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Analyzing nurse-client interactions in family planning clinics.


 The nurse-client interactions of 12 taped interviews in 2 family planning clinics were analyzed using 5 client self-care themes and 9 provider responses, and the results discussed in terms of Orem's self- care theory. The taped sessions took place at a Planned Parenthood and a health department clinic. content analysis were verified by outside raters trained in the methods selected. CLient responses emphasized past practice (29%) and knowledge (28%), over current intent to practice self-care (22%) and decision processing (19%). The nurses responded most often by asking questions and providing information, and less often by restatement, directives, support or suggestions. This pattern was found regardless of the nurse's education. The emphasis by nurses on providing information is likely a result of the agencies' focus on ensuring that the client makes an informed and voluntary choice. Research has shown, however, that new contraceptors' contraceptive continuation is correlated with support and even authoritative guidance given by the provider.
