加拿大的护士实践者药物流产提供者:来自全国调查的结果
Emma Stirling-Cameron1, Andrea Carson2, Abdul-Fatawu Abdulai3
1School of Population and Public Health, The University of British Columbia, Vancouver, British Columbia, Canada.
BMJ sexual & reproductive health
|October 16, 2024
概括
执业护士 (NPs) 准备在加拿大提供药物流产 (MA). 药房准入和指导等障碍阻碍了NP,特别是在农村地区,影响了公平的堕胎准入.
科学领域:
- 医疗保健政策 医疗保健政策
- 生殖健康 生殖健康
- 护理实践的护理实践
背景情况:
- 加拿大的执业护士 (NPs) 在2017年被授权独立提供使用米费普里斯/米索普罗的药物堕胎 (MA).
- 本研究调查了提供MA的NP的特点,并确定了其实践的障碍和推动因素.
研究的目的:
- 报告提供加拿大MA的NP的人口和临床特征.
- 在提供者和非提供者之间识别特定背景的障碍物和NP提供MA的支持者.
主要方法:
- 从2020年8月到2021年2月,向加拿大NP分发了一项全国性,基于网络的双语调查.
- 收集的数据包括人口统计和临床护理特征.
- 描述性统计和双变量分析比较了NP提供者和不提供MA的提供者.
主要成果:
- 181个NP回应,代表加拿大所有省和地区;36%提供了MA.
- 非提供者的障碍包括有限的药房附近,很少有经验的堕胎提供者,缺乏程序性堕胎的机会,工作场所的政策限制和缺乏指导.
- 提供MA的NP很少遇到反选择抗议活动 (98%).
结论:
- 国家公关已准备好提供MA,但仍存在重大障碍,特别是在农村和服务不足的社区.
- 调查结果强调需要有针对性的支持来改善NP领导的MA服务.
- 解决这些障碍对于加强加拿大各地公平堕胎准入至关重要.
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