evidence and practice
Can general practice nurses increase the uptake of long-acting reversible contraception? A systematic review of accessibility barriers
Elia Monteiro Practice Nurse, Hurley Group, London, England
• To recognise the barriers for nurses providing long-acting reversible contraceptives in general practice
• To find out what sexual and reproductive health education and training you need
• To understand how contraception counselling can influence women’s choices
Long-acting reversible contraceptives (LARCs) are effective methods of contraception that are cheaper and safer than other methods. However, they are underused and have a low uptake in the UK. A systematic review and narrative synthesis of primary qualitative research was undertaken to establish whether nursing provision of LARCs in general practice can increase uptake.
A review of the literature found 11 relevant studies representing a sample size of 5,342 doctors, nurses, pharmacists and contraceptive users. The themes that emerged from the narrative synthesis emphasised the acceptability and accessibility of LARCs. Further research needs to be undertaken into LARC education and the training of health practitioners, as well as the long-term effectiveness of interventions that improve women’s choice of contraception and access to LARCs.
Primary Health Care. doi: 10.7748/phc.2020.e1642Peer review
This article has been subject to external double-blind peer review and has been checked for plagiarism using automated softwareCorrespondence
Monteiro E (2020) Can general practice nurses increase the uptake of long-acting reversible contraception? A systematic review of accessibility barriers. Primary Health Care. doi: 10.7748/phc.2020.e1642
Published online: 29 April 2020
Want to read more?
Subscribe for unlimited access
Try 1 month’s access for just £1 and get:
- Full access to the website and the online archive
- Bi-monthly digital edition
- RCNi Portfolio and interactive CPD quizzes
- RCNi Learning with 200+ evidence-based modules
- 10 articles a month from any other RCNi journal
Already subscribed? Log in
Alternatively, you can purchase access to this article for the next seven days. Buy now