Contraception Education for Child-bearing Women Who Speak Primarily Chinese or Cantonese and receive GYN Services at a private OB/GYN Outpatient Clinic Introduction to the Practice Problem

Contraception use varies between people. Often time there is a link between education and proper contraception use. At the private OB/GYN Outpatient Clinic, women are receiving verbal education on contraception use as there exists no language or culture barrier due to the homogenous nature of the staff and patients. Patients may require additional materials to understand proper contraception use.

Problem Statement

Some contend verbal education of contraception use may not be enough regarding contraception counseling. EBP standardized contraception counseling allows for the use of cue cards and the option of giving a booklet or pamphlet for patients to take home. This is a great means of providing verbal and visual education that will provide further reinforcement of information learned.

Description of Current Practice

The women within the private clinic are educated only verbally. They require additional instructions using visual aids like cue cards and written information like pamphlets and brochures. This ensures that they gain enough information and can retain that information. There are no language barriers or culture barriers within the homogenous population of staff and patients. The main problem is concerning contraception education and retaining said education to make proper contraception choices.

Background and Significance of the Problem

Although the information on contraception may be absorbed verbally, cue cards give visual and written information that can reaffirm the information learned. Educators use visual aids to enable improved learning in students, especially when combined with audio or verbal information. “Audio-visual aids may help to reduce EFL learners' listening test anxiety and enhance their listening comprehension scores without facilitating retention of such materials” (Lee, Lee, Liao, & Wang, 2015, p. 576). Without additional tools for education, contraception use may be faulty at best, leading to potential problems for women who use contraception incorrectly. Things like sexually transmitted diseases and unwanted pregnancies could be an issue.

Therefore, EBP standardized contraception counseling should be implemented for each kind of contraception method to determine if the inclusion of both visual aids and written information like pamphlets and booklets will allow those that require an education, gain improved insight or if these additional materials have no impact, or decrease information learned. This is the basis of the PICOT question and the search strategy.

PICOT Question

The main focus will be on the counseling cards to help explain to patients the various methods of contraception and to provide an added opportunity for education and reinforcement of information learned, patients can take home with them, brochures and pamphlets. To test patients’ knowledge on contraception there would be a Contraception Knowledge Assessment (CKA) performed. Several studies have noted CKA to be a useful assessment tool. “The CKA is a valid and reliable tool to measure a patient's level of knowledge regarding contraception. This research tool may allow for the assessment of baseline knowledge, educational gaps, and improvement after an intervention” (Campol Haynes, Saleh, Ryan, Winkel, & Ades, 2015, p. 413). While accuracy of assessment may not be as high as desired, CKA offers an evidence-based, validated, and reliable evaluation of contraceptive information. It is a modern tool aimed at assisting in determining effectiveness of interventions to augment contraception education.
The PICOT question was selected in part because there is no formal way to assess for contraception knowledge and there needs to be a more effective means of educating patients. Using the acknowledge counseling strategy, there is a hope, patients will improve in their contraception knowledge. This may promote less occurrence of unwanted pregnancies and STDs.

Planned Search Strategy

Table A1

PubMed Search Terms and Search Results

Search terms Number of hits

Structured contraception counseling 147

Current individual teaching sessions 909

Contraception Counseling 3886

Contraception Education 9347

Structured contraception counseling and Current individual teaching sessions 2

Structured contraception counseling or Current individual teaching sessions 1054

Contraception Education and Contraception Counseling 1430

Contraception Education or Contraception Counseling 11803

Search range 2009-2017.

Table A2

OvidSP Search Terms and Search Results

Search terms Number of hits

Structured contraception counseling 9559

Current individual teaching sessions 5177

Contraception Counseling 77

Contraception Education 14…