Prevention of risky sexual behavior in primary healthcare: a best practice implementation project

Author:

Cunha-Oliveira Aliete12ORCID,Menino Eva12,Santos Diana123,Cardoso Daniela124,Neves Marília12,Martins Maria J.5,Gonçalves Ana M.5,Dias Clara5,Gonçalves Maria L.5,Santos Rita5,Sambango Arão5,Rodrigues Rogério123

Affiliation:

1. Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC)

2. Nursing School of Coimbra

3. Centro Hospitalar e Universitário de Coimbra, EPE

4. Portugal Centre for Evidence-Based Practice: A JBI Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra

5. Unidade de Cuidados de Saúde Personalizados da Lousã, Lousã, Portugal

Abstract

ABSTRACT Introduction and objectives: Sexually transmitted infections are a public health problem affecting 45% of adolescents and young adults worldwide. The evidence suggests that primary care settings are uniquely positioned to provide an opportunity for these preventive interventions. The aim of this project is to improve nurses’ interventions for preventing risky sexual behaviors in adolescents attending nursing consultations in a primary healthcare unit. Methods: An audit and feedback were conducted by the JBI Model and Implementation Framework. Five audit criteria representing best practice recommendations for preventing risky sexual behaviors in adolescents were used. Barriers to compliance with the best practices were identified, and strategies were adopted to overcome them. A follow-up audit was conducted using the same approach as the baseline audit. Results: Compliance rates improved in four criteria from baseline audit to follow-up audit. Conclusion: Through auditing and feedback, evidence-based interventions were implemented to prevent sexual risk behavior in adolescents in primary care settings. Further best practice implementation projects should be conducted to improve adolescent health outcomes.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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