Midwives and Abortion Care: A Model for Achieving Competency

被引:12
作者
Levi, Amy [1 ,3 ]
James, Evelyn Angel
Taylor, Diana [2 ]
机构
[1] Univ Calif San Francisco, Interdept Nurse Midwifery Educ Program, San Francisco, CA 94920 USA
[2] Univ Calif San Francisco, Sch Nursing, San Francisco, CA 94920 USA
[3] Univ Calif San Francisco, HWPP Clin Educ, San Francisco, CA 94920 USA
关键词
abortion care; training for competency; ADVANCED PRACTICE CLINICIAN; UNITED-STATES; MEDICAL ABORTION; PHYSICIAN ASSISTANTS; SERVICES; PROVIDERS; ACCESS;
D O I
10.1111/j.1542-2011.2012.00182.x
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Throughout history, the care of women's reproductive health needs has included termination of unwanted pregnancy. Unfortunately, access to safe first-trimester abortion is restricted by a lack of skilled providers. In an effort to provide data-based evidence and increase access to first-trimester abortion care in California, the University of California, San Francisco, under the auspices of the Health Workforce Pilot Program, developed a competency-based training model to increase the number of certified nurse-midwives, nurse practitioners, and physician assistants who can provide uterine aspiration. This article describes the training program, which uses a curriculum comprising both self-directed didactic material and supervised clinical experience with a minimum of 40 procedures. Successful completion of the program requires passing a written examination and satisfactory achievement of a competency-based clinical assessment. Thirty-eight trainees have completed the training to date, achieving competency following an average of 6 training days. Competency development in the clinical area is monitored by both the trainer and the trainee, using daily and final competency assessments in 4 domains: patient comfort, procedural completeness, speed, and ability to identify problems. Analysis of complications is used to identify concerns about clinician safety. The availability of a competency-based training curriculum for uterine aspiration has the potential to increase the number of first-trimester abortion providers by making training available to experienced clinicians, including nurse-midwives, who would like to provide this care.
引用
收藏
页码:285 / 289
页数:5
相关论文
共 34 条
  • [1] American College of Nurse-Midwives, ACCR COMM MIDW ED AC
  • [2] American College of Nurse-Midwives, 2011, REPR HLTH CHOIC POS
  • [3] American College of Nurse-Midwives, 2006, MIDW AB SERV QUICKIN
  • [4] American Colleges of Nurse Midwives, 2008, COR COMP BAS MIDW PR
  • [5] [Anonymous], MIDW PROV AB REL SER
  • [6] [Anonymous], STAND PRACT MIDW
  • [7] Midlevel health-care providers key to MDG 5
    Chong, Yap-Seng
    Tan, Eng-Kien
    [J]. LANCET, 2011, 377 (9772) : 1127 - 1128
  • [9] Ehrenreich B., 1972, Witches, midwives, nurses: A history of women healers
  • [10] Abortion incidence and services in the United States in 2000
    Finer, LB
    Henshaw, K
    [J]. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, 2003, 35 (01) : 6 - 15