Online Program

At the intersection of health care, policy, and women's health: A nurse faculty-managed title x clinic

Tuesday, November 5, 2013 : 2:30 p.m. - 2:50 p.m.

Elizabeth Reifsnider, PhD, WHNP-BC, PHCNS-BC, FAANP FAAN, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
Denise Link, PhD, WHNP, FAANP, FAAN, Arizona State University, Phoenix, AZ
Sylvia Hayashi, MSN, WHNP, Arizona State University
Manual Amarillas, Arizona State University
Karla Reyes, Arizona State University
Claudia Zamarron, Arizona State University
Sue Sarsam, RNFA, CNM, College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ
Background and Issues: Many of the monolingual Spanish speaking women who present to the Title X funded family planning clinic, sponsored by the College of Nursing, hold different health beliefs than Western medical beliefs. In addition, women without documentation are reluctant to seek additional health care outside of the clinic. Description: The faculty nurse practitioners and supervisor along with the clinic staff have created specific approaches to teaching about reproductive health, contraception and family planning that addresses the explanatory models held by many immigrant women about their reproductive health. We have also created links with community agencies that will provide additional health care without requiring documentation of legal residence. Lessons Learned: Kleinman's explanatory model approach was adopted as the means to discern the presenting issue by Spanish speaking clinic assistants. This allows for clarification of the issue along with a non-judgemenatal approach to education. A community assessment of available non-profit clinics revealed ones that will see referred clients on sliding scale basis with no request for documents. Follwing the Title X policy requirements regarding documentation of all health care provided, including education, is necessary for continued funding. Recommendations: Recognize the need for culturally sensitive social, medical, and family history taking and educate with respect for the client's understanding, create community connections, and remain aware of funding policies to maintain ability to provide health services to underserved immigrant populations.

Learning Areas:

Administration, management, leadership
Advocacy for health and health education
Diversity and culture
Public health or related nursing

Learning Objectives:
Describe the issues that arise when providing primary family planning services to immigrant men and women. Discuss the explanatory models used by participating clients about reproductive services and how they are addressed through clinic services.

Keyword(s): Access to Health Care, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I organized the topic and practice in the clinic and experience the health policy issues that present on a daily basis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.