Contraceptive Practices of Advanced Practice Registered Nurses in Outpatient Settings

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  • March 20, 2019
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  • Ryan, Emily
    • Affiliation: School of Nursing
Abstract
  • 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.
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  • In Copyright
Advisor
  • Yeo, SeonAe
  • Esposito, Noreen
  • Walling, Angela
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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