From intention to STI prevention

Autor: Chantal den Daas, Heidi S. M. Ammerlaan, Sigrid C. J. M. Vervoort, Suzanne de Munnik, Gerjo Kok
Přispěvatelé: RS: FPN WSP II, Section Applied Social Psychology
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Male
Psychological intervention
men who have sex with men
HIV Infections
Intention
Computer-assisted web interviewing
Men who have sex with men
0302 clinical medicine
Surveys and Questionnaires
INFECTION
Medicine
030212 general & internal medicine
General Nursing
Netherlands
media_common
Reproductive health
Communication Barriers
Theory of planned behavior
virus diseases
Middle Aged
counselling
HIV/AIDS
Female
0305 other medical science
patient-provider interaction
Clinical psychology
Adult
Sexual Behavior
media_common.quotation_subject
sexual risk behaviour
Sexually Transmitted Diseases
Shame
nurse practitioners
nurses
03 medical and health sciences
Risk-Taking
Acquired immunodeficiency syndrome (AIDS)
consultation
Humans
sexually transmitted infections
030505 public health
business.industry
CARE
medicine.disease
SAFER-SEX
PROVIDERS
healthcare providers
Nurse-Patient Relations
business
Qualitative research
Zdroj: Journal of Advanced Nursing, 73(12), 2953-2961. Wiley
ISSN: 0309-2402
DOI: 10.1111/jan.13372
Popis: AIMS: We aimed to elucidate facilitators and barriers that HIV nurses experience in discussing sexual risk behaviour with HIV- positive patients men who have sex with men, using variables from a previous qualitative study and the Theory of Planned Behaviour.BACKGROUND: HIV-positive men who have sex with men are frequently diagnosed with sexually transmitted infections, which can be reduced if HIV nurses discuss sexual risk behaviour.DESIGN: An online questionnaire was disseminated April 2015 among all HIV nurses in the Netherlands.METHODS: We assessed variables, such as attitudes, shame, ability, knowledge and time concerns. A regression analysis was conducted with 'intention to discuss sexual risk behaviour' as an outcome variable.RESULTS: The questionnaire was completed by 60 of 79 HIV nurses. Overall, participants reported high intentions to discuss sexual risk behaviour and 38% of the variance was explained by attitude, sexual preference, knowing ways to introduce the topic and experiencing enough time or viewing it as a priority. In addition, high intenders significantly differed from low intenders in 'experienced shame', 'relation with patients', 'non-verbal communication', 'subjective norm' and 'knowledge'.CONCLUSION: Improving sexual health in HIV care translates into improving opportunities and the facilitating factors in initiating the discussion of sexual risk behaviour rather than removing barriers HIV nurses experience. Interventions should mainly focus on improving the HIV nurses' perceived ability to initiate the topic of sexual risk behaviour and to utilize the jargon and terminology that is commonly used among men who have sex with men. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE