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中间地带:美国女性健康与新生儿护士对堕胎的态度

The Space in the Middle: Attitudes of Women's Health and Neonatal Nurses in the United States about Abortion.

作者信息

Alspaugh Amy, Mehra Renee, Coleman-Minahan Kate, Hoffmann Thomas J, Burton Candace W, Eagen-Torkko Meghan, Bond Toni M, Franck Linda S, Olseon Liz Cretti, Lanshaw Nikki, Rychnovsky Jacqueline D, McLemore Monica R

机构信息

University of Tennessee, Knoxville College of Nursing, Knoxville, Tennessee; University of California, San Francisco School of Nursing and the ACTIONS Program, San Francisco, California.

University of California, San Francisco School of Nursing and the ACTIONS Program, San Francisco, California.

出版信息

Womens Health Issues. 2022 Mar-Apr;32(2):130-139. doi: 10.1016/j.whi.2021.10.011. Epub 2021 Nov 26.

DOI:10.1016/j.whi.2021.10.011
PMID:34844851
Abstract

INTRODUCTION

Despite playing an integral part in sexual and reproductive health care, including abortion care, nurses are rarely the focus of research regarding their attitudes about abortion.

METHODS

A sample of 1,820 nurse members of the Association of Women's Health, Obstetric and Neonatal Nurses were surveyed about their demographic and professional backgrounds, religious beliefs, and abortion attitudes. Scores on the Abortion Attitudes Scale were analyzed categorically and trichotomized in multinomial regression analyses.

RESULTS

Almost one-third of the sample (32%) had moderately proabortion attitudes, 29% were unsure, 16% had strongly proabortion attitudes, 13% had strongly antiabortion attitudes, and 11% had moderately antiabortion attitudes. Using trichotomized Abortion Attitudes Scale scores (proabortion, unsure, antiabortion), adjusted regression models showed that the following characteristics were associated with proabortion attitudes: being non-Christian, residence in the North or West, having no children, and having had an abortion.

CONCLUSIONS

Understanding nurses' attitudes toward abortion, and what characteristics may influence their attitudes, is critical to sustaining nursing care for patients considering and seeking abortion. Additionally, because personal characteristics were associated with antiabortion attitudes, it is likely that personal experiences may influence attitudes toward abortion. A large percentage of nurses held attitudes that placed them in the "unsure" category. Given the current ubiquitous polarization of abortion discourse, this finding indicates that the binary narrative of this topic is less pervasive than expected, which lends itself to an emphasis on empathetic and compassionate nursing care.

摘要

引言

尽管护士在性健康和生殖健康护理(包括堕胎护理)中发挥着不可或缺的作用,但在关于他们对堕胎态度的研究中,护士很少成为焦点。

方法

对1820名妇女健康、产科和新生儿护士协会的护士成员进行了调查,了解她们的人口统计学和专业背景、宗教信仰以及堕胎态度。在多项回归分析中,对堕胎态度量表的得分进行了分类分析并分为三类。

结果

近三分之一的样本(32%)持适度支持堕胎的态度,29%不确定,16%持强烈支持堕胎的态度,13%持强烈反对堕胎的态度,11%持适度反对堕胎的态度。使用分为三类的堕胎态度量表得分(支持堕胎、不确定、反对堕胎),调整后的回归模型显示,以下特征与支持堕胎的态度相关:非基督教徒、居住在北部或西部、没有孩子以及有过堕胎经历。

结论

了解护士对堕胎的态度以及哪些特征可能影响他们的态度,对于为考虑和寻求堕胎的患者持续提供护理至关重要。此外,由于个人特征与反对堕胎的态度相关,个人经历很可能会影响对堕胎的态度。很大一部分护士的态度属于“不确定”类别。鉴于目前堕胎话语普遍存在两极分化的情况,这一发现表明,这个话题的二元叙事并不像预期的那样普遍,这使得有必要强调富有同理心和同情心的护理。

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