Observations of Communication Practices Between Men Who Have Sex With Men With HIV and HIV Specialist Nurses During Routine Consultations Regarding Sexual Health Counseling in the Netherlands: A Qualitative Study

• Published in: The Journal of the Association of Nurses in AIDS Care Vol. 36; no. 4; pp. 411 - 426
• Main Authors: de Munnik, Suzanne, den Daas, Chantal, Ammerlaan, Heidi Sophia Maria, Kok, Gerjo, de Wit, John, Vervoort, Sigrid Cornelia Johanna Maria
• Format: Journal Article
• Language: English
• Published: Philadelphia, PA Wolters Kluwer 01.07.2025; Lippincott Williams & Wilkins Ovid Technologies
• Subjects: Adult; Communication; Communication skills; Communication strategies; Counseling; HIV; HIV Infections - nursing; HIV Infections - psychology; Homosexuality, Male - psychology; Human immunodeficiency virus; Humans; Male; Men who have sex with men; Middle Aged; Netherlands; Nurse Specialists; Nurse-Patient Relations; Nurses; Qualitative Research; Referral and Consultation; Sex Counseling; Sexual Health; Netherlands; nurse; sexual health; consultation; HIV; communication; men who have sex with men
• ISSN: 1055-3290; 1552-6917; 1552-6917
• DOI: 10.1097/JNC.0000000000000525

AbstractThis study investigated how HIV specialist nurses communicate with men who have sex with men with HIV during routine consultations with a focus on sexual health counseling in the Netherlands. In this multicenter observational study, 16 video-recorded consultations from four HIV treatment centers were analyzed. Verbatim transcriptions were analyzed to assess the topics discussed, the duration of consultations, time spent on sexual health counseling, and specific issues covered. Communication skills were evaluated through a predefined framework. The findings indicated inconsistent coverage of sexual health, varied topics, and a lack of structure. Various communication skills and techniques were applied inconsistently. Given these findings, we recommend implementing communication strategies during routine consultations to improve the quality of sexual health counseling, especially for men who have sex with men with HIV. This is essential to improve the quality of sexual health counseling for persons with HIV, especially men who have sex with men.