References

British Association for Sexual Health and HIV. Recommendations for testing for sexually transmitted infections in men who have sex with men. 2014. https://tinyurl.com/4s5wp4me (accessed 18 May 2022)

British Association for Sexual Health and HIV. 2015 BASHH CEG guidance on tests for sexually transmitted infections. 2015. https://tinyurl.com/2vbr2yzn (accessed 18 May 2022)

British Association for Sexual Health and HIV. Standards for the management of sexually transmitted infections (STIs). 2019a. https://tinyurl.com/yevf2jtv (accessed 16 May 2022)

British Association for Sexual Health and HIV. Advanced Clinical Practitioner (ACP) Integrated Sexual Health and HIV Specialist Training Curriculum. 2019b. https://tinyurl.com/fz5mczrt (accessed 16 May 2022)

Brook G, Church H, Evans C 2019 UK National Guideline for consultations requiring sexual history taking. Int J STD AIDS. 2020; 31:(10)920-938 https://doi.org/10.1177/0956462420941708

Care Quality Commission. Brief guide: capacity and competence to consent in under 18s. 2019. https://tinyurl.com/ykcwnt63 (accessed 16 May 2022)

Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists. FSRH clinical guideline: emergency contraception. 2020. https://tinyurl.com/3bjykrza (accessed 16 May 2022)

Fifer H, Saunders J, Soni S, Sadiq ST, FitzGerald M. 2018 UK national guideline for the management of infection with Neisseria gonorrhoeae. Int J STD AIDS. 2020; 31:(1)4-15 https://doi.org/10.1177/0956462419886775

Health and Care Professions Council. Standards of conduct, performance and ethics. 2018. https://tinyurl.com/mw86yb7s (accessed 16 May 2022)

Kapp N, Abitbol JL, Mathé H Effect of body weight and BMI on the efficacy of levonorgestrel emergency contraception. Contraception. 2015; 91:(2)97-104 https://doi.org/10.1016/j.contraception.2014.11.001

Kingston M, French P, Higgins S UK national guidelines on the management of syphilis 2015. Int J STD AIDS. 2016; 27:(6)421-46 https://doi.org/10.1177/0956462415624059

McPhillips H, Wood AF. Consultation and clinical assessment for advanced clinical practitioners in sexual health. Br J Nurs. 2022; 31:(9)478-481 https://doi.org/10.12968/bjon.2022.31.9.478

Natavio M, Stanczyk FZ, Molins EAG, Nelson A, Jusko WJ. Pharmacokinetics of the 1.5 mg levonorgestrel emergency contraceptive in women with normal, obese and extremely obese body mass index. Contraception. 2019; 99:(5)306-311 https://doi.org/10.1016/j.contraception.2019.01.003

NHS Inform. HPV vaccination for men who have sex with men (MSM). 2022. https://tinyurl.com/434jvwhs (accessed 16 May 2022)

Nursing and Midwifery Council. The code. Professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018. https://www.nmc.org.uk/standards/code (accessed 16 May 2022)

Nwokolo NC, Dragovic B, Patel S, Tong CY, Barker G, Radcliffe K. 2015 UK national guideline for the management of infection with Chlamydia trachomatis. Int J STD AIDS. 2016; 27:(4)251-67 https://doi.org/10.1177/0956462415615443

Palfreeman A, Rayment Sullivan A British HIV Association/British Association for Sexual Health and HIV/British Infection Association adult HIV testing guidelines 2020. HIV Med. 2020; 21:1-26 https://doi.org/10.1111/hiv.13015

Oxford handbook of genitourinary medicine, HIV, and sexual health, 2nd edn. In: Pattman R, Sankar N, Elawad B, Handy P, Ahsley Price D (eds). Oxford: Oxford University Press; 2010

Raffe S, Soni S. Diagnostic tests for sexually transmitted infections. Medicine. 2018; 46:(5)277-282 https://doi.org/10.1016/j.mpmed.2018.02.008

UK Health Security Agency. Immunisation against infectious disease (Green Book). 2020. https://tinyurl.com/263u5yvw (accessed 16 May 2022)

Vaccination Knowledge Project. Hepatitis A vaccine. 2019. https://vk.ovg.ox.ac.uk/vk/hepatitis-a-vaccine (accessed 16 May 2022)

Wheeler R. Gillick or Fraser? A plea for consistency over competence in children. BMJ. 2006; 332:(7545) https://doi.org/10.1136/bmj.332.7545.807

Critical thinking and diagnostic reasoning for advanced clinical practitioners in sexual health

26 May 2022
Advanced Clinical Practice
02 May 2022
Volume 31 · Issue 10

Abstract

This article provides an overview of key areas within sexual health examination, diagnosis and treatment options for advanced clinical practitioners (ACPs) working outside this field of practice, who may not often encounter consultations of a sexual health nature. ACPs require an understanding of appropriate and necessary investigations, alongside specific advice or education they can offer patients. Within a sexual health context especially, the consultation and subsequent steps can be challenging and distressing for the patient, and the ACP must consider their knowledge and experience when caring for a patient in this area. Increasing knowledge and awareness of common conditions and treatments, red flags, and referral processes can allow the ACP to provide reassurance and support to the patient and improve their healthcare experience. Having answers to a patient's questions regarding processes and time frames can strengthen the relationship between the ACP and their patient and help reduce a patient's anxiety and fear of the unknown.

During a consultation with a sexual health focus, advanced clinical practitioners (ACPs) will consider the next steps to follow as part of their line of inquiry: this includes appropriate and required investigations, advice or education required for the patient and/or referral to other services. It is especially the case that, within a sexual health context, the consultation and subsequent steps can be challenging and distressing for the patient, so the ACP must consider their knowledge and experience when caring for a patient in this area.

This article is the second in a series on the subject and seeks to provide an overview of some key areas to consider following the sexual health history take. The first covered the consultation and clinical assessment process (McPhillips and Wood, 2022). This article is particularly aimed at those ACPs working outside this field of practice, who may not often encounter consultations of a sexual health nature as a first presentation. The article does not aim to offer comprehensive guidance and ACPs should always work within their own scope of competence (Nursing and Midwifery Council, 2018, Health and Care Professions Council, 2018).

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Sexual health
Advanced practice
Advanced clinical practice
Sexually transmitted infections
Contraception