Date of Conferral
10-15-2026
Date of Award
October 2026
Degree
Doctor of Nursing Practice (DNP)
School
Nursing
Advisor
Teresa Nardontonia
Abstract
This executive leadership systems improvement program proposal addresses inconsistent contraceptive counseling within an outpatient community health clinic in the U.S. Virgin Islands. The EBP question asks: Among registered nurses in an outpatient community health clinic, what is the impact of a standardized nurse-led contraceptive counseling training program on nursing staff knowledge of evidence-based contraceptive counseling, as measured by pre- and post-training knowledge assessments? A systematic search conducted April 22, 2026, used CINAHL, MEDLINE/PubMed, Embase, PsycINFO, and Epistemonikos. After screening 638 records and removing duplicates and ineligible studies, 34 sources were included in the final synthesis. Evidence was appraised and synthesized using the Johns Hopkins Evidence-Based Practice Model and supported patient-centered contraceptive counseling, provider education, shared decision-making, and standardized counseling practices. The proposed translation strategy is a standardized nurse-led training program integrated into existing clinical workflows. The primary outcome is nursing staff knowledge, measured with pre- and post-training knowledge assessments; secondary quality measures may be monitored when available and appropriate.
Recommended Citation
Cabán, Zaida Luz, "Program Proposal for a Nurse-Led Evidence-Based Protocol to Strengthen Contraceptive Counseling and Access in a Community Clinic" (2026). Walden Dissertations and Doctoral Studies. 20906.
https://scholarworks.waldenu.edu/dissertations/20906
