Lee Carolyn J, Ahonen Kathleen, Apling Maria, Bork Christopher
College of Nursing, University of Toledo, Toledo, OH 43614-2598, USA.
J Am Acad Nurse Pract. 2012 Oct;24(10):604-11. doi: 10.1111/j.1745-7599.2012.00742.x. Epub 2012 May 3.
The purpose of this study was to ascertain the knowledge level of nurse practitioner (NP) students about emergency contraception (EC), and to explore attitudes about EC that may intersect with willingness to prescribe EC.
Four hundred and sixty-seven NP students completed a 30-item web-based survey using Vovici survey software.
Students who reported formal content on EC in their program of study showed significantly better mean knowledge scores (t= 5.279, df = 459, p < .001). Gaps in NP students' knowledge of EC mechanisms of action, understanding of indications and contraindications were apparent. Younger students (F(3,457) = 4.994, p < .002), those newer to nursing (F(4,456) = 6.641, p < .0005), and women's health NP students (F(4,445) = 3.488, p < .008), demonstrated significantly better knowledge. Attitudes regarding EC appeared to be tied to the respondent's knowledge about EC.
Knowledge is an important factor in informing NP practice decisions. Clinicians need accurate, evidence-based knowledge to provide health education and counseling to reproductive age women if unintended pregnancies are to be reduced.
本研究旨在确定执业护士（NP）专业学生对紧急避孕（EC）的知识水平，并探讨可能与开具紧急避孕处方意愿相关的对紧急避孕的态度。
467名NP专业学生使用Vovici调查软件完成了一项包含30个项目的网络调查。
在其学习课程中报告有紧急避孕正式内容的学生，其平均知识得分显著更高（t = 5.279，自由度 = 459，p < .001）。NP专业学生在紧急避孕作用机制、适应证和禁忌证理解方面的知识差距明显。较年轻的学生（F(3,457) = 4.994，p < .002）、护理新手（F(4,456) = 6.641，p < .0005）以及女性健康NP专业学生（F(4,445) = 3.488，p < .008）表现出显著更好的知识水平。对紧急避孕的态度似乎与受访者对紧急避孕的知识相关。
知识是影响NP实践决策的重要因素。如果要减少意外怀孕，临床医生需要准确的、基于证据的知识，以便为育龄妇女提供健康教育和咨询。
