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Background: Sexual health is a fundamental determinant of health and wellbeing. Sexual interventions need to meet the same standard as any other health issues. Nurses have a responsibility to give patients holistic care and promote health. Helen Erickson’s Modeling and Role Modeling theory describe five goals that nurses can use to provide safe care for patients.  Aim: The aim of this literature review was to describe nurses’ experiences of conversations with patients about sexual health.  Method: Qualitative literature review with a deductive approach. 13 articles were analyzed in relation to Erickson’s theory.  Results: The results were categorized by Erickson's five goals: build trust, promote positive orientation, promote patient’s control, promote and affirm patient’s strengths, and set mutual goals that are health-directed. Within these were subcategories outlining reasons why nurses avoid conversations about sexual health with patients, which included patient’s age or gender, nurses’ discomfort, lack of time or education, as well as uncertainty of whose responsibility it is to have sexual health discussions.  Conclusion: There are many different factors that inhibit the nurse from initiating conversations about sexual health with patients, and the nurse needs to be aware of these factors to avoid them and have health-promoting conversations with patients. / Bakgrund: Sexuell hälsa innebär ett grundläggande behov av hälsa och välbefinnande, och sexuella interventioner bör uppfylla samma standard som alla andra hälsoproblem. Sjuksköterskor har ett ansvar att ge patienter holistisk vård för att främja hälsa. Helen Ericksons Modeling and Role Modeling teori beskriver fem mål som sjuksköterskor kan använda sig av för att bedriva god och säker vård.  Syfte: Syftet med denna litteraturöversikt var att beskriva sjuksköterskors upplevelser av samtal kring sexuell hälsa med patienter.  Metod: Kvalitativ litteraturöversikt med deduktiv ansats. 13 artiklar analyserades i förhållande till Ericksons teori.  Resultat: Resultatet kategoriserades enligt Ericksons fem mål: bygga tillit, främja positiv livssyn, främja patientens kontroll, främja och bekräfta patientens styrkor, samt att sätta gemensamma mål som är hälsoinriktade. Inom dessa mål framkom underkategorier som förklarar varför sjuksköterskor undviker samtal om sexuell hälsa med patienter. Dessa underkategorier tog upp anledningar såsom patientens ålder eller kön, sjuksköterskans bekvämlighet, tid- eller kunskapsbrist samt frågeställning om vems ansvar det är att diskutera sexuell hälsa.  Slutsats: Det finns olika faktorer som hindrar sjuksköterskan från att inleda samtal om sexuell hälsa med sina patienter, och sjuksköterskan behöver vara medveten om dessa faktorer för att kunna undvika dem och ha hälsofrämjande samtal med patienter.

This descriptive, correlational, cross-sectional study explored the relationships among the variables self-care action, self-care knowledge, and affiliated individuation and quality of life for persons on chronic warfarin therapy. This study also explored the moderating effects of self-care knowledge and affiliated individuation on quality of life. This research was guided by a theoretical framework based on modeling and role-modeling theory (Erickson, Tomlin, & Swain, 1983). The sample consisted of 83 adults between the ages of 30 to 91 years. The majority of participants were Caucasian, educated, retired and almost evenly distributed between male and female. Each subject completed the following instruments: the Oral Anticoagulation Knowledge (OAK) test, the Duke Anticoagulation Satisfaction Scale (DASS), the Basic Needs Satisfaction Inventory (BNSI), and the generic quality of life survey (SF36v2). Data was analyzed using correlation and hierarchical multiple regression analysis. Results indicated significant correlations among most of the study variables. Self-care action significantly explained variances in all but two quality of life variables. Self-care knowledge and affiliated individuation had statistically significant moderating effects on the DASS negative impact and hassles/burdens subscales. Self-care knowledge also demonstrated a significant moderating effect on the SF36v2 physical function subscale. These findings support the concepts proposed by the study's theoretical framework. This research serves as validation of Acton's (1997) study findings for the concept of affiliated individuation and its value as a self-care resource in a specific clinical population. / text