Advertisement

Hands-On Experience With Long-Acting Reversible Contraception for Nurse Practitioner Students

Published:September 01, 2022DOI:https://doi.org/10.1016/j.nurpra.2022.08.006

      Highlights

      • Future nurse practitioner providers need enhanced long-acting reversible contraception and reproductive health training.
      • Reproductive health educational methods included hands-on training, objective structured comprehensive examinations focusing on reproductive health topics, workshops, enhanced didactic content, and clinical experiences in reproductive health.
      • The trainings provided at 4 universities provided benefits to nurse practitioner students as well as future patients.

      Abstract

      Almost half of all pregnancies are unintended. Future nurse practitioners (NPs) need long-acting reversible contraceptive (LARC) training. The purpose of this project was to increase LARC and reproductive health education to NP students at 4 public colleges of nursing. Four universities reported the implementation of LARC and reproductive health trainings from 2017 to 2020. Successful implementation of LARC educational trainings at each university yielded benefits for future providers and patients. Reproductive health content and LARC training offer benefits to NP students and improve patients’ access to contraception.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal for Nurse Practitioners
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • America’s Health Rankings
        Health of women and children.
        • Finer L.B.
        • Zolna M.R.
        Declines in unintended pregnancy in the United States, 2008-2011.
        N Engl J Med. 2016; 374: 843-852https://doi.org/10.1056/NEJMsa1506575
        • United States Department of Health and Human Services
        Family planning.
        • Centers for Disease Control and Prevention
        About teen pregnancy.
        https://www.cdc.gov/teenpregnancy/about/index.htm
        Date: 2022
        Date accessed: April 25, 2022
        • Fact Forward
        2019 South Carolina teen birth trends.
        • Ross L.
        • Solinger R.
        Reproductive Justice: An Introduction.
        University of California Press, 2017
        • Hans S.L.
        • White B.A.
        Teenage childbearing, reproductive justice, and infant mental health.
        Infant Ment Health J. 2019; 40: 690-709https://doi.org/10.1002/imhj.21803
        • Finer L.B.
        • Henshaw S.K.
        Disparities in rates of unintended pregnancy in the United States, 1994 and 2001.
        Perspect Sex Reprod Health. 2006; 38 (doi:1363/3809006external icon): 90-96
        • Buckel C.
        • Maddipati R.
        • Goodman M.
        • Peipert J.F.
        • Madden T.
        Effect of staff training and cost support on provision of long-acting reversible contraception in community health centers.
        Contraception. 2019; 99: 222-227https://doi.org/10.1016/j.contraception.2018.12.005
        • Horvath S.
        • Bumpus M.
        • Luchowski A.
        From uptake to access: a decade of learning from the ACOG LARC program.
        Am J Obstet Gynecol. 2020; 222: S866-S868.e1https://doi.org/10.1016/j.ajog.2019.11.1269
        • Teal S.
        • Edelman A.
        Contraception selection, effectiveness, and adverse effects: a review.
        JAMA. 2021; 326: 2507-2518https://doi.org/10.1001/jama.2021.21392
        • Phillips J.
        • Sandhu P.
        Barriers to implementation of long-acting reversible contraception: a systematic review.
        J Am Assoc Nurse Pract. 2018; 30: 236-245https://doi.org/10.1097/JXX.0000000000000019
        • Gubrium A.C.
        • Mann E.S.
        • Borrero S.
        • et al.
        Realizing reproductive health equity needs more than long-acting reversible contraception (LARC).
        Am J Public Health. 2016; 106: 18-19https://doi.org/10.2105/AJPH.2015.302900
        • Higgins J.A.
        Celebration meets caution: LARC's boons, potential busts, and the benefits of a reproductive justice approach.
        Contraception. 2014; 89: 237-241https://doi.org/10.1016/j.contraception.2014.01.027
        • Lewis C.
        • Darney P.
        • Thiel de Bocanegra H.
        Intrauterine contraception: impact of provider training on participant knowledge and provision.
        Contraception. 2013; 88: 226-231https://doi.org/10.1016/j.contraception.2013.06.004
        • Stokholm Baekgaard R.
        • Gjaerevold Damhaugh E.
        • Mrema D.
        • et al.
        Training of healthcare providers and use of long-acting reversible contraception in low- and middle-income countries: a systematic review.
        Acta Obstet Gynecol Scand. 2021; 100: 619-628https://doi.org/10.1111/aogs.14127
        • Thompson K.M.J.
        • Rocca C.H.
        • Stern L.
        • et al.
        Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial.
        Am J Obstet Gynecol. 2018; 218 (597597.e7): 597.e1https://doi.org/10.1016/j.ajog.2018.03.016
        • Hollander D.
        Provider training on LARC methods helps reduce unintended pregnancy rate.
        Perspect Sex Reprod Health. 2015; 47: 154https://doi.org/10.1363/47e5315
        • Pace L.E.
        • Dolan B.M.
        • Tishler L.W.
        • Gooding H.C.
        • Bartz D.
        Incorporating long-acting reversible contraception into primary care: a training and practice innovation.
        Womens Health Issues. 2016; 26: 131-134https://doi.org/10.1016/j.whi.2015.09.004
        • National Organization of Nurse Practitioner Faculties
        Nurse practitioner core competencies content.
        • American Association of Colleges of Nursing
        The essentials: core competencies for professional nursing education.
        https://www.aacnnursing.org/AACN-Essentials
        Date: 2021
        Date accessed: April 25, 2022
        • National Task Force on Quality Nurse Practitioner Education
        Standards for quality nurse practitioner education. A report of the national task force om quality nurse practitioner education.
        (6th ed)
        https://www.nonpf.org/page/NTFStandards
        Date: 2022
        Date accessed: April 25, 2022
        • American Association of Nurse Practitioners
        NP facts.
        https://www.aanp.org/about/all-about-nps/np-fact-sheet
        Date: 2021
        Date accessed: April 25, 2022

      Biography

      Tracy George, DNP, FNP-BC, CNE is an associate professor at the School of Health Sciences at Francis Marion University in Florence, SC, and can be contacted at [email protected] .

      Biography

      Deborah Hopla, DNP, FNP-BC, FAANP, FAAN, is an associate professor at the School of Health Sciences, Frances Marion University.

      Biography

      Nathaniel Bell, PhD, is an associate professor at the College of Nursing, University of South Carolina in Columbia, SC.

      Biography

      Catherine O. Durham, DNP, FNP-BC, FAAN, is an associate professor at the College of Nursing, Medical University of South Carolina in Charleston, SC.

      Biography

      Sheryl Mitchell, DNP, APRN, FNP-BC, ACNP-BC, FAANP, is the assistant dean for graduate studies and an associate professor at the College of Nursing, University of South Carolina College.

      Biography

      Stephanie Burgess, PhD, FNP-BC, FAAN, FAANP, is professor emeritus with the College of Nursing, University of South Carolina.

      Biography

      Lisa Miller, PhD, FNP, is a senior lecturer with the College of Behavioral, Social, and Health Sciences, Clemson University in Clemson, SC.

      Biography

      Angie Olawsky, MPH, RN, is the associate vice president at Sustainability New Morning in Columbia, SC.