Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
United Nations Population Fund, New Delhi, India.
PLoS One. 2019 Nov 6;14(11):e0211168. doi: 10.1371/journal.pone.0211168. eCollection 2019.
The objectives of the study were to assess the knowledge and skills of medical interns and nurses regarding family planning (FP) services, and document the prevailing FP practices in the teaching hospitals in India.
A cross-sectional study was conducted in three states (Delhi, Rajasthan, and Maharashtra) of India, among randomly selected 163 participants, including medical interns (n = 81) and in-service nurses (n = 82), during 2017. The semi-structured, pre-tested interview schedule, was used to assess the knowledge and status of training received; and objective structured clinical examination (OSCE) based checklist was used to evaluate the skills.
About 60% of the interns and 48% of the nurses knew more than five contraceptives that could be offered to the clients. About 22% (11.1% interns and 33.3% nurses) respondents believed that contraceptives should not be given to a married woman coming alone, and 31.9% (17.3% interns and 46.3% nurses) respondents reported that it was illegal to provide contraceptives to unmarried people. Nearly 43.3% interns and 69.5% nurses refused to demonstrate intrauterine contraceptive device (IUCD) insertion in the dummy uterus as per OSCE, and among those who did, 12.3% interns and 18.3% nurses had failed. About 63% interns and 63.4% of nurses had observed IUCD insertion, and 12.3% interns and 17.1% had performed IUCD insertion, during their training.
Knowledge and skills of interns and nurses regarding FP services were inadequate. The medical training during graduation or internship, and during the job, was found to be inadequate to provide quality FP services as per guidelines of nursing/medical council of India and Government of India on FP.
本研究旨在评估医学实习生和护士对计划生育（FP）服务的知识和技能，并记录印度教学医院中现有的 FP 实践情况。
本研究为横断面研究，于 2017 年在印度的三个邦（德里、拉贾斯坦邦和马哈拉施特拉邦）随机选择了 163 名参与者，包括 81 名医学实习生和 82 名在职护士。使用半结构式、预测试的访谈表评估知识和培训情况；并使用基于客观结构化临床考试（OSCE）的检查表评估技能。
约 60%的实习生和 48%的护士知道可以向客户提供的五种以上避孕药具。约 22%（11.1%的实习生和 33.3%的护士）的受访者认为不应向独自前来的已婚妇女提供避孕药具，31.9%（17.3%的实习生和 46.3%的护士）的受访者报告向未婚人士提供避孕药具是违法的。近 43.3%的实习生和 69.5%的护士拒绝按照 OSCE 的要求在模拟子宫内演示宫内节育器（IUD）插入术，而在实际进行演示的受访者中，12.3%的实习生和 18.3%的护士操作失败。约 63%的实习生和 63.4%的护士在培训期间观察过 IUD 插入术，12.3%的实习生和 17.1%的护士进行过 IUD 插入术。
实习生和护士对 FP 服务的知识和技能不足。在毕业后或实习期间以及工作期间的医学培训，被认为不足以根据印度护理/医学理事会和印度政府关于 FP 的指南提供高质量的 FP 服务。
