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pubmed:otherAbstract |
PIP: Nurses at a community health center in Jerusalem, Israel, operated as a field teaching base of the Department of Community Medicine at Hadassah and the Hebrew University, broadened their counseling role from contraception to family planning values clarification. Eight registered public health nurses working in teams with physicians normally counsel pregnant and postpartum women until the child is 2 yr of age. Initially, staff nurses objected to presenting the subject of family goals, because they considered the topic too private. This difficulty was approached by discussions to clarify the nurses' own values as regards timing the next pregnancy. A counseling model of questions to be asked was proposed to the nurses, involving questions on number of children desired, timing of the next pregnancy, consequences of definite responses, and suggested factors to clarify a client's thinking after an indefinite response. The model was employed first in role playing practice, then informally with clients, and finally consistently incorporated into the patient service record. A year after being introduced the model was evaluated. After being offered the family planning model, 84% of postpartum women formulated definite family planning goals, compared to 69% of a similar group in 1977, and 54% of a group from a nearby community.
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