Should Home‐Based Contraceptive Dispensing become a Routine part of Public Health Nurse Practice? Review of Nurse Perceptions. Issue 6 (7th September 2014)

• Record Type: Journal Article
• Authors: Jacob‐Files, Elizabeth; Rdesinski, Rebecca; Storey, Marni; Gipson, Teresa; Cohen, Deborah J.; Olds, David; Melnick, Alan
• Is Part Of: Public health nursing. Volume 32:Issue 6(2015)
• Page Start: 702
• Page End: 710
• Publication Date: 2014-09-07
• Subjects: Public health nursing -- Periodicals; 610.734
• DOI: 10.1111/phn.12150
• Languages: English
• ISSNs: 0737-1209

Abstract

<abstract abstract-type="main" id="phn12150-abs-0001"> <title>Abstract</title> <sec id="phn12150-sec-0001" sec-type="section"> <title>Objective</title> <p>We examined public health nurses' beliefs about the safety of dispensing hormonal contraceptives in the home, the extent to which they considered contraceptive dispensing within their scope of practice, and the types of support needed to effectively dispense contraceptives in the home.</p> </sec> <sec id="phn12150-sec-0002" sec-type="section"> <title>Design and Sample</title> <p>We conducted focus groups in Washington State with 24 home visiting nurses participating in a Nurse Family Partnership (NFP) randomized clinical trial in which nurses dispensed hormonal contraceptives during home visits.</p> </sec> <sec id="phn12150-sec-0003" sec-type="section"> <title>Measures</title> <p>We assessed the feasibility of the intervention and barriers and facilitators to home dispensing of hormonal contraceptives.</p> </sec> <sec id="phn12150-sec-0004" sec-type="section"> <title>Results</title> <p>Nurses were, on average 52 years old and had been working in nursing approximately 25 years, with between 5 and 18 years of experience working in a family planning setting. Overall, nurses believed that, with the right training and support, dispensing of hormonal contraceptives in the home was safe and fit within their scope of practice. Those nurses who reported resistance to the intervention cited inadequate training, lack of clear protocols, and sufficient support as important deterrents.</p> </sec> <sec id="phn12150-sec-0005" sec-type="section"> <title>Conclusions</title> <p>Home‐based contraceptive dispensing by nurses is a feasible enhancement of the NFP program. To ensure that nurses are confident and able to dispense hormonal contraceptives, training, clinical protocols, consultation, and logistical support are needed.</p> </sec> </abstract>