DOI

10.21007/con.dnp.2025.0110

Faculty Advisor

Margaret Harvey, PhD, APRN, ACNP-BC and Katherine Fouquier, PhD, APRN, CNM, FACNM

Document Type

Poster

Publication Date

Spring 4-28-2025

Disciplines

Health and Medical Administration | Investigative Techniques | Medicine and Health Sciences | Nursing | Nursing Administration | Nursing Midwifery | Obstetrics and Gynecology | Quality Improvement | Women's Health

Abstract

Purpose/Background

Robust adolescent contraceptive counseling requires deep understanding of the specific context in which adolescents are receiving reproductive health care. As teen pregnancy rates rise, particularly in places across the Deep South, providers must find ways to engage their adolescent patients about their sexual and reproductive health. Professional organizations like the American College of Obstetricians and Gyencologists and the American Academy of Pediatrics both offirm the need for robust contraceptive counseling for adolescents. The purpose of this is to ascertain the impact of utilizing shared-decision making aids during contraceptive counseling on patient satisfaction in adolescent populations.

Methods

A systematic literature review was conducted using CINAHL, PubMed and Cochrane databases from October 2022- November of 2024. The Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) process guided this search. Key search phrases included contraception, shared decision-making, patient satisfaction, and adolescents. Articles were reviewed to ensure they met the specific inclusion criteria and rapid critical appraisal tools were used to determine the quality of the research. Ten articles were chosen to be included in the study, and their outcomes were synthesized utilizing an outcomes table.

Results

By utilizing databases such as CINAHL, PubMed, and Cochrane Reviews the total number of articles found from our search was 22. After removing the duplicates, 20 articles remained, and their abstracts and full texts were reviewed. Four of the 20 articles did not meet our PICOT criteria and were removed, leaving 16 articles for assessment of quality. After assessing the quality of these studies, 10 articles remained. From these 10 articles, we found that adolescents who use shared decision-making tools report greater satisfaction with their birth control choices and increased engagement in the decision-making process.

Implications for Nursing Practice

Midwives are uniquely positioned to bridge the gap in reproductive health care for adolescents by strategically and routinely incorporating evidence-based shared decision-making tools into their contraceptive counseling. Though further research is needed related to the specific ages of 12-18 years and shared decision-making tools, patients who use shared decision-making tools report greater satisfaction with their contraception choices.

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