Guided reflection: transcending a routine approach in the management of sexually transmissible infections

Browne, Jan, Minichiello, Victor and Plummer, David 2002, Guided reflection: transcending a routine approach in the management of sexually transmissible infections, International journal of S T D & AIDS, vol. 13, no. 9, pp. 624-632.

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Title Guided reflection: transcending a routine approach in the management of sexually transmissible infections
Author(s) Browne, Jan
Minichiello, Victor
Plummer, David
Journal name International journal of S T D & AIDS
Volume number 13
Issue number 9
Start page 624
End page 632
Publisher Royal Society of Medicine Press Ltd.
Place of publication London, England
Publication date 2002-09
ISSN 0956-4624
Keyword(s) Sexually transmitted diseases
Sexually transmissible infections
Sexual health
Safe sex
Clinical practice
Summary This paper describes a distinctive approach to the sexually transmissible infections (STI) clinical consultation: 'the guided reflection approach'. The authors coined this term and identified the guided reflection approach through analysis of 22 in-depth interviews with practitioners who provide care for people with STI, and 34 people who had attended a healthcare facility in Australia for screening or treatment of an STI. A grounded theory method was used to collect and analyse this information. The data revealed when the STI consultation is conducted using the principles characterized by the guided reflection approach creates contexts for sexual empowerment that have the potential to effectively assist people to gain autonomy for safe sex. Routinely, most of the practitioners in this study were shown to direct the STI consultation towards risk behaviours and practices and prevention of transmission, with minimal intervention. However, this study shows that if clinical interaction is to make a difference to the patient's autonomy for sexual behaviour, two changes will be required. First, practitioners need to adopt the goal of assisting patients to attain levels of autonomy, and second, practitioners require education to assist them to develop the interactive skills needed to engage patients in dialogue and reflection about sexual behaviour.
Language eng
Field of Research 111717 Primary Health Care
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2002, International Journal of S T D & AIDS
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Document type: Journal Article
Collection: School of Nursing and Midwifery
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