Abstract
BackgroundYouth in a digital world face challenges to healthy development of their sexuality from exposure to sexting, pornography, and other sexually explicit media. School-based sexual health education does not cover digital sexual content and the impact on sexuality and sexual relationships. Youth often avoid discussing sexual health with parents or other trusted adults, thus often relying on peers, making them ill-prepared to navigate the complexities (e.g., socially, emotionally, and romantically) of sexually explicit content. MethodsA review of emerging evidence for application into clinical practice. Clinical ImplicationsThis paper provides nurse practitioners (NPs) with resources and information to incorporate this re-envisioned approach to sexual healthcare into practice, to provide current, timely, and holistic youth sexual healthcare. ConclusionYouth sexual healthcare must be re-envisioned. NPs can improve youth sexual health by incorporating pornography and sexual media literacy, safe sexting, and concepts of consent into care using a sex-positive lens.
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