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Emily
Ryan
Author
School of Nursing
CONTRACEPTIVE PRACTICES OF ADVANCED PRACTICE REGISTERED NURSES IN OUTPATIENT SETTINGS
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers.
Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided.
While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
Spring 2017
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
Emily
Ryan
Author
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers.
Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided.
While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
Spring 2017
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient
Settings
Long-acting reversible contraception methods (LARCs) are considered the most
efficacious methods on the market but despite pervasive endorsements as first-line
contraception from leading healthcare institutions, LARC use in the US remains low. The
literature postulates provider behaviors and their individual contraceptive clinical
practice may create difficulty accessing LARC methods for their patients, specifically
when healthcare providers lack the knowledge and training required to insert or council
patients on choosing LARC methods. This project aims to examine whether contraceptive
clinical practice (CCP) pattern varies by graduate practice program preparation of the
provider and explore factors related to routine counseling of LARC methods by providers.
Using a convenience sample of advanced practice registered nurses, identified through a
data request made to The North Carolina Board of Nursing, and a modified version of the
National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were
analyzed. There were statistically significant differences among the CCP of primary care
providers as compared to women’s health providers across a variety of measures all of
which both individually and collectively have the potential to affect the quality of
contraceptive counseling and services provided. While some paradigm shifts in healthcare
occur rapidly, it is clear that the adoption of LARC methods in the primary care setting
has had slower trajectory toward full incorporation. Despite that, we remain encouraged by
the changes we have seen and the interest expressed by participants in learning more about
LARC methods.
Spring 2017
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long
Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's
Health
eng
Doctor of Nursing Practice
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting
institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
Spring 2017
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017-05
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
University of North Carolina at Chapel Hill
Degree granting institution
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse; Contraception; Long Acting Reversible Contraception; Nurse Practioner; Pirmary Care; Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
University of North Carolina at Chapel Hill
Degree granting institution
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse, Contraception, Long Acting Reversible Contraception, Nurse Practioner, Pirmary Care, Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
Nursing
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
Emily
Ryan
Creator
School of Nursing
Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings
Long-acting reversible contraception methods (LARCs) are considered the most efficacious methods on the market but despite pervasive endorsements as first-line contraception from leading healthcare institutions, LARC use in the US remains low. The literature postulates provider behaviors and their individual contraceptive clinical practice may create difficulty accessing LARC methods for their patients, specifically when healthcare providers lack the knowledge and training required to insert or council patients on choosing LARC methods. This project aims to examine whether contraceptive clinical practice (CCP) pattern varies by graduate practice program preparation of the provider and explore factors related to routine counseling of LARC methods by providers. Using a convenience sample of advanced practice registered nurses, identified through a data request made to The North Carolina Board of Nursing, and a modified version of the National Pregnancy and HIV/STI Prevention Survey, responses from 810 participants were analyzed. There were statistically significant differences among the CCP of primary care providers as compared to women’s health providers across a variety of measures all of which both individually and collectively have the potential to affect the quality of contraceptive counseling and services provided. While some paradigm shifts in healthcare occur rapidly, it is clear that the adoption of LARC methods in the primary care setting has had slower trajectory toward full incorporation. Despite that, we remain encouraged by the changes we have seen and the interest expressed by participants in learning more about LARC methods.
2017
Nursing
Advanced Practice Registered Nurse; Contraception; Long Acting Reversible Contraception; Nurse Practioner; Pirmary Care; Women's Health
eng
Doctor of Nursing Practice
Masters Thesis
University of North Carolina at Chapel Hill Graduate School
Degree granting institution
SeonAe
Yeo
Thesis advisor
Noreen
Esposito
Thesis advisor
Angela
Walling
Thesis advisor
text
2017-05
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