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Self-preservation in abortion care: a grounded theory study
1Faculty of Health, Sport and Science, University of Glamorgan, Glyntaff, Pontypridd, UK. alipp@glam.ac.uk
Journal of Clinical Nursing
|February 16, 2011
Summary
Nurses conceal judgments in abortion care due to increased involvement with early gestations. Self-preservation strategies, like emotional detachment, are used when facing challenging situations, impacting equitable patient care.
Area of Science:
- Nursing
- Healthcare Ethics
- Reproductive Health
Background:
- Advances in abortion techniques necessitate greater nurse involvement.
- Early gestation medical abortions require nurses to be equipped for increased responsibilities.
Purpose of the Study:
- To understand why nurses concede and conceal their judgments regarding women seeking abortions.
- To explore the factors influencing nurses' decision-making in abortion care.
Main Methods:
- Grounded theory approach with theoretical sampling.
- In-depth study focusing on nurses' experiences in abortion care.
Main Results:
- Lower gestation abortions increase nurse involvement.
- Nurses employ self-preservation tactics ('switching off,' 'getting on with it') when encountering fetuses or indifferent patients.
- Self-preservation is a primary reason for conceding and concealing judgment, despite striving for equitable care.
Conclusions:
- Positive strategies for nurse self-preservation are crucial in evolving abortion care without compromising patient services.
- Integrating self-preservation through professional development, like guided reflection, is vital for effective, woman-centered abortion care.
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