Can general practice nurses increase the uptake of long-acting reversible contraception? A systematic review of accessibility barriers
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

Why you should read this article:
  • 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.e1642

Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

Correspondence

elia.monteiro@nhs.net

Conflict of interest

None declared

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

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