Proper contraception usage is one of the most important factors towards improving patient outcomes in the obstetrics and gynecology setting. The search of evidence in existing literature has demonstrated that contraception use differs among patient populations while there is a strong link between education and proper contraception use (Gosavi et al., 2016). The existing evidence has also shown that healthcare providers in the obstetrics and gynecology setting utilize various teaching tools to provide education to patients on contraception use. The teaching tools range from verbal education to visual education like cue cards and pamphlets for patients to take home and further reinforce information communicated in the clinic (Lee, 2014). However, there is need for additional materials and strategies for patients to understand proper contraception use. In essence, while the use of various teaching tools helps in enhancing patients’ knowledge, proper contraception usage requires the use of better strategies. Such strategies would help in meeting the need for additional materials and methods to promote proper usage of contraception.
Strategies to Move Evidence-based Recommendations into Practice
The search for literature has provided evidence-based recommendations that should be moved into clinical practice in order to promote proper contraception use among patients in the obstetrics and gynecology setting. According to a publication by Australia’s National Health and Medical Research Council (2000), there are various implementation and dissemination strategies for putting evidence-based recommendations into clinical practice. These strategies include conducting educational outreach visits, multifaceted interventions, mass media campaigns, interactive educational meetings, and administrative interventions. These implementation and dissemination strategies are utilized through formulating a program that focuses on promoting the use of evidence-based recommendations in clinical practice.
For this study, the researcher will develop a program that seeks to enhance patients’ knowledge on contraception usage. This program will be centered on multifaceted interventions, which are needed to promote the use of research evidence in administrative and clinical decision making in different healthcare settings (Titler, 2008). The program will be developed and implemented as a project in an outpatient obstetric and gynecology clinic. The use of an outpatient clinic for this project provides a suitable environment for promoting enhanced contraception knowledge and usage within and outside the hospital. The project will be designed as a multifaceted intervention strategy since such a strategy has been found to be more effective in the clinical setting than single intervention strategies. Grimshaw et al. (2006) contends that multifaceted interventions are more effective than single interventions with respect to moving evidence-based recommendations into clinical practice. This is primarily because multifaceted interventions address clinical practice based on the individual practitioner, patient population, and organizational perspective.
The project, which will provide the basis for translating evidence-based recommendations into practice, will be carried out through a series of steps. The first step will entail selecting a practice topic, which is usually the first step in translating evidence-based research into clinical practice (Titler, 2008). This step was carried out in the first parts of this assignment in which the researcher identified the issue of contraception usage among Chinese/Cantonese-speaking women in outpatient obstetric and gynecology clinic. This is followed by evaluating and synthesizing existing evidence on the research issue, which was also carried out in the previous segments of this DNP project. The third step will involve designing a program/project that focuses on using evidence-based recommendations to guide clinical practice. The project will primarily focus on determining the effectiveness of The Balanced Counseling Strategy in enhancing contraception knowledge among this patient population as compared to routine contraception counseling. Therefore, the researcher will utilize two interventions in the study i.e. The Balanced Counseling Strategy and routine counseling strategy. Once the project is implemented, it will be evaluated in terms of the impact of evidence-based recommendations on clinical practice. This evaluation will focus on examining how the project affects provider performance as well as patient care and outcomes. The evaluation will also involve assessment of the setting or context in which this clinical practice was implemented.
The use of these various steps as part of the multifaceted intervention strategy for translating evidence-based recommendations into clinical practice is attributable to the fact that they promote learning in each stage of the process. Titler (2008) states that the learning that takes place in each of these steps and process provide valuable insights for capturing and providing feedback into the process. These valuable insights are captured...
References
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Alessandri, G., Zuffiano, A. & Perinelli, E. (2017, March 2). Evaluating Intervention Programs with a Pretest-Posttest Design: A Structural Equation Modeling Approach. Frontiers in Psychology, 8, 223. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5332425/
Campol Haynes, M., Saleh, M., Ryan, N., Winkel, A., & Ades, V. (2015). Contraceptive knowledge assessment: Validity and reliability of a novel contraceptive research tool. Contraception, 92(4), 413.
Dimitrov, D.M. & Rumrill, P.D. (2003). Pretest-posttest Designs and Measurement of Change. Work, 20, 159-165.
Gosavi, A., Ma, Y., Wong, H., & Singh, K. (2016). Knowledge and factors determining choice of contraception among Singaporean women. Singapore Medical Journal, 57(11), 610-615.
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