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Meeting female street sex workers’ physical and mental healthcare needs Citation: Elliott N (2020) Meeting female street sex workers’ physical and mental healthcare needs. Nursing Times [online]; 116: 1, 35-39.How to use this article in your revalidation activitiesPrint the article and distribute it to all members of your journal club before your meeting. Use the author commentary and discussion points below to help get your discussions started. Participation in journal clubs can be used for revalidation as participatory CPD and/or reflective accounts.Participatory CPD: Record the time you spent reading the article and discussing it in your journal club, describe what you learnt from the article and your group discussions, explain how you will apply it to your practice, and how it links to the NMC Code;Reflective accounts: think about what you learned from your discussions, how you can use your learning to improve your practice, and how this relates to the NMC Code. Add this information to the ‘notes’ section at the end of this document.If you subscribe to Nursing Times, log the evidence in the ‘Other professional development’ or ‘Reflective accounts’ section of your NT Portfolio.For more information on setting up and running a journal club go to ntjournalclubRecognising the effects of abuse from childhoodFindings from my study on the health and wellbeing of female street sex workers (FSSWs), revealed that they experienced poor physical, mental and social health and wellbeing. They faced limited life choices and often felt discriminated against by the agencies and institutions that should have offered support. The women spoke of their personal histories, in particular about traumatic life events in childhood such as sexual abuse, neglect, loss and rejection, as well as intimate partner violence in adult life. The loss of their children to social services, housing difficulties and addiction to alcohol and crack cocaine were also significant in contributing to social exclusion and their multiple positions of vulnerability. Previous research on FSSWs has primarily concentrated on the stigmatisation of women’s involvement in the sex industry, particularly with reference to the spread of HIV/AIDS. The response of the criminal justice system to the regulation of the illegal aspects of women’s engagement in street sex work has also been criticised. However, the impact of street sex work on the health and wellbeing of these women requires further research.My qualitative study enhanced an understanding of FSSWs as members of a population with multiple vulnerabilities that have occurred and been reinforced across their life course, often by the institutions of both education and health. Both systems have failed to recognise the effects of vulnerability and trauma from early childhood to later adult intimate partner violence. Public policy and action have singularly failed to attend to the health and wellbeing of these women. The FSSWs’ perceptions of their personal health-related experiences demonstrated a strong relationship between childhood sexual trauma and their mental health and wellbeing. In adult life, all the women interviewed reported being labelled according to psychiatric categories and viewed as being included in a ‘problem category’ instead of receiving recognition and empathy for the cycle of abuse they had all experienced. Author: Nalishebo Elliott is head of patient experience and quality outcomes at The London Clinic.Discussion pointsWhat are your pre-conceived ideas about sex workers?Is a biomedical approach to nursing practice conducive to caring for patients with a background in street sex work?How can nurses create an environment that is accepting to women involved in street sex work?What is your understanding of safeguarding vulnerable children?Do you think removal from mothers involved in street sex work is the right approach to protect the wellbeing of vulerable children?Meeting female street sex workers’ physical and mental healthcare needs Citation: Elliott N (2020) Meeting female street sex workers’ physical and mental healthcare needs. Nursing Times [online]; 116: 1, 35-39.-63500165735Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.0Revalidation evidenceMake a note of how your journal club discussion relates to your own practice and the NMC Code, what you learnt from reading and discussing the article and how you will use this learning to change your practice. If you subscribe to Nursing Times, you can upload this article with your notes into your NT Portfolio as evidence of participatory CPD. You can also use it as the basis for a reflective account.Your notes ................
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