Applying Ethical Practice Competencies to the Prevention and Management of Unintended Pregnancy

Cappiello, Joyce; Beal, Margaret W.; Gallogly‐Hudson, Kim

doi:10.1111/j.1552-6909.2011.01307.x

Cited by 7 publications

(6 citation statements)

References 32 publications

(41 reference statements)

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“…Such training needs to be in an experiential and immersive format emphasizing professional ethics over personal moral frameworks in their provision of adolescent SRH services [84]. Value clarification has been successfully applied to reduce HIV-associated stigma [85], and to improve medical abortion care [84, 86, 87].…”

Section: Discussionmentioning

confidence: 99%

Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal

2019

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Adolescent-friendly health programs have been in place in Nepal since 2008, yet uptake of the services for sexual and reproductive health remains suboptimal. For uptake of these services to improve, a rich understanding is needed of the factors impacting their acceptance and utilization from the perspectives of adolescents, health care staff, and key community informants. This study applied a qualitative research design involving six focus groups with 52 adolescents and in-depth interviews with 16 adolescents, 13 key informants, and 9 health care providers from six adolescent-friendly health facilities in Nepal. Thematic analysis was conducted for data analysis. The key themes identified as barriers include access issues due to travel, institutional health care barriers, perceived lack of privacy and confidentiality, and the unprofessional attitudes of staff towards the sexual health needs of adolescents. These themes are underpinned by gendered ideology and a moral framework around the sexual behavior of adolescents. Interview responses suggested that health care providers take a policing role in prescribing adolescents’ conformity to this moral framework in their delivery of reproductive health care and services. While physical access to health services may be problematic for some adolescents, this is not the priority issue. Attention needs to be given to increasing the capacity of health care providers to deliver services without imposing their own and socially sanctioned moral frameworks around adolescent sexual behavior. Such capacity building should include training that is experiential and emphasizes the importance of confidentiality and non-judgmental attitudes.

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Section: Discussionmentioning

confidence: 99%

Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal

2019

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“…However, this skill is generally not taught in nursing or primary care training programs (Foster et al, ) Nurses, as guided by the Code of Ethics for Nurses , have a mandatory obligation to care for their patients, regardless of their health concern or problem, in a way that respects each patient's dignity (American Nurses Association, ).Therefore, the responsibility of any nurse is to either provide a patient experiencing an unintended pregnancy with accurate information about her options or to offer a prompt, accessible, and coordinated referral to a provider who can provide care (Levi et al, ). Additionally, Cappiello, Beal, and Hudson‐Gallogly () and other authors suggest some providers are uncomfortable due to their religious or moral beliefs, and some states have laws that allow health care providers to refuse to participate in care involving reproductive health care delivery (Sonfield, ; Weitz & Fogel, ).…”

Section: A Blueprint For Unintended Pregnancy Preventionmentioning

confidence: 99%

An Evidence‐Based Guideline for Unintended Pregnancy Prevention

Taylor

James

2011

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Despite the frequency of and significant costs related to unintended pregnancy, it has received less attention in research and prevention guidelines development than other important health threats. This lack of attention has resulted in a system-wide failure to provide care to reproductive aged women who are at risk of unintended pregnancy. An evidenced-based blueprint for a coordinated system of primary, secondary and tertiary prevention is proposed for health professionals who provide care for patients at risk for unintended pregnancy.

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“…Various tools have been developed for this purpose (Table 1). For further discussion of ethical competencies and considerations in unintended pregnancy care, see the World Health Organization (WHO) document Sexual and Reproductive Health Core Competencies in Primary Care (2011) and the article by Cappiello, Beal, and Hudson-Gallogly (2011) in this issue.…”

Section: Nurses Should Provide Care For Women With Unintended Pregnanmentioning

confidence: 99%

“…For nurses who practice in these sites, determining what policies exist and how these policies intersect with their personal beliefs and professional ethical obligations is an important aspect of active care coordination. Readers are referred to the article by Cappiello et al () in this issue for further discussion.…”

Section: Essential Aspects Of Unintended Pregnancy Carementioning

confidence: 99%