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Intrauterine contraceptive device training and outcomes for healthcare providers in developed countries: A systematic review.
PLoS One 2019; 14(7):e0219746Plos

Abstract

Intrauterine contraceptive devices (IUCD) are a safe and cost-effective contraceptive method for medically eligible women. Despite this, the utilisation rate for IUCDs is relatively low in many high-income countries, including Australia. Provision of education and training regarding IUCDs to healthcare providers, including nurses and midwives, is one approach to overcome some of the barriers that may prevent wider uptake of IUCDs. This study aims to explore the types and impact of IUCD insertion training for healthcare providers. A systematic review was undertaken in January 2017 to determine the effectiveness of IUCD training for healthcare providers in relation to provision of IUCDs to women. The databases MEDLINE, EMBASE, CINAHL, COCHRANE and SCOPUS were searched to identify studies from high-income countries relating to IUCD training for healthcare providers and relevant outcomes. A total of 30 studies were included in the review. IUCD training for healthcare providers contributed to increased knowledge and improved positive attitudes towards IUCDs, high rates of successful insertions, low complication rates, and increased provision of IUCDs. Successful insertions and low complication rates were similar across different healthcare provider types. No notable differences between provider types in terms of knowledge increase or insertion outcomes were observed. Different training programs for healthcare providers were found to be effective in improving knowledge and successful provision of IUCDs. Increasing the number of healthcare providers skilled in IUCD insertions in high-income countries, including nurses and midwives, will enhance access to this method of contraception and allow women greater contraceptive choice.

Authors+Show Affiliations

The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. School of Public Health, University of Sydney, Sydney, Australia.The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, Australia. School of Public Health, University of Sydney, Sydney, Australia.Family Planning NSW, Ashfield, Sydney, Australia.School of Public Health, University of Sydney, Sydney, Australia. Family Planning NSW, Ashfield, Sydney, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31306443

Citation

Ouyang, Menglu, et al. "Intrauterine Contraceptive Device Training and Outcomes for Healthcare Providers in Developed Countries: a Systematic Review." PloS One, vol. 14, no. 7, 2019, pp. e0219746.
Ouyang M, Peng K, Botfield JR, et al. Intrauterine contraceptive device training and outcomes for healthcare providers in developed countries: A systematic review. PLoS ONE. 2019;14(7):e0219746.
Ouyang, M., Peng, K., Botfield, J. R., & McGeechan, K. (2019). Intrauterine contraceptive device training and outcomes for healthcare providers in developed countries: A systematic review. PloS One, 14(7), pp. e0219746. doi:10.1371/journal.pone.0219746.
Ouyang M, et al. Intrauterine Contraceptive Device Training and Outcomes for Healthcare Providers in Developed Countries: a Systematic Review. PLoS ONE. 2019;14(7):e0219746. PubMed PMID: 31306443.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intrauterine contraceptive device training and outcomes for healthcare providers in developed countries: A systematic review. AU - Ouyang,Menglu, AU - Peng,Ke, AU - Botfield,Jessica R, AU - McGeechan,Kevin, Y1 - 2019/07/15/ PY - 2019/04/08/received PY - 2019/07/02/accepted PY - 2019/7/16/entrez PY - 2019/7/16/pubmed PY - 2019/7/16/medline SP - e0219746 EP - e0219746 JF - PloS one JO - PLoS ONE VL - 14 IS - 7 N2 - Intrauterine contraceptive devices (IUCD) are a safe and cost-effective contraceptive method for medically eligible women. Despite this, the utilisation rate for IUCDs is relatively low in many high-income countries, including Australia. Provision of education and training regarding IUCDs to healthcare providers, including nurses and midwives, is one approach to overcome some of the barriers that may prevent wider uptake of IUCDs. This study aims to explore the types and impact of IUCD insertion training for healthcare providers. A systematic review was undertaken in January 2017 to determine the effectiveness of IUCD training for healthcare providers in relation to provision of IUCDs to women. The databases MEDLINE, EMBASE, CINAHL, COCHRANE and SCOPUS were searched to identify studies from high-income countries relating to IUCD training for healthcare providers and relevant outcomes. A total of 30 studies were included in the review. IUCD training for healthcare providers contributed to increased knowledge and improved positive attitudes towards IUCDs, high rates of successful insertions, low complication rates, and increased provision of IUCDs. Successful insertions and low complication rates were similar across different healthcare provider types. No notable differences between provider types in terms of knowledge increase or insertion outcomes were observed. Different training programs for healthcare providers were found to be effective in improving knowledge and successful provision of IUCDs. Increasing the number of healthcare providers skilled in IUCD insertions in high-income countries, including nurses and midwives, will enhance access to this method of contraception and allow women greater contraceptive choice. SN - 1932-6203 UR - https://www.unboundmedicine.com/medline/citation/31306443/Intrauterine_contraceptive_device_training_and_outcomes_for_healthcare_providers_in_developed_countries:_A_systematic_review L2 - http://dx.plos.org/10.1371/journal.pone.0219746 DB - PRIME DP - Unbound Medicine ER -