Aims and objectives: Using the PRISMA guidelines, a systematic literature review was conducted to explore current and relevant evidence regarding factors that influence nurses' provision of sexual healthcare education to patients. Background: The World Health Organization and Healthy People 2020 emphasise the importance of sexual health care. Although the nursing profession has the ability to develop a competent level of sexuality education, sexual health care is often ignored in nursing care and education. Many nurses are failing to engage in meaningful conversations about sexual health with patients, and this could lead to negative health events. However, patients would like reliable and nonjudgmental access to education about sexual health. Design: Electronic databases were searched for articles published between 2012-2017. Studies of nurses providing sexual health education in healthcare settings were included. The Melnyk and Fineout-Overholt (2015, Evidence-based practice in nursing & healthcare, Philadelphia, PA: Walters Kluwer) quality assessment framework was used. The researchers independently reviewed 532 studies and agreed upon ten to include in this review. Results: Findings from this systematic review suggest that nurses' provision of sexual health education to patients is influenced by four factors: (a) a lack of knowledge about sexual health, (b) nurses' attitudes and beliefs that sexual health care is private and not a priority, (c) nurses' comfort discussing sexual health, and (d) perceived barriers related to time, responsibility and organisational support. Conclusion:The ten articles reviewed were all Level VI descriptive and qualitative studies, as defined by Melnyk and Fineout-Overholt (2015). It is evident that sexual healthcare information is not being widely addressed. To reduce stigma, the positive aspects of sexual health care must be promoted on multiple levels.Relevance to clinical practice: Leaders in professional and community-based organizations should be on the forefront of making recommendations for nurses and practitioners, so they could improve their ability to provide sexual healthcare information to their patients. K E Y W O R D Shealth promotion, nursing education, patient teaching, sexual health, sexuality, teacher

Tobacco-free campuses are a great public health initiative. Healthy People 2020 and Healthy Campus 2020 address tobacco use and young adults including college students. Sources indicate that of the more than 6,000 colleges and universities in the United States, less than 800 are either smoke free or tobacco free. An increasing number of college campus policy makers in the United States are implementing smoke-free or tobacco-free policies, including procedures for violators of these policies. However, without a clearly defined and actionable enforcement component, these policies serve little purpose. This has become a policy enforcement issue that campus leaders should address. Should colleges and universities become tobacco free, if enforcement is not implemented? College and university administrators should demonstrate leadership by having violators of tobacco-free campus policies held to the same standard as those who violate other policies.

Although peer education programs have existed on the college campus for many years, few evaluations of their effectiveness have been made. The author reviews the brief literature on process and outcome evaluations and offers suggestions to encourage evaluations that will yield more accurate and useful information. Such information is particularly important at a time when many universities face budgetary constraints that put these programs and those who administer them at risk when programs and services are curtailed.

The National College Health Risk Behavior Survey was administered to a convenience sample of students at 8 historically Black colleges and universities in 7 states. Analyses showed major differences in the men's and women's responses. The men were significantly more likely than the women to be current smokers. Also, they more frequently reported heavy drinking, drinking and driving in the past days 30 days, and carrying a weapon. The women were significantly more likely to view themselves as overweight, and more than one third reported they were trying to lose weight. More than one third of the students had not exercised or participated in sports activities for more than 20 minutes in the past 7 days. Because historically Black colleges and universities educate the majority of undergraduate Black college students, multidimensional programs to promote disease prevention and health promotion for Black college students must be expanded and evaluated.

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