{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T07:26:08Z","timestamp":1791271568191,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T00:00:00Z","timestamp":1501545600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to elucidate facilitators and barriers that <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses experience in discussing sexual risk behaviour with <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive men who have sex with men, using variables from a previous qualitative study and the theory of planned behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive men who have sex with men are frequently diagnosed with sexually transmitted infections, which can be reduced if <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses discuss sexual risk behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>An online questionnaire was disseminated in April 2015 among all <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses in the Netherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We assessed variables, such as attitudes, shame, ability, knowledge and time concerns. A regression analysis was conducted with \u201cintention to discuss sexual risk behaviour\u201d as an outcome variable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The questionnaire was completed by 60 of 79 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses. Overall, participants reported high intentions to discuss sexual risk behaviour, and 38% of the variance was explained by attitude, sexual preference, knowing ways to introduce the topic and experiencing enough time or viewing it as a priority. In addition, high intenders significantly differed from low intenders in \u201cexperienced shame,\u201d \u201crelation with patients,\u201d \u201cnon\u2010verbal communication,\u201d \u201csubjective norm\u201d and \u201cknowledge.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improving sexual health in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> care translates into improving opportunities and the facilitating factors in initiating the discussion of sexual risk behaviour rather than removing barriers <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses experience. Interventions should mainly focus on improving the <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> nurses\u2019 perceived ability to initiate the topic of sexual risk behaviour and to utilize the jargon and terminology that is commonly used among men who have sex with men.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13372","type":"journal-article","created":{"date-parts":[[2017,6,29]],"date-time":"2017-06-29T10:56:40Z","timestamp":1498733800000},"page":"2953-2961","source":"Crossref","is-referenced-by-count":5,"title":["From intention to <scp>STI<\/scp> prevention: An online questionnaire on barriers and facilitators for discussing sexual risk behaviour among <scp>HIV<\/scp> nurses"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4973-9020","authenticated-orcid":false,"given":"Suzanne","family":"de Munnik","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Catharina Hospital Eindhoven The Netherlands"},{"name":"National Institute for Public Health and the Environment Centre for Infectious Disease Control Bilthoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrid C.J.M.","family":"Vervoort","sequence":"additional","affiliation":[{"name":"University Medical Center Utrecht Cancer Center Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi S.M.","family":"Ammerlaan","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Catharina Hospital Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerjo","family":"Kok","sequence":"additional","affiliation":[{"name":"Department of Applied Psychology Maastricht University Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantal","family":"den Daas","sequence":"additional","affiliation":[{"name":"National Institute for Public Health and the Environment Centre for Infectious Disease Control Bilthoven The Netherlands"},{"name":"Department of Interdisciplinary Social Science Faculty of Social and Behavioural Sciences Utrecht University Utrecht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000067"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1105243"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002030-200201250-00002"},{"key":"e_1_2_10_6_1","unstructured":"De Vries H. 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