Resources for Educators

Find the tools you need to incorporate sexual and reproductive health and abortion care into your nursing curriculum.

Competencies in Unintended Pregnancy and Prevention Care

January, 25 2017

cdc guidelines for family planning

27 competencies in unintended pregnancy prevention and care for nursing education

This Resource Guide is based on Essential Competencies in Unintended Pregnancy Prevention and Care for Nursing Education (Hewitt, C., and Cappiello, J., 2015), which presents 27 core competencies as a framework for curricular development in nursing education. Based on these competencies, this Resource Guide contains tools, articles, presentations, workbooks, and sample materials for faculty to incorporate into their curricula, for nursing students to further their education, and to improve clinical services for women experiencing unintended pregnancy.

For further scholarship on the creation of these 27 competencies, check out these three resources:

Within each of the 27 competencies there is section on “Building Competency” that provides links to relevant Nursing Education Modules on Professional Ethics, Public Health, Options Counseling, Postpartum Contraception, Global Health, and Quality and Safety. These modules were created to supplement existing nursing curricula to broaden the scope and accessibility of education on unintended pregnancy prevention and care.

  1. Demonstrate knowledge of the nurse’s professional responsibilities in providing health care to clients in need of unintended pregnancy prevention and care.
  2. Demonstrate the ability to provide unintended pregnancy prevention and care that is free of evidence of bias and judgment.
  3. Demonstrate ability to recognize unique reproductive health needs of women from vulnerable and special populations (e.g. adolescents, women with mental or physical disabilities, survivors of violence) affected by many factors (e.g. relationship status, sexual orientation).
  4. Demonstrate ability to identify personal beliefs which may interfere with provision of unintended pregnancy prevention and care.
  5. Demonstrate ability to apply the ethical principles of respect for autonomy, beneficence, non-malfeasance, and justice as they relate to the provision of unintended pregnancy prevention and care.
  6. Demonstrate knowledge of current state specific laws regulating minors’ access to reproductive care for state(s) in which nurse practices (including contraceptive access and abortion care).
  7. Demonstrate basic understanding of female and male anatomy and physiology related to conception and reproduction.
  8. Demonstrate knowledge of confidentiality regulations specific to unintended pregnancy prevention and care.
  9. Demonstrate knowledge of types of induced abortion methods, including risks and benefits, which are legally available in the U.S.
  10. Demonstrate understanding of how contraceptive methods work (e.g. hormonal methods, postpartum and emergency contraception, lactational and fertility methods, IUD, barrier methods, sterilization), risks, benefits, alternatives, effectiveness, and eligibility.
  11. Demonstrate knowledge of current evidenced‐based guidelines for primary prevention of unintended pregnancy.
  12. Demonstrate knowledge of state and local adoption options and resources and applicable regulatory laws and statutes.
  13. Demonstrate proficiency in providing client‐centered pregnancy options counseling including parenting, adoption and abortion.
  14. Demonstrate proficiency in promoting sexual‐health self‐care practices.
  15. Demonstrate proficiency in providing patient-centered risk reduction counseling specific to unintended pregnancy prevention.
  16. Demonstrate proficiency in providing pregnancy test results in patient-centered manner.
  17. Demonstrate proficiency in using essential counseling techniques (e.g. motivational interviewing, shared decision making and patient engagement) in provision of unintended pregnancy prevention and care.
  18. Demonstrate proficiency in effective communication skills that encompasses respect for of culture, sexual orientation and gender identity.
  19. Demonstrate proficiency in obtaining a complete health history (inclusive of sexual and reproductive history, sexual orientation, partner preference, and appropriate to the developmental level of client).
  20. Demonstrate proficiency in identifying preconception health risks.
  21. Demonstrate ability to make appropriate referrals to community‐based prenatal care providers and resources.
  22. Demonstrate proficiency in assessing risk for intimate partner violence (including sexual violence and coercion).
  23. Demonstrate proficiency in referring clients with unintended pregnancy to area providers and support services.
  24. Demonstrate ability to participate effectively in inter-professional, team-based care for unintended pregnancy prevention and care.
  25. Demonstrate proficiency in evaluating outcomes of plan of care and referrals for women with unintended pregnancies.
  26. Demonstrate ability to obtain or refer for appropriate laboratory tests specific to unintended pregnancy prevention and care.
  27. Demonstrate ability to confirm pregnancy and determine gestation age.