Nurse practitioner role in improving health outcomes for marginalized adolescents through levonorgestrel intrauterine system use
Bibliographic record
Abstract
Adolescence is a life stage that is characterized by rapid growth, physical and emotional changes. It is also the beginning of sexual maturation which creates challenges that are inherent with risk taking. Adolescents are known to be at risk for unplanned pregnancy and associated negative consequences, but marginalized female adolescents are even more vulnerable. Prevention of pregnancy through access and availability of effective contraception is a key facet in meeting the sexual health care needs of this population. The purpose of this paper was to explore the nurse practitioner role in improving the sexual health of marginalized female adolescents through contraceptive prescribing practices, specifically through prescription and administration of the LNG-IUS. A review of current literature was undertaken to examine the prescribing practices of NPs and the use of the LNG-IUS in the identified population. NP prescribing trends and the potential for increasing access to contraception with positive health outcomes were identified themes in the literature, demonstrating that NPs are highly capable of improving the sexual health of marginalized female adolescents. Furthermore, the literature demonstrates that the LNG-IUS is an excellent and appropriate choice of contraception for this population and NPs can be secure in the decision to recommend, prescribe and insert the LNG-IUS for marginalized adolescent female patients requiring contraception. --P.2.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.004 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".