title: Should Home-Based Contraceptive Dispensing become a Routine part of Public Health Nurse Practice? Review of Nurse Perceptions.
abstract: OBJECTIVE
  We examined public health nurses' beliefs about the safety of dispensing hormonal contraceptives in the home, the extent to which they considered contraceptive dispensing within their scope of practice, and the types of support needed to effectively dispense contraceptives in the home.
  
  
  METHODS
  We conducted focus groups in Washington State with 24 home visiting nurses participating in a Nurse Family Partnership (NFP) randomized clinical trial in which nurses dispensed hormonal contraceptives during home visits.
  
  
  METHODS
  We assessed the feasibility of the intervention and barriers and facilitators to home dispensing of hormonal contraceptives.
  
  
  RESULTS
  Nurses were, on average 52 years old and had been working in nursing approximately 25 years, with between 5 and 18 years of experience working in a family planning setting. Overall, nurses believed that, with the right training and support, dispensing of hormonal contraceptives in the home was safe and fit within their scope of practice. Those nurses who reported resistance to the intervention cited inadequate training, lack of clear protocols, and sufficient support as important deterrents.
  
  
  CONCLUSIONS
  Home-based contraceptive dispensing by nurses is a feasible enhancement of the NFP program. To ensure that nurses are confident and able to dispense hormonal contraceptives, training, clinical protocols, consultation, and logistical support are needed.
authors.affiliation: Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Jacob-Files
authors.affiliation: Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Rdesinski
authors.affiliation: Washington County Public Health, Portland, Oregon.
authors.forename: Marni
authors.initials: M
authors.lastname: Storey
authors.affiliation: Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Teresa
authors.initials: T
authors.lastname: Gipson
authors.affiliation: Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Cohen
authors.affiliation: Department of Pediatrics, University of Colorado, Denver, Colorado.
authors.forename: David
authors.initials: D
authors.lastname: Olds
authors.affiliation: Department of Family Medicine, Oregon Health and Science University, Portland, Oregon.
authors.forename: Alan
authors.initials: A
authors.lastname: Melnick
mesh_terms: D001291:Attitude of Health Personnel; D003278:Contraceptives, Oral, Hormonal / Q000627:therapeutic use*; D011307:Drug Prescriptions / Q000451:nursing*; D005193:Family Planning Services / Q000458:organization & administration; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D006792:House Calls; D006801:Humans; D008875:Middle Aged; D064689:Nurses, Public Health / Q000523:psychology* / Q000706:statistics & numerical data; D015403:Nursing Evaluation Research; D057184:Practice Patterns, Nurses'; D011247:Pregnancy; D014861:Washington
chemical_list: D003278:Contraceptives, Oral, Hormonal
keywords: Community health nursing; contraception; family planning services; home care services; maternal health services; qualitative research