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护士和助产士的堕胎学习机制:证据的范围综述

Abortion learning mechanisms for nurses and midwives: a scoping review of evidence.

作者信息

Nicholson Martha, Hoggart Lesley

机构信息

PhD Researcher, The International Planned Parenthood Federation, London, UK; PhD Student, Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK. Correspondence:

Professor, Faculty of Wellbeing, Education and Language Studies, The Open University, Milton Keynes, UK.

出版信息

Sex Reprod Health Matters. 2025 Dec;33(1):2518672. doi: 10.1080/26410397.2025.2518672. Epub 2025 Aug 6.

Abstract

Access to safe, affordable, and supported abortion care is a crucial component of reproductive justice and human rights. Abortion seekers consider nurses and midwives to be more supportive than other health professionals. Nurses and midwives have long been recommended providers of comprehensive abortion care, including second trimester care. This iterative scoping review aimed to explore the evidence on abortion learning mechanisms available to nurses and midwives and what can be improved about abortion training. Using the Arksey and O'Malley (Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1): 19-32) and Levac et al. (Scoping studies: advancing the methodology. Implement Sci. 2010;5(1): 69) scoping review frameworks, four databases were searched, resulting in 879 articles published in English from 01.01.2010 to 01.08.2024. The authors included 43 studies and identified five learning mechanisms. The evidence is presented under three themes: (1) the adequacy of abortion learning mechanisms for nurses and midwives, (2) listening to nurses and midwives' experiences, and (3) barriers to abortion training. This review found that in almost all legal and practice contexts, abortion training may be de-prioritised and hard to access because of institutional barriers, especially in centres of education. In conclusion, there is a low investment in abortion training for nurses and midwives. Policy-makers, health care systems, and educators should consider ways to continuously instil nurses and midwives with skills, confidence, and social authority to provide person-centred abortion care to combat harmful bias and mitigate the risk of reproductive coercion.

摘要

获得安全、可负担且有支持的堕胎护理是生殖正义和人权的关键组成部分。寻求堕胎者认为护士和助产士比其他医疗专业人员更具支持性。长期以来,护士和助产士一直被推荐为全面堕胎护理的提供者,包括孕中期护理。这项迭代式范围综述旨在探索护士和助产士可用堕胎学习机制的证据,以及堕胎培训可以改进之处。采用阿克西和奥马利(《范围研究:迈向方法框架》。《国际社会研究方法杂志》。2005年;8(1): 19 - 32)以及莱瓦克等人(《范围研究:推进方法》。《实施科学》。2010年;5(1): 69)的范围综述框架,检索了四个数据库,共得到2010年1月1日至2024年8月1日以英文发表的879篇文章。作者纳入了43项研究并确定了五种学习机制。证据按照三个主题呈现:(1) 护士和助产士堕胎学习机制的充分性,(2) 倾听护士和助产士的经历,以及(3) 堕胎培训的障碍。本综述发现,在几乎所有法律和实践背景下,由于制度障碍,堕胎培训可能被置于次要地位且难以获得,尤其是在教育中心。总之,对护士和助产士堕胎培训的投入较低。政策制定者、医疗保健系统和教育工作者应考虑如何持续培养护士和助产士提供以患者为中心的堕胎护理的技能、信心和社会权威,以对抗有害偏见并降低生殖胁迫的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d53/12329854/ac83005154d0/ZRHM_A_2518672_F0001_OC.jpg

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