Clinical Practice Guideline

The current review was managed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines (Moher et al., 2009) and established guidelines for narrative synthesis by Popay et al. (2006).

Evaluating the eight papers for quality evidence was critical when selecting the two papers to utilise. The evidence hierarchy was considered, aiming to use the highest evidence possible, such as systematic reviews and meta-analyses; and randomized, controlled, double-blind studies, to ensure the most accurate evidence informed the clinical decision for the patient (Bloom, Olinzock, Radjenoic & Trice, 2013). When sorting the results, other various factors were also taken into consideration; credibility, reputability, reasonability and support. With these factors taken into account, the two papers selected are highly esteemed in regards to evidence, and are most relevant to the patient (Stichler, 2010).

The individuals that participated for this study used a format that was more of an open-response type report during a 4 months period time frame. We used: male and female sexual partners, they had to account how many times they times they had unprotected vaginal sex (e.g., not using a condoms), they also had to answer how many time they had unprotected vaginal and anal sex, with either a mates that was in jail, prison or normal every day citizen. They also had to answer if any form of alcohol or drugs where used before or after sexual contact, and the total number of partners (different partners) they were engage with.

Both clinicians who are enquiring clinical questions and researchers who are conducting in-depth searches for systematic reviews come across a few

The Evidence Table has five research articles listed as being a level one for quality of evidence which, according to the ENA (2014), indicates the evidence is of acceptable quality without any concerns. Two of the articles are listed as a level two under the quality of evidence which indicates there are some minor flaws or inconsistencies in the evidence (ENA,

Therefore, Australian adolescents are at serious risk as there are approximately 25% of young people reported sexually active by 15 years-old, with numbers increasing to 50% by Year 12; only 40% practice safe sex and use a condom (ACYS, 2014).Therefore, they are at greater risk of contracting STIs as a consequence of inexperience and lack of knowledge concerning risks with unprotected sex and access to contraception, social pressure, frequency of partner change, substance use and unwillingness to talk with parents or their general practitioner (DoHA, 2005). Hence, the success of lowering the prevalence of STIs among adolescents relies heavily on the knowledge about reproductive matters and access to and use of effective

Numerous sexual partners enables the chances of contracting an STI, such as Chlamydia, Gonorrhea, or Syphilis, to increase; that being said, statistics indicate that one in every five teens has had four or more sexual partners. Teens of the ages 15 through 19 are among the highest rates of the population infected with the previously mentioned sexually transmitted diseases. Teens engaging in sexual activity are often exposed to diseases without full understanding of the ease that these infections can be transmitted; students need to be exposed to the severe consequences in order to promote more cautious future decisions, like the amount of sexual encounters. Many young males and females never acquire information on the numerous sexually transmitted infections that they could catch and distribute nor how to prevent or treat such diseases. The statistics of high school students that document receiving counseling on STDs and STD testing at a routine checkup with their doctor meets low expectations, recording at 42.8 percent for females and only 26.4 percent for males. The high rates of infected teens could be directly related to the lack of knowledge they receive on the possible diseases that can be distributed through sex. Without proper knowledge on sexually transmitted diseases, the

Recommendation: The best recommendation based on the following two guidelines is to adopt a part of each clinical practice guideline in preventing the spread of infections. It is critical for a clinician to be well-trained, knowledgeable, and have effective communication skills in obtaining a detailed sexual health history from his or her patient. Creating a safe and comfortable environment is also another important consideration when obtaining a sexual health history. The second guideline in providing safer sex advice is imperative in preventing the spread of infection. This guideline gives specific advice in offering strategies on how to prevent infection from occurring. The guideline also offers detailed advice on use of latex condoms, oral and anal sex advice, and risk reduction techniques on the proper use of condoms. Safer sex advice guideline also recommends screening for asymptomatic STI and HIV testing. In preventing or decreasing the number of STIs in sexually active women: 1). A sexual health history should be obtained by a clinician. 2). Safer sex advice should be included after a sexual health history is taken. 3). Offer a screening and testing for women who are at risk for infections. 4). Provide sexual health education to the patient that may influence behavioral changes in protecting herself on the next sexual contact. Both of these clinical guidelines may be used in conjunction to prevent the spread of infection. In comparing the weight of the evidence of both of these clinical guidelines, safer sex advice offered higher level of evidence in preventing STIs/HIV mostly because it offered specific clinical strategies in teaching patients about safer sex practices and was supported through evidence-based studies. The second guideline related to sexual health history was mostly supported by expert opinion, without studies of good quality. But, without a proper review of a sexual health history it will make it very difficult in providing

The key focus of this review is to explore the array of fronts considered when addressing the sexual health of younger Australians, examining the relevant literature pertaining to their influences on sexual health, and outlining the best interventions for culturally competent health service delivery.

Today 's casual sex culture and sexual risk may consist of adverse outcomes, as well as, emotional and psychological harm, sexually transmitted infections, sexual violence, and unintended pregnancy, despite the ubiquity of certain positive feelings.

Teen sexual health standpoints must be lifted to lodge the up-to-date compressions, myths, and the realities of the pressures and dangerous outcomes that the new generation is facing or if misinformed will soon face, in the relations of beginning to be sexually active and living a healthy and cautious sexual life in order to protect the teens from continuing to see high rates of STD reduction and transmission.

According to the Department of health (DOH) (2013), people should know and understand how to protect their sexual health but also know how to access the appropriate services. This assignment will discuss factors that may have an effect on an individual’s sexual health such as education, the socio-economic and cultural environment; how the behaviour and lifestyle choices can have an impact on health and the consequences it may have within our society. It will also discuss the importance of the nurse’s role in promoting the health and wellbeing of all individuals and reducing health

There has been much debate about the best method to approach complications related to sexual health. The oldest and most widely used method is the abstinence program in high-schools. This program is legally defined (Section 510 of the Social

(b)STI Risk Scale. I have very low risk of receiving an STI from a potential partner. I am a cautious person in general, especially when it comes to my health. The only thing I noted as a 4 were the two statements asking about comfortability discussing sex and STIs with doctors or health professionals and sexual partner. I honestly do not know how I would feel talking about those issues because I have never had to, but I could imagine it being awkward for me.

The study will recruit approximately 945 students attending grades 9-12 in nine districts of Texas. The total number of participants will consist of three groups, all from the 2016-2017 school year. The first group did not participate in neither sex education program offered by the school, the second group participated in abstinence-only sex education, and the third group participated in a comprehensive sex education program. The research team make sure that boys and girls and each school grade are represented equally. All schools are located in urban areas. The representative sample will be selected using simple random sampling of Hispanic students from public schools only. Students will not be able to