Well so far, the work I've done over the last couple of years has been around the sexual health and HIV arena and have seemed to have found a passion for it. However, I've tried not to let this colour my vision too much in case I miss opportunities to explore other avenues during my training. For the last 4 or 5 years, I've done a variety of voluntary work in all different areas and I have to say sexual health is an area I like. But that wasn't in a 'registered nurse' capacity, which may pose a slightly different view or scope on what I've already experienced.
I think it's important that before you specialise in whatever area you want to go into, you should work on a general/acute ward for the first couple of years just to set a foundation. People at work and friends who are nurses seem to really stress this - is this an out of date view or does anybody think it is still vital? However excited and enthused I may be about wanting to go into sexual health, especially HIV, I think it would be worth doing the general bit first of all. If I still want to go into sexual health/HIV after I've qualified I could start my career in a number of ways for the first couple of years. Cardiology may be good to work to start with, as a lot of HIV positive patients have associative-cardiac problems too. Urology and gynaecology will also be very useful as it's dealing with the genito-urinary tracts which is what sexual health is mostly about. Dermatology may be an area to go into as well, thinking about the the very prevalence of human papillomavirus. Even working on an acute/general ward to start with won't be a bad thing to do, as at least you'll understand a good variety of health problems, illnesses and diseases.
So lot's to think about, but I've decided not to think too much about it right now. I've got 3 years of training to do first! I do want to work my way up the career ladder in nursing, staying as clinical as I can, although I may have to appreciate the higher you go the further away you move from patient contact! I think eventually I would like to go into teaching. I remember my grandad saying that he never had an apprentice when he worked as a blacksmith (for 60 years!) and always said his knowledge would die with him - so I kind of feel the same about whatever I may/will learn one day to pass on to others.
You never know I may completely change my mind by the time I've qualified! However, I don't think I will...(some might say that's unhealthy to think like that!).