Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses

In 2007, a task-shifting strategy through which a nurse, in collaboration with a community pharmacist, could start a healthy woman on hormonal contraception without a medical consultation was implemented in the province of Quebec. The purpose of this study was to identify factors associated with the...

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Bibliographic Details
Published in:The Canadian journal of human sexuality 2014-04, Vol.23 (1), p.34-48
Main Authors: Guilbert, Edith R, Robitaille, Jean, Guilbert, Alexis C, Morin, Diane
Format: Article
Language:English
Subjects:
Birth control
Body Composition
Canada
Child Health
Collaboration
Community Relations
Contraception
Cosmopolitanism
Drug stores
Family planning
Females
Health care
Health care industry
Hormones
Innovation
Innovations
Interdisciplinary Approach
Medical care
Nurses
Nursing
Pharmacists
Physicians
Population Distribution
Pregnancy
Professional practices
Provinces
School Nurses
Social Services
Studies
Training
Womens health
Youth
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Summary:In 2007, a task-shifting strategy through which a nurse, in collaboration with a community pharmacist, could start a healthy woman on hormonal contraception without a medical consultation was implemented in the province of Quebec. The purpose of this study was to identify factors associated with the 1) implementation of this new practice by nurses, 2) delay of implementation and 3) intensity of the practice. A validated questionnaire based on Rogers' theory of the diffusion of innovation was sent by postal mail or internet to all nurses that had successfully completed training in hormonal contraception since 2007, were registered at the College of nurses of Quebec and currently worked as nurses. The questionnaire was completed by 745 nurses between November 2011 and March 2012 for a response rate of 26.6%. Results show that implementation of this new nursing practice was more successful when nurses had a high degree of cosmopoliteness, they perceived the new practice as simple, they worked in youth clinics and if health organizations where they worked were open to innovation, had low centralized decision-making and organizational slack. Various attributes of innovation, diffusion networks and characteristics of the organizations also explained intensity of the new practice. The findings suggest new avenues to simplify and scale up this strategy for use in other health organizations.
ISSN:1188-4517
2291-7063
DOI:10.3138/cjhs.23.1-A1