Poor sexual health is now a major public health issue in the UK, with all four
countries having a sexual health strategy, strategic framework or action plan
in place. The Government in England wishes to improve sexual health services,
with a focus on improving access.
All over the country nurses are working in new and innovative ways in
sexual and reproductive health. Many are working in advanced and specialist
clinical roles as independent practitioners and more creative posts are being
developed in the National Health Service to maximise optimum use of nurses’
skills. Several Nurse Consultant posts have now been developed in the speciality
of Genito Urinary Medicine (GUM).
With this important public health agenda in mind, this book provides a valuable
resource for nurses working towards, and at, advanced level in GUM, but the content is also transferable and relevant to nurses working in non-acute
settings.


This book also provides a skill base for more junior nurses in GUM to aspire to. Using a competency-based approach, many GUM nurses could develop their practice to an advanced level, using nurse prescribing and/or patient group directions to complement the level of service they provide. I welcome the publication of this book, as I firmly believe, that historically
there has never been a better time for nurses to develop their roles in GUM
and sexual health, to drive forward improvements and to lead service delivery
in this challenging, changing and dynamic area of health in the twenty-first century.

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The ‘nursing process’ is a planned, problem-solving approach to meeting a patient’s health care and nursing needs (Lippincott 2000).
It is a systematic sequence of events in which the first stage is to assess a patient’s needs by the collection of objective and subjective information.
The next stage is interpretation of this information, which results in the identification of actual or potential problems that the patient is experiencing. This can be called making a nursing diagnosis (Lippincott 2000). Nursing goals to alleviate or prevent these problems can then be determined and problems prioritized so that the patient’s immediate nursing care needs are met. These goals are used
to plan the direction and type of nursing interventions required. They should be patient-focused, and SMART:

S pecific
M easurable
A chievable
R ealistic
T imebound


For example, a patient may state his problem as being extreme breathlessness at rest. A short-term goal may be that his respiration rate will be 25–28 breaths per minute within four hours. This would allow time for medication and nursing measures to take effect. This goal statement fulfils the SMART requirements, and would be followed by specific nursing interventions that would contribute to achieving the goal. There are examples of problems and goals throughout this book, together with nursing interventions to meet the goals.

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