Training in aspiration abortion care: An observational cohort study of achieving procedural competence

Levi, Amy; Goodman, Suzan; Weitz, Tracy A.; AbiSamra, Roula; Nobel, Kristin; Desai, Sheila; Battistelli, Molly F.; Taylor, Diana

doi:10.1016/j.ijnurstu.2018.08.003

Cited by 11 publications

(6 citation statements)

References 17 publications

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“…In contrast, Californian certified midwives, nurse practitioners and physician assistants underwent training, based on education programmes used for family practice residence, to perform MVAs. The health practitioners’ confidence grew after they became competent and their ability to manage clinical issues increased with experience (Levi, Angel James, & Taylor, 2012; Levi et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

The role of nurses and midwives in the provision of abortion care: A scoping review

Mainey

O’Mullan

Reid‐Searl

et al. 2020

Journal of Clinical Nursing

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Aims and objectives: To define the role and scope of the nurse and midwife within the global context of abortion. Background: An estimated 56 million women seek abortions each year; nurses and midwives are commonly involved in their care (Singh et al., 2018, https://www.guttm acher. org/sites/ defau lt/files/ report_pdf/abort ion-world wide-2017.pdf). As new models of abortion care emerge, there is a pressing need to develop a baseline understanding of the role and scope of nurses and midwives who care for women seeking abortions. Design: The review design was Arksey and O'Malley's five-stage methodological framework. The review follows the PRISMA-ScR checklist. Methods: MEDLINE, CINAHL, Scopus and ScienceDirect were used to identify original research, commentaries and reports, published between 2008-2019, from which we selected 74 publications reporting on the nursing or midwifery role in abortion care. Results: Nurses and midwives provide abortion care in a variety of practice. Three themes emerged from the literature: the regulated role; providing psychosocial care; and the expanding scope of practice. Conclusions: The literature on nursing and midwifery practice in abortion care is broad. Abortion-related practices are potentially over-regulated. Appropriately trained nurses and midwives can provide abortions as safely as physicians. The preparation of nurses and midwives to provide abortion care requires further research. Also, healthcare organisations should explore person-centred models of abortion care.Relevance to clinical practice: Abortion care is a common procedure performed across many healthcare settings. Nurses and midwives provide technical and psychosocial care to women who seek abortions. Governments and regulatory bodies could safely extend their scope of practice to increase women's access to safe abortions.Introduction of education programmes, as well as embedding practice in person-centred models of care, may improve outcomes for women seeking abortions.

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Section: Resultsmentioning

confidence: 99%

The role of nurses and midwives in the provision of abortion care: A scoping review

Mainey

O’Mullan

Reid‐Searl

et al. 2020

Journal of Clinical Nursing

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“…The other two laws, AB980 and AB154, which were passed in 2013, removed multiple infrastructural and regulatory barriers to the provision of abortion care and allowed advanced practice registered nurses (APRNs) to provide firsttrimester aspiration abortions. These laws were grounded in evidence from a 6-year noninferiority study to assess the safety, efficacy, and perceived competence and confidence of APRNs in the provision of abortion care (Levi et al, 2018;Weitz et al, 2013;Weitz et al, 2014).…”

mentioning

confidence: 99%

Attitudes of California Registered Nurses About Abortion

Swartz¹,

Hoffmann²,

Cretti³

et al. 2020

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…[ 19,24,25,32,39,41,42,45,55,63,68,77,89,94,105,111,116,119,127,138,140,141,[143][144][145][146][147][148][149][150][151][152][153][154] Simulation Debrief (n = 34) A debrief session among simulation participants following the formal simulation. [27,48,49,52,59,83,87,88,92,[96][97][98]100,104,[111][112][113]115,…”

Section: Training Characteristicsmentioning

confidence: 99%

“…[32,46,66,90,99,104,106,140,143,157] One-on-One (n = 6) A trainer meeting with a participant individually to provide training. [24,32,68,84,108,158] Grand Rounds (n = 4) A type of medical education in which a particular audience of clinicians gather to discuss medical problems and treatments. [19,24,25,111] Journal Club (n = 2) A group of people meeting to discuss recent articles in academic literature.…”

Section: Training Characteristicsmentioning

confidence: 99%

Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review

Vamos,

Foti,

Reyes Martinez

et al. 2023

IJERPH

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Training is a key implementation strategy used in healthcare settings. This study aimed to identify a range of clinician training techniques that facilitate guideline implementation, promote clinician behavior change, optimize clinical outcomes, and address implicit biases to promote high-quality maternal and child health (MCH) care. A scoping review was conducted within PubMed, CINAHL, PsycInfo, and Cochrane databases using iterative searches related to (provider OR clinician) AND (education OR training). A total of 152 articles met the inclusion/exclusion criteria. The training involved multiple clinician types (e.g., physicians, nurses) and was predominantly implemented in hospitals (63%). Topics focused on maternal/fetal morbidity/mortality (26%), teamwork and communication (14%), and screening, assessment, and testing (12%). Common techniques included didactic (65%), simulation (39%), hands-on (e.g., scenario, role play) (28%), and discussion (27%). Under half (42%) of the reported training was based on guidelines or evidence-based practices. A minority of articles reported evaluating change in clinician knowledge (39%), confidence (37%), or clinical outcomes (31%). A secondary review identified 22 articles related to implicit bias training, which used other reflective approaches (e.g., implicit bias tests, role play, and patient observations). Although many training techniques were identified, future research is needed to ascertain the most effective training techniques, ultimately improving patient-centered care and outcomes.

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Training in aspiration abortion care: An observational cohort study of achieving procedural competence

Cited by 11 publications

References 17 publications

The role of nurses and midwives in the provision of abortion care: A scoping review

The role of nurses and midwives in the provision of abortion care: A scoping review

Attitudes of California Registered Nurses About Abortion

Identification of Clinician Training Techniques as an Implementation Strategy to Improve Maternal Health: A Scoping Review

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