Community Health and Social Sciences, CUNY School of Public Health, New York, New York, USA
Community Health and Social Sciences, CUNY School of Public Health, New York, New York, USA.
BMJ Sex Reprod Health. 2023 Jan;49(1):7-11. doi: 10.1136/bmjsrh-2021-201394. Epub 2022 Apr 8.
Our aim was to assess physicians' perspectives of what constitutes abortion advocacy and the skills needed to be effective in their efforts to safeguard legal abortion.
Alumni from a physician training programme for sexual and reproductive health advocacy completed a cross-sectional survey including questions on perceived skills needed for effective advocacy. The research team conducted in-depth interviews (IDIs) with alumni, based on their level of engagement in advocacy. We present descriptive statistics for survey data and themes identified in the interview data using techniques informed by grounded theory.
Of the survey respondents (n=231), almost a third (28.6%; n=66) felt the most important media skill they learnt was the ability to stay on message. The most important policy skill was communicating effectively with policymakers (47.0%; n=108), followed by distilling evidence for policymakers and laypeople (13.0%; n=30). In the IDIs (n=36), participants reported activities such as media interviews as clear examples of advocacy, but also considered implementing institutional policies and abortion provision to be advocacy. They discussed how individual comfort and capacity for advocacy activities may change over time, given personal and professional considerations. Regardless of the type of activity, physicians valued strategic communication and relationship-building skills.
Based on our findings, training programmes that seek to mobilise physician advocates to advance sexual and reproductive health and rights should work with trainees to create a tailored advocacy plan that fits their personal and professional lives and goals. Regardless of the types of advocacy activities physicians focus on, strategic communication may be central in skills-based training.
我们旨在评估医生对何为堕胎倡导以及为有效维护合法堕胎而需具备何种技能的看法。
性健康和生殖健康倡导医师培训项目的校友完成了一项横断面调查，其中包括有关有效倡导所需的感知技能的问题。研究团队根据校友参与倡导的程度对其进行了深入访谈（IDIs）。我们使用扎根理论方法提供的技术，对调查数据和访谈数据中确定的主题进行描述性统计。
在调查对象（n=231）中，近三分之一（28.6%；n=66）的人认为他们所学的最重要的媒体技能是保持信息一致的能力。最重要的政策技能是与政策制定者有效沟通（47.0%；n=108），其次是为政策制定者和非专业人士提炼证据（13.0%；n=30）。在 IDIs（n=36）中，参与者报告了媒体采访等活动是明确的倡导例子，但他们也认为实施机构政策和提供堕胎也是倡导。他们讨论了由于个人和职业考虑，个人的倡导活动的舒适度和能力可能会随时间而改变。无论活动类型如何，医生都重视战略沟通和建立关系的技能。
基于我们的研究结果，旨在动员医师倡导者推进性健康和生殖健康及权利的培训项目应与受训者合作，制定适合其个人和职业生活及目标的量身定制的倡导计划。无论医生关注哪种类型的倡导活动，战略沟通都可能是技能培训的核心。
