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Inclusion of Intrauterine Devices Insertion to Family Planning Nurses’ Scope of Clinical Practice - Kirsty Fleming
Whilst intrauterine devices (IUDs) are highly effective in preventing pregnancy, utilisation in Australia is low. Extending provision by registered nurses (RNs) may increase uptake. This study explored the attitudes of RNs and medical officers (MOs) towards inclusion of IUD insertions to RNs scope of practice, in the context of RN IUD insertion training at Family Planning NSW. Interviews were conducted with RNs before and after training, and surveys with MOs who provided mentoring and supervision. RNs felt that inclusion of IUD insertions was a positive expansion of their scope.
Challenges reported were fear of adverse reactions and time constraints. MOs were supportive of the RNs expanded scope. Inclusion of IUD insertions to RNs scope of practice appears well-received by RNs and MOs. Given the specialised and supportive context at Family Planning NSW, research into other service delivery models is needed to support national credentialing standards and promote RN-led IUD insertions.