Sexuality, a Fundamental Care Need-Theoretical and Clinical Considerations, a Discursive Paper

Area of Science:

• Nursing
• Healthcare
• Patient Well-being

Background:

• Sexuality is vital for quality of life but often neglected in nursing care.
• Barriers prevent nurses and patients from discussing sexual needs, leading to unmet requirements and reduced well-being.

Purpose of the Study:

• To explore how the Fundamentals of Care (FoC) framework can guide nurses in recognizing and addressing patient sexuality.
• To enhance patient-centered care by integrating sexuality into fundamental nursing practices.

Main Methods:

• A structured literature search was performed across PubMed, CINAHL, and Embase databases (2010-2026).
• Keywords included sexuality, fundamental care needs, nursing theories, and the nurse's role in sexual dysfunction.
• Findings were critically analyzed through the lens of the FoC framework.

Main Results:

• The FoC framework promotes a holistic approach to sexuality by emphasizing relationships, care integration, and context.
• Combining the FoC framework with the PLISSIT model offers a structured method for discussing sexual health.
• Organizational support, clear guidelines, and nurse education are crucial for addressing sexual needs.

Conclusions:

• The FoC framework, PLISSIT model, and organizational support empower nurses to address sexual needs.
• This integrated approach can improve patient well-being and reduce the stigma surrounding sexuality in healthcare.