Cheryl A. Lehman, PhD BC RN CRRN, is an assistant professor in acute nursing care at the University of Texas Health Science Center-San Antonio, San Antonio, TX.
APN Knowledge, Self-Efficacy, and Practices in Providing Women's Healthcare Services to Women with Disabilities
Article first published online: 27 MAR 2012
2009 Association of Rehabilitation Nurses
Volume 34, Issue 5, pages 186–194, September-October 2009
How to Cite
Lehman, C. A. (2009), APN Knowledge, Self-Efficacy, and Practices in Providing Women's Healthcare Services to Women with Disabilities. Rehabilitation Nursing, 34: 186–194. doi: 10.1002/j.2048-7940.2009.tb00278.x
- Issue published online: 27 MAR 2012
- Article first published online: 27 MAR 2012
- access to health care;
- advanced practice nurse;
- women with disabilities;
- women's health care
Women with disabilities require the same gynecological and reproductive healthcare services as women without disabilities, yet they often experience difficulty obtaining them. Advanced practice nurses (APNs) increasingly provide primary care services that include women's health care, yet their influence on this population has not been systematically examined. This study examined the practices, environments, knowledge, and self-efficacy of APNs in Texas regarding provision of women's health care to women with disabilities. The study's respondents are 744 women who replied to a mailed survey. The results reveal that while nurses do not lack knowledge, work environments do not support competent care of women with disabilities and practices do not always follow national guidelines. Predictors of self-efficacy in provision of health care to women with disabilities were status as a women's health nurse practitioner, previous rehabilitation experience, high knowledge scores, and a working environment perceived as accessible. Until changes are made in APN education and environmental barriers are addressed, APNs may not be able to provide optimal women's healthcare services to women with disabilities.