Options Counseling in Unintended Pregnancy and Prevention Care
As nurses, we are witness to some of the most vulnerable and life-changing moments in a patient’s life. Sometimes we are invited to participate in life-changing discussions and decision-making when a patient asks for information about a treatment option. Often, we can answer with facts and figures about quantifiable outcome measures: this medication works X% of the time or this procedure results in an X% cure rate. But when a patient is unsure about an unintended pregnancy, facts and figures lose their impact because the decision at its core is emotional.
This module uses realistic patient scenarios as the framework for facilitating patient-centered, non-directive options counseling on parenting, abortion and adoption.
How to Use This Module
This Nursing Education Curriculum is designed for a flipped classroom model to incorporate unintended pregnancy prevention and care into existing curricula.
Students—Click the student tab and complete the pre-assessment. You may have received a site code from your instructor which you may enter within the pre-assessment. Definitions and Orienting Facts provide context for the Patient Situations, which are clinical scenarios designed to raise critical issues and questions to put unintended pregnancy prevention and care in the context of Professional Ethics. Students should complete the Required Reading at any time while going through the Patient Situations. Please complete the post-assessment after finishing the module.
Faculty—Open the faculty tab below to access teaching tips, exercises, and handouts for incorporating module content into the classroom, and to learn more about obtaining a “site code” to download and access students’ pre- and post-assessment data.
- Apply patient centered care concepts in delivering pregnancy test results.
- Describe three available options for an unintended pregnancy.
- Demonstrate non-directive, patient-centered options counseling techniques.
- Identify available resources to assist patients with their decision-making.
- Demonstrate knowledge of community-based resources for prenatal care, adoption services and abortion care.
Relevant UPPC Essential Competencies
Pre- and Post-Assessments
- National Abortion Federation (NAF) - The Abortion Option: A Values Clarification Guide for Health Care Professionals
Definitions and Orienting Facts
Patient Situation 1
Patient Situation 2
Since over half of the pregnancies in the United States are unintended, it is likely nurses will encounter a woman with an unintended pregnancy. Providing non-directive, patient-centered options counseling is an essential component to quality care. This module provides tools, exercises and resources for learners to improve their skills and confront their values related to unintended pregnancy prevention and care.
These modules are designed to use with a flipped classroom model in which students are directed to complete the module as homework, including the Pre- and Post-Assessments. Once students have completed the module in its entirety, including the recommended reading, faculty can use the Teaching Tips document and materials from the Classroom Exercises section below to integrate concepts from the module into the classroom or group setting.
- Sexual History Taking Role Play
This worksheet includes questions to ask when taking a sexual history, specifically when working with LGBTQ patients.
- The Abortion Option: A Values Clarification Guide for Health Care Professionals
These exercises from the National Abortion Federation include tools that can be used in class for clarifying values related to abortion and discussing the role of health care providers.
Acessing Student Pre- and Post-Assessment Data
Pre- and post-assessments are designed to measure students’ satisfaction with the module as well as what they have learned. To be able to complete the assessments students will need to enter a “site code” prior to working through the online module. Faculty will use this site code to download and review students’ pre- and post-assessment data. To obtain a site code your institution must e-mail AmyLevi@salud.unm.edu. In the text of the email, please include your name (as instructor), the name of the institution, and the module(s) for which you would like to access data. RhN will send you 1) a site code for your students to enter at the beginning of the assessment, 2) a web link to access the results from each module, and 3) an “answer key” to help grade your students’ responses. You may also assign a unique student code to each student that you would like to assess on an individual basis. Students must enter the correct site code for faculty to be able to access their data.