Primary health care is the first level of health care where many women with climacteric symptoms seek help, and nurses should be equipped with the knowledge and skills to care for and guide women through this critical life transition. The aim of the study was to gain an overview of nurses’ experiences and needs in counselling climacteric women in daily nursing practice. A qualitative study was conducted using semi-structured interviews. Family nurses observed that patients came to appointments with multiple health problems that they did not normally associate with the climacteric period. Nurses felt uncertain and found counselling middle-aged women challenging. They promoted a healthy lifestyle with physical activity to normalise body weight, prevent osteoporosis, and maintain musculoskeletal function. They also advocated needs-based nutrition to improve the quality of life of middle-aged women, reduce anxiety and heart palpitations, and achieve hormonal balance. All nurses emphasised the need to improve their knowledge of collecting medical history to identify menopausal symptoms; some nurses expressed their desire for training in motivational communication and counselling techniques, but relevant opportunities for nurses were lacking. Several needs were mentioned, including yoga exercises and other tools to help to alleviate patients’ sleep or mood problems, financial compensation, informational leaflets, and a single website dedicated to women’s health and well-being as a useful tool for both health professionals and patients.
Aljumah, R., Phillips, S. and Harper, J. C. 2023. An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause. Post Reprod. Health, 29(2), 67‒84.
https://doi.org/10.1177/20533691231166543
Alspaugh, A., Im, E.-O., Reibel, M. D. and Barroso, J. 2020. The reproductive health priorities, concerns, and needs of women in midlife: a feminist poststructuralist qualitative analysis. Qual. Health Res., 31(4), 643–653.
https://doi.org/10.1177/1049732320970491
Blümel, J. E., Lavín, P., Vallejo, M. S. and Sarrá, S. 2013. Menopause or climacteric, just a semantic discussion or has it clinical implications? Climacteric, 17(3), 235–241.
https://doi.org/10.3109/13697137.2013.838948
Boyce, C. and Neale, P. 2006. Conducting in-depth interviews: a guide for designing and conducting in-depth interviews for evaluation input. In Pathfinder International Tool Series: Monitoring and Evaluation – 2. Pathfinder International.
Brown, I., Thompson, J., Tod, A. and Jones, G. 2006. Primary care support for tackling obesity: a qualitative study of the perceptions of obese patients. Br. J. Gen. Pract., 56(530), 666–672.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1876632/
Calow, A., Morrell-Scott, N. and Johnson Smith, E. 2023. An overview of menopause, and why this should feature within pre-registration education. Br. J. Nurs., 32(7).
https://doi.org/10.12968/bjon.2023.32.7.334
Cleveland Clinic. Menopause.
https://my.clevelandclinic.org/health/diseases/21841-menopause (accessed 2025-02-01).
Creswell, J. W. 2009. Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. 3rd ed. SAGE Publications.
Creswell, J. W. 2013. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 3rd ed. SAGE Publications.
Curta, J. C. and Weissheimer, A. M. 2020. Perceptions and feelings about physical changes in climacteric women. Rev. Gaúcha Enferm., 41(spe), e20190198.
https://doi.org/10.1590/1983-1447.2020.20190198
DiCicco-Bloom, B. and Crabtree, B. F. 2006. The qualitative research interview. Med. Educ., 40(4), 314–321.
https://doi.org/10.1111/j.1365-2929.2006.02418.x
Elo, S. and Kyngäs, H. 2008. The qualitative content analysis process. J. Adv. Nurs., 62(1), 107‒115.
https://doi.org/10.1111/j.1365-2648.2007.04569.x
Erci, B., Güngörmüş, Z. and Öztürk, S. 2013. Psychometric validation of the women’s health questionnaire in menopausal women. Health Care Women Int.,35(5), 566–579.
https://doi.org/10.1080/07399332.2013.841698
Hammarberg, K., Kirkman, M. and de Lacey, S. 2016. Qualitative research methods: when to use them and how to judge them. Hum. Reprod., 31(3), 498–501.
https://doi.org/10.1093/humrep/dev334
Harper, C. J., Phillips, S., Biswakarma, R., Yasmin, E., Saridogan, E., Radhakrishnan, S. et al. 2022. An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause. Womens Health, 18.
https://doi.org/10.1177/17455057221106890
Hickey, M., Hunter, M. S., Santoro, N. and Ussher, J. 2022. Normalising menopause. BMJ, 377, e069369.
https://doi.org/10.1136/bmj-2021-069369
Hoga, L., Rodolpho, J., Gonçalves, B. and Quirino, B. 2015. Women’s experience of menopause: a systematic review of qualitative evidence. JBI Database System Rev. Implement. Rep., 13(8), 250–337.
https://doi.org/10.11124/jbisrir-2015-1948
Holloway, D. 2017. Managing women’s health in the menopause. Nursing in Practice.
https://www.nursinginpractice.com/clinical/managing-womens-health-in-the-menopause/ (accessed 2024-10-25).
Hunter, M. S. 2020. Cognitive behavioral therapy for menopausal symptoms. Climacteric, 24(1), 51–56.
https://doi.org/10.1080/13697137.2020.1777965
Hutchison, E. 2024. Leading the way: the crucial role and value of nurses in general practice. Nursing in Practice.
https://www.nursinginpractice.com/views/leading-the-way-the-crucial-role-and-value-of-nurses-in-general-practice/ (accessed 2024-11-14)
Ko, J. and Park, Y.-M. 2021. Menopause and the loss of skeletal muscle mass in women. Iran J. Public Health, 50(2), 413‒414.
https://doi.org/10.18502/ijph.v50i2.5362
Kuzel, A. 1999. Sampling in qualitative inquiry. In Doing Qualitative Research (Crabtree, B. and Miller, W., eds). 2nd ed. Sage Publications, Thousand Oaks, California, 33–45.
Kyngäs, H. and Vanhanen, L. 1999. Sisällön analyysi (Content analysis). Hoitotiede, 11(1), 3–12.
Lillis, C., McNamara, M., Wheelan, J., McManus, M., Murphy, M. B., Lane, A. et al. 2021. Experiences and health behaviours of menopausal women in Ireland.
https://www.mentalhealthireland.ie/wp-content/uploads/2021/10/Menopause-Report-2021_Final.pdf?external=1 (accessed 2024-10-25).
Linnik, L. and Sepp, J. 2023. Problems causing work-related stress and strategies for coping with stress suggested by nurses during COVID-19 pandemic. WSEAS Trans. Bus. Econ., 20, 1477‒1491.
https://doi.org/10.37394/23207.2023.20.130
Magnusson, E. and Marecek, J. 2015. Doing Interview-Based Qualitative Research: A Learner’s Guide. Cambridge University Press.
https://works.swarthmore.edu/fac-psychology/806
https://doi.org/10.1017/CBO9781107449893
Marlatt, K. L., Beyl, R. A. and Redman, L. M. 2018. A qualitative assessment of health behaviors and experiences during menopause: a cross-sectional, observational study. Maturitas, 116, 36‒42.
https://doi.org/10.1016/j.maturitas.2018.07.014
McGrath, C., Palmgren, P. J. and Liljedahl, M. 2018. Twelve tips for conducting qualitative research interviews. Med. Teach., 41(9), 1002–1006.
https://doi.org/10.1080/0142159X.2018.1497149
Morse J. M. 2015. “Data were saturated... ”. Qual. Health Res., 25(5), 587–588.
https://doi.org/10.1177/1049732315576699
Namazi, M., Sadeghi, R. and Behboodi Moghadam, Z. 2019. Social determinants of health in menopause: an integrative review. Int. J. Womens Health, 2019(11), 637–647.
https://doi.org/10.2147/IJWH.S228594
Ohara, E. C. C., Reis, B. R., Almeida, D. S., Silva, M. A. and Santos, S. M. 2023. Nursing diagnoses in the period of climacteric and menopause. Seven Editora.
https://sevenpublicacoes.com.br/editora/article/view/1691
https://doi.org/10.56238/alookdevelopv1-144
Peacock, K., Carlson, K., Ketvertis, K. M. and Doerr, C. 2023. Menopause (Nursing). In StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing.
https://www.ncbi.nlm.nih.gov/books/NBK568694/
Rämmer, A. 2014. Sotsiaalse analüüsi meetodite ja metodoloogia õpibaas (A learning base for social analysis methods and methodology). Tartu Ülikool (University of Tartu).
http://samm.ut.ee/valimid (accessed 2025-04-04).
Richardson, M. K., Coslov, N. and Woods, N. F. 2023. Seeking health care for perimenopausal symptoms: observations from the Women Living Better survey. J. Womens Health, 32(4), 434–444.
https://doi.org/10.1089/jwh.2022.0230
Riemen, D. J. 1986. The essential structure of a caring interaction: doing phenomenology. In Nursing Research: A Qualitative Perspective (Munhall, P. M. and Oiler, C. J., eds). Appleton-Century-Crofts, Norwalk, CN, 85‒105.
Stevenson, J. C. 2016. How to help patients through the menopause. Nursing in Practice.
https://www.nursinginpractice.com/clinical/womens-health/how-to-help-patients-through-the-menopause/ (accessed 2024-10-25).
Tallinna Tervishoiu Kõrgkool (Tallinn Health Care College). 2023. Õe õppekava (Nursing Curriculum).
https://www.ttk.ee/sites/default/files/2023-06/o_23.05.2023_et.pdf
Teal, J. S., Vaughn, S., Preston, K., Rutledge, D., Fortes, K. and Weismuller, P. 2024. Students’ perception of nurse coach interventions. Teach. Learn. Nurs.,19(1), 52‒55.
https://doi.org/10.1016/j.teln.2023.08.008
Vasiloglou, M. F., Fletcher, J. and Poulia, K.-A. 2019. Challenges and perspectives in nutritional counselling and nursing: a narrative review. J. Clin. Med., 8(9), 1489.
https://doi.org/10.3390/jcm8091489
Walseth, L. T., Abildsnes, E. and Schei, E. 2011. Patients’ experiences with lifestyle counselling in general practice: a qualitative study. Scand. J. Prim. Health Care, 29, 99–103.
https://doi.org/10.3109/02813432.2011.553995
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3347940/
Weaver, J. 2002. ‘Here and now’ focused counselling: a model for nurses. Contemp. Nurse, 13(2–3), 239–248.
https://doi.org/10.5172/conu.13.2-3.239
WHO (World Health Organization). 2024. Menopause.
https://www.who.int/news-room/fact-sheets/detail/menopause/ (accessed 2024-11-12).
