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The Reproductive Options Education (ROE) Consortium: Aligning nursing practice, advocacy and education.


The Reproductive Options Education (ROE) Consortium: Aligning practice, education and advocacy

Joyce Cappiello PhD, FNP, Director of the ROE Consortium

Kathy Simmonds MSN, RNC, MPH, Clinical Assistant Professor, MGH Institute of Health Professions

Diana Taylor RNP, PhD, FAAN, University of California, San Francisco

Background •Approximately ½ pregnancies in the U.S. are unintended.1 •Nurses who care for women of reproductive age need skills in:     •Advanced practice nurses are often not adequately educated to provide care to women with UPs.2,3

1. Finer, L. & Kost, K. (2011).Unintended Pregnancy Rates at the State Level. Perspectives on Sexual and Reproductive Health, 43(2):78–87.  Surveyed 8 reproductive curricula topics.

2. Foster A, Polis C, Allee M, Simmonds K, Zurek M, Brown A. (2006). Abortion education in nurse practitioner, physician assistant, and certified nurse-midwifery programs: A national survey. Contraception, 73;408-414. Surveyed 8 reproductive health topics.

3. Foster A, Simmonds K, Jackson C, Martin. (2008). Survey of all nursing programs in Massachusetts (2007). Poster presentation. NAF, Seattle, April, 28, 2009. Surveyed 6 reproductive health topics.

Methods

•2002: Concerned nursing faculty developed ROE as an organization. •Purpose: To promote sexual and reproductive health by integrating unintended pregnancy prevention and care (UPCC) in nursing education and practice. •Goals: •Identify common concerns •Promote integration of UPPC into nursing education and practice •Identify/develop curricula tools •Expand leadership in UPPC within nursing organizations •Network with policy & advocacy groups  to effect change at policy level   10 Year Evaluation

ROE leadership have:

•Provided leadership of integration of UPPC into nursing curricula. •Authored 24 publications on UPPC. Most recently, JOGNN In Focus series. Nov/Dec, 2011:                     •Presented at 32 conferences on UPPC. •Collaborated on first primer for APNs to expand scope of practice to include abortion care http://apctoolkit.org/. •Developed curricula tools http://www.roeresources.org. •Conducted continuing educational training in UPPC for faculty and practicing nurses. •Established Special Interest Group (SIG) in sexual/reproductive health at NONPF. •Provide nursing leadership in interprofessional groups (ARHP, APHA). •Provided leadership to advocacy groups-- Clinicians for Choice, Nursing Students for Choice.

Future

Future goals  for the ROE Consortium include:

•Conduct a skills gap analysis  of necessary UPPC competencies for entry-into-practice at both undergraduate and graduate level of nursing. •Develop core competencies in UPPC. •Promote integration of core competencies into all nursing programs. •Integrate a competency-based SRH framework grounded in public health and primary care (WHO, UK models of care).  
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