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    Describing Contemporary Use of Intrauterine Device Clinical Practice Guidelines for Adolescents in Southern Arizona

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    Author
    Pettijohn, Whitney Elaine
    Issue Date
    2018
    Keywords
    Adolescent
    Contraception
    CPG
    Education
    Intrauterine
    IUD
    Advisor
    Berg, Judith
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Problem Statement: Unintended pregnancies (UP) are preventable life events that place both personal and societal strain accounting for approximately half of all pregnancies in the United States annually. Intrauterine devices (IUD) are highly effective forms of contraception that prevents UPs but are often underutilized due to several barriers including misconceptions about safety and efficacy, especially when considering adolescent women. Purpose: To describe contemporary use of IUD clinical practice guidelines (CPG) amongst various providers and to determine the effect of an evidence based educational intervention on perceptions and practice beliefs. Methods: Descriptive quantitative pretest posttest design with a brief educational intervention in the form of a PowerPoint presentation. All providers trained to counsel on and prescribe IUDs to adolescents within a large community health center in Tucson, Arizona were surveyed before and after the educational intervention to assess changes in perceptions and future practice patterns. Results: The provider responses indicate varying levels of limited provider knowledge related to selecting candidates, counseling on and prescribing IUDs to adolescent patients as dictated by current CPGs. The information also indicates that lack of knowledge may attribute to a perceived lack of confidence which may result in decreased numbers of IUDs being prescribed. Finally, post-education responses indicate a change in perceived self-efficacy and knowledge surrounding current CPG information. Significance: Targeted educational interventions for providers of contraception to adolescent patients positively affects adherence to evidence-based CPGs intended to reduce UP rates. Increased education also positively affects providers’ knowledge and perceived ability to safely counsel on and/or prescribe IUDs to nulliparous adolescents.
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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