Inpatient Adolescent Sexual Health Services and Long-Acting Reversible Contraception Training.

Q1 Nursing
Alice Zhao, Robin T Higashi, Shelby Edmondson, Catherine Wong, Nirupama DeSilva, Megan Gribbons, Jasmin A Tiro, Jenny K R Francis
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Abstract

Objective: Inpatient settings provide unique opportunities to deliver sexual health services, such as long-acting reversible contraception (LARC), including intrauterine devices and contraceptive implants, to adolescents. This study aimed to (1) characterize general inpatient screening and management of sexual health services by region and (2) assess clinician preferences about inpatient LARC training.

Patients and methods: We conducted a convergent parallel mixed-methods study with a national online survey and semistructured interviews among pediatric residents, fellows, advanced practice providers, and midlevel clinicians. We analyzed survey data with descriptive and bivariate statistics with significance set at .05 to evaluate sexual health screening and management by region. We analyzed interview data using an iterative deductive and inductive approach and coupled quantitative and qualitative findings.

Results: Overall, 669 clinicians completed the survey and 32 clinicians participated in interviews. Survey and interview findings supported one another. Southern participants reported less screening (χ2(5) = 16.7; P = .01) or management (χ2(5) = 17.0; P = .01) of sexual health needs than other regions. Qualitative findings included the following: (1) gaps in inpatient sexual health services and barriers to training; (2) successful implementation of inpatient sexual health training including contraceptive implants; and (3) clinician concerns about future implementation of inpatient LARC training and perceived solutions to improve feasibility.

Conclusions: Contraceptive implant training might be prioritized by future programs given its feasibility. Future studies can design educational interventions for inpatient clinicians who work with adolescents to ensure adequate delivery of sexual health services tailored to the region of the country.

住院青少年性健康服务和长效可逆避孕培训。
目的:住院环境为向青少年提供性健康服务提供了独特的机会,例如长效可逆避孕(LARC),包括宫内节育器和避孕植入物。本研究旨在(1)了解各地区一般住院患者性健康筛查和管理情况;(2)评估临床医生对住院患者LARC培训的偏好。患者和方法:我们通过全国在线调查和半结构化访谈对儿科住院医师、研究员、高级执业医师和中级临床医生进行了一项融合平行混合方法研究。我们用描述性和双变量统计分析调查数据,显著性设置为0.05,以评估地区性健康筛查和管理。我们使用迭代演绎和归纳方法分析访谈数据,并结合定量和定性研究结果。结果:共有669名临床医生完成了调查,32名临床医生参加了访谈。调查和访谈结果相互支持。南方参与者报告的筛查较少(χ2(5) = 16.7;P = 0.01)或管理(χ2(5) = 17.0;P = 0.01)。定性调查结果包括以下内容:(1)住院性健康服务的差距和培训的障碍;(2)成功实施包括避孕植入在内的住院性健康培训;(3)临床医生对未来实施住院LARC培训的关注程度以及提高可行性的感知解决方案。结论:考虑到避孕植入物培训的可行性,在今后的项目中应优先考虑避孕植入物培训。未来的研究可以为与青少年一起工作的住院临床医生设计教育干预措施,以确保充分提供适合该国地区的性健康服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hospital pediatrics
Hospital pediatrics Nursing-Pediatrics
CiteScore
3.70
自引率
0.00%
发文量
204
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