project aims to analyze the attitudes and beliefs of the students about the sexuality of their patients. Furthermore, the experience and sexual lives of the future nurses, as well the teaching of sexuality content in the curriculum, will be analyzed. As for the educators, their level of knowledge about sexuality and vision of sexuality education in undergraduate nursing education will be analyzed. This study is an exploratory and descriptive study with a quantitative-qualitative approach in a multi-center context. The sample is composed of students and professors of nursing courses from five universities (Portugal, Spain, Italy and United States). Questionnaires and semistructured interviews will be used for data collection. The results of the study will allow the inclusion of sexual competence in the curriculum from the beginning in higher education. This article describes the research protocol.