Moving towards patient and public involvement within a nurse-led
sterilization service
M. Pickering, K. Guthrie
Sexual and Reproductive Healthcare Partnership, Kingston upon Hull,
England, UK
Introduction: A nurse led sterilization clinic was piloted
collaboratively between Hull and East Yorkshire Women’s and Children’s
Services, Hull and East Riding Community Health Family Planning/ Community
Gynaecology and the Booked Admissions Project.
Aim: To provide a more easily accessible and specialised service which
treated sterilization as a contraceptive option amongst others within family
planning, taking into account other health benefits of reversible alternative
contraceptive options.
Design and Method: A consultant led pilot, based in a Community
Gynaecology and Family Planning Clinic, run by a family planning nurse with a
gynecological background using a care pathway. In the pilot, women who meet the
criteria for the nurse led clinic are asked to contact the booking office for an
appointment on a date to suit. They are sent written information. They are seen
by the nurse and explore all contraceptive options. If they proceed with
sterilization the patient books a bed on the day and date of choice. If an
alterative method is chosen, access to that service is arranged. A sample of
patients from the pilot and 20 from the routine service were identified.
Experiences were compared through a patient questionnaire on information given
and views of the service. Documentation in case notes was audited using RCOG
standards.
Results: Presently awaiting results of the Audit. Evaluation suggests
the service is perceived as a positive development by both staff and patients.
Conclusions: It was identified that many women were still unaware of
alternative reversible long term methods of contraception as well as risks and
efficacy of sterilization. Therefore accurate information giving on
sterilization and all contraceptive options is essential. Easy access to
alternative methods chosen is also an important part of the service.
