Table 1.
Sexual and reproductive health domains and competencies included in survey of primary care nurse practitioner transition to practice training programs in the US
| Domain | Competency |
|---|---|
| Sexual Health Promotion and Assessment (7 items) | Taking a sexual history |
| Screening for sexual health concerns | |
| Counseling to promote sexual health & well-being across the lifespan | |
| Education & counseling regarding safer sex practices | |
| Assessing, managing and referring as needed for sexual concerns | |
| Sexual & reproductive care that is sensitive to the needs of vulnerable populations | |
| Sexual & reproductive care that meets the needs of lesbian, gay, bisexual, queer/questioning & transgender patients (refer as needed) | |
| Assessing for eligibility, prescribing & managing hormone therapy for transgender patients | |
| Sexual/Intimate Partner Violence (3 items) | Screening & assessing patients who have experienced sexual coercion, violence, abuse or exploitation |
| Providing counseling &/or referrals for patients who have experienced sexual coercion, violence, abuse or exploitation | |
| Knowing relevant state & federal laws regarding intimate partner &/or sexual violence | |
| Contraception (6 items) | Providing patient centered contraceptive counseling & determining eligibility for all contraceptive methods including: |
| a. Across the lifespan | |
| b. Among individuals from vulnerable populations | |
| c. Following abortion | |
| Provide & manage all forms of contraception | |
| Managing patients with complex medical &/or social needs related to contraception | |
| Managing patients with complex contraceptive requirements secondary to method complications or failure | |
| Pregnancy-related Care (14 items) | Screening for pregnancy intention |
| Providing preconception care | |
| Detecting pregnancy by using/applying diagnostics appropriately (i.e. urine/blood testing, ultrasound, pelvic examination/uterine sizing) | |
| Providing patient-centered pregnancy options counseling (including parenting, adoption, abortion) | |
| Providing routine antenatal care (referring for complications) | |
| Providing sexual & reproductive health care to postpartum patients | |
| Medication management of spontaneous abortion | |
| Expectant management of spontaneous abortion | |
| Uterine aspiration for spontaneous abortion | |
| Ectopic pregnancy | |
| Molar pregnancy | |
| Providing abortion screening, counseling, referrals, & aftercare | |
| Providing medication abortion | |
| Knowing relevant federal & state laws | |
| Fertility/Infertility (2 items) | Providing care for patients with fertility concerns including assessment of subfertility, appropriate use of infertility diagnostics & referral |
| Knowing relevant state laws & insurance policies regarding infertility diagnostics & treatments | |
| Common/Benign GYN Conditions (1 item) | Diagnosing and managing simple/common gynecologic problems across the lifespan |
| Reproductive Tract/Sexually Transmitted Infections (1 item) | Providing screening, diagnostic testing & treatment for reproductive tract/sexually transmitted infections |
| Reproductive Tract Cancers (5 items) | Applying cervical CA screening guidelines |
| Managing abnormal pap smear results including referring for treatment | |
| Providing patient-centered counseling regarding breast cancer screening recommendations | |
| Interpreting mammogram results, communicating results to patient, & referring for follow up as needed | |
| Identifying patients at increased risk for other female reproductive tract (RT) cancers & providing counseling, appropriate surveillance & referrals | |
| Uro-Gynecologic/Pelvic Floor Disorders (1 item) | Screening for, assessing & managing uro-gynecologic & pelvic floor problems, & referring as needed |
| Genito-Urinary Conditions of Men (GUM) (1 item) | Assessing, diagnosing, and managing common/uncomplicated genito-urinary conditions in men, and referring as needed |
| Peri- and Post-Menopausal Care (1 item) | Assessing, diagnosing, counseling & managing concerns of peri- & post-menopausal women, and referring as needed |
| Genetic Screening (1 item) | Providing counseling and/or referral for reproductive health-related genetic screening |
| Environmental Health (1 item) | Assessing for and providing counseling regarding environmental risk factors that affect reproductive health |
| Ethics (1 item) | (As related to SRH) |