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

## TL;DR

This paper explores how nurses can better address patients' sexual needs using the Fundamentals of Care framework and the PLISSIT model to improve well-being.

## Contribution

The paper introduces a novel integration of the FoC framework and PLISSIT model to address sexuality in nursing care.

## Key findings

- The FoC framework supports a holistic approach to addressing patient sexuality in nursing care.
- The PLISSIT model provides a structured method for initiating conversations about sexual needs.
- Organizational support and education are essential for overcoming barriers to discussing sexuality.

## Abstract

Sexuality is a crucial component of quality of life yet often remains an under‐recognised and overlooked patient need within nursing care. Despite patients expressing a desire to discuss their sexuality with nurses, significant barriers hinder these conversations, leading to unmet needs and potential negative impacts on well‐being.

This discursive paper aims to discuss how the Fundamentals of Care (FoC) framework can support nurses in acknowledging and addressing sexuality as a fundamental aspect of patient care.

A broad, structured literature search was conducted in PubMed, CINAHL and Embase (2010–2026) focusing on sexuality, fundamental care needs, nursing theories and the nurse's role in addressing sexual dysfunction. The findings were critically reflected upon using the FoC framework as a lens for understanding and improving practice.

The analysis reveals that the FoC framework's emphasis on relationship, integration of care and context can facilitate a more holistic and patient‐centred approach to addressing sexuality. Integrating the PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy) alongside the FoC framework provides a structured approach to initiating conversations and offering support. Organisational support, clear guidelines and adequate nurse education are also critical for overcoming barriers and fostering a culture where sexuality is openly addressed.

Utilising the FoC framework, supplemented by the PLISSIT model and a supportive organisational context, can empower nurses to acknowledge and address patients' sexual needs, ultimately improving their overall well‐being and breaking down the ‘two‐way taboo’ surrounding sexuality in healthcare.