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Chapter 16 - Integrating Abortion Training into Advanced-Practice Clinician Programs

from Section II - Integration of Abortion into Graduate Medical Education

Published online by Cambridge University Press:  30 July 2021

By
Katherine Simmonds ,
Amy Levi  and
Joyce Cappiello
Edited by
Uta Landy ,
Philip D Darney  and
Jody Steinauer
Uta Landy
Affiliation:
University of California, San Francisco
Philip D Darney
Affiliation:
University of California, San Francisco
Jody Steinauer
Affiliation:
University of California, San Francisco
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Summary

After abortion became legal in the United States, many states passed physician-only abortion laws which precluded from providing this service. Mounting evidence has demonstrated that nurse practitioners (NPs), certified nurse midwives (CNMs) and physician assistants (PAs) are safe and effective abortion providers and that patients are satisfied with their care. In recent years, several more states have enacted legislation and Attorney Generals have issued opinions allowing NPs, CNMs and PAs to provide abortion. Nevertheless, currently they are not able to provide aspiration or medication abortion in most states. Advocates are working to remove obstacles to full practice authority and the provision of abortion by NPs, CNMs, and PAs at the state and national levels. For those interested in providing abortion, obtaining education and training can also be difficult. Educational resources and other learning opportunities have been created, and new ones are emerging.

Keywords

advanced practicenurse midwivesphysician assistantnurse practitionerstate abortion lawsabortion safetymedical abortionaspiration abortion
Type
Chapter
Information
Advancing Women's Health Through Medical Education
A Systems Approach in Family Planning and Abortion
 , pp. 162 - 172
Publisher: Cambridge University Press
Print publication year: 2021

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References

Kaplan, L. The Story of Jane: The Legendary Underground Feminist Abortion Service. New York: Random House; 1995.Google Scholar
National Abortion Federation. The Role of Nurse Practitioners, Physician Assistants, and Nurse-Midwives in Providing Abortion: Strategies for Expanding Abortion Access. Washington, DC: National Abortion Federation; 1997.Google Scholar
Freedman, MA, Jillson, DA, Coffin, RR, et al. (1986). Comparison of complications rates in first trimester abortions performed by physician assistants and physicians. Am J Pub Health. 76:550–554.CrossRefGoogle ScholarPubMed
National Academies of Sciences, Engineering, and Medicine. The Safety and Quality of Abortion Care in the United States. Washington, DC: The National Academies Press; 2018.Google Scholar
The Policy Surveillance Program, a Law Atlas Project. State abortion laws. http://lawatlas.org/page/abortion-law-project. Accessed July 27, 2019.Google Scholar
Institute of Medicine (IOM). Legalized Abortion and the Public Health. Washington, DC: National Academy Press; 1975.Google Scholar
National Abortion Federation. Who Will Provide Abortions? Ensuring Availability of Qualified Practitioners (Recommendations from a National Symposium). Washington, DC: National Abortion Federation; 1990.Google Scholar
National Abortion Federation. Role of CNMs, NPs, and PAs in Abortion Care. https://5aa1b2xfmfh2e2mk03kk8rsx-wpengine.netdna-ssl.com/wp-content/uploads/CNM_NP_PA_org_statements.pdf. Accessed July 30, 2019.Google Scholar
Taylor, D, Safriet, B, Dempsey, G, Kruse, B, Jackson, C. Providing Abortion Care: A Professional Toolkit for Nurse-Midwives, Nurse Practitioners and Physician Assistants.  http://apctoolkit.org/wp-content/themes/apctoolkit/index.html. Accessed July 30, 2019.Google Scholar
International Confederation of Midwives. Midwives’ provision of abortion-related services. Position statement. www.internationalmidwives.org/assets/files/statement-files/2019/06/midwives-provision-of-abortion-related-services-eng-letterhead.pdf. Accessed July 7, 2019.Google Scholar
International Confederation of Midwives. Essential Competencies for Midwifery Practice. Koninginnegracth, The Netherlands: International Confederation of Midwives; 2019.Google Scholar
Taylor, D, Safriet, B, Kruse, B, Dempsey, G, Summers, L. Welcome to the Abortion Provider Toolkit. UCSF Bixby Center for Global Reproductive Health. 2018. http://aptoolkit.org/. Accessed July 7, 2019.Google Scholar
Guttmacher Institute. State Policies on Abortion Rights. Washington, DC: Guttmacher Center for Population Research Innovation and Dissemination. www.guttmacher.org/united-states/abortion/state-policies-abortion. Accessed June 15, 2019.Google Scholar
National Council of State Boards of Nursing. APRN Consensus Model. www.ncsbn.org/aprn-consensus.htm. Accessed July 30, 2019.Google Scholar
National Council of State Boards of Nursing. APRN Compact. www.ncsbn.org/aprn-compact.htm. Accessed July 30, 2019.Google Scholar
Sofer, D. VA grants most APRNs full practice authority. Am. J Nurs. 2017;117(3):14.Google Scholar
American Academy of Physician Assistants (AAPA). PA Scope of Practice. Issue brief. 2017. www.aapa.org/wp-content/uploads/2017/01/Issue-brief_Scope-of-Practice_0117-1.pdf. Accessed July 30, 2019.Google Scholar
Barnard, S, Kim, C, Park, MH, Ngo, TD. Doctors or mid-level providers of abortion. Cochrane Database Syst Rev. 2015;(7):CD011242.CrossRefGoogle Scholar
Weitz, TA, Taylor, D, Desai, S, et al. Safety of aspiration abortion performed by nurse practitioners, certified nurse midwives, and physician assistants under a California legal waiver. Am J Public Health. 2013;103:454–461.CrossRefGoogle Scholar
Cappiello, J, Coplon, L, Carpenter, H. A systematic review of sexual and reproductive health care content in nursing curricula. J Obstet Gynecol Neonatal Nurs. 2017;46:e157–e167.CrossRefGoogle ScholarPubMed
Simmonds, K, Foster, AM, Zurek, M. From the outside in: a unique model for stimulating curricula reform in nursing education. J Nurs Educ. 2009;48(10):583–587.Google Scholar
Foster, AM, Polis, C, Allee, MK, Simmonds, K, Zurek, M, Brown, A. Abortion education in nurse practitioner, physician assistant and certified nurse-midwifery programs: a national survey. Contraception. 2006;73(4): 408–414.Google Scholar
Nurses for Sexual and Reproductive Health (NSRH). Welcome to the ACE Elective! http://nsrh.org/Abortion-Care-Education-(ACE). Accessed July 30, 2019.Google Scholar
Nurses for Sexual and Reproductive Health (NSRH). http://nsrh.org/. Accessed July 30, 2019.Google Scholar
Taylor, A, Hathaway, A, Luneau, M, McKenna, F, Cappiello, J. Four narratives on abortion training in Mexico City. Womens Healthcare. 2016;4(4):78–81.Google Scholar
Freedman, MA, Jillson, DA, Coffin, RR, Novick, LF. Comparison of complication rates in first trimester abortions performed by physician assistants and physicians. Am J Public Health. 1986;76.5:550–554.Google Scholar
Midwest Access Project (MAP). https://midwestaccessproject.org/what-we-do/individual-clinical-training/. Accessed July 30, 2019.Google Scholar
National Abortion Federation (NAF). https://prochoice.org/. Accessed July 30, 2019.Google Scholar
Reproductive Health Access Project (RHAP). www.reproductiveaccess.org/. Accessed July 30, 2019.Google Scholar
The Early Abortion Training Workbook. San Francisco: Advancing New Standards on Reproductive Health (ANSIRH). www.ansirh.org/publications/training/early-abortion-training-workbook. Accessed July 30, 2019.Google Scholar
Freedman, L, Levi, A. How clinicians develop confidence in their competence in performing aspiration abortion. Qual Health Res. 2014;24:78–89.Google Scholar
Barnes, H, Richards, MR, McHugh, MD, Martsolf, G. Rural and nonrural primary care physician practices increasingly rely on nurse practitioners. Health Aff (Millwood). 2018;37(6):908–914.Google Scholar

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