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Working with or against the system: Nurses' and midwives' process of providing abortion care in the context of gender-based violence in Australia


Mainey, L and O'mullan, C and Reid-Searl, K, Working with or against the system: Nurses' and midwives' process of providing abortion care in the context of gender-based violence in Australia, Journal of Advanced Nursing pp. 1-13. ISSN 0309-2402 (2022) [Refereed Article]


Copyright Statement

Copyright 2022 The Authors Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

DOI: doi:10.1111/jan.15226


Design: A constructivist grounded theory study.

Methods: This study took place between 2019 and 2021. The lead author conducted semi-structured interviews with 18 Australian nurses and midwives who provided abortion care. Participants were recruited through pro-abortion, nursing and midwifery networks using a snowballing technique. Data collection and analysis proceeded using purposive and theoretical sampling until we reached data saturation.

Findings: Participants revealed they underwent a process of working with or against the system contingent on the degree to which the system (the interconnected networks through which a pregnant person, victimized by trauma, travels) was woman centred. When participants encountered barriers to person-centred abortion care, they bent or broke the law, local policy and cultural norms to facilitate timely holistic care. Though many participants felt professionally compromised, their resolve to continue working against the system continued.

Conclusion: Conservative abortion law, policies and clinical mores did not prevent participants from providing abortion care. The professional obligation to provide person-centred care was a higher priority than following the official or unofficial rules of the organizations.

Impact: This study addresses the clinical care of people accessing abortions in the context of GBV. Nurses and midwives may act out against the law, organizational policies and norms if prevented from providing person-centred care. This research is relevant for any location that restricts abortion through stigma, pro-life influences or politics.

Item Details

Item Type:Refereed Article
Keywords:abortion, gender-based violence, midwifery, nursing, patient-centred care
Research Division:Health Sciences
Research Group:Nursing
Research Field:Community and primary care
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Reid-Searl, K (Professor Kerry Reid-Searl)
ID Code:153699
Year Published:2022
Web of Science® Times Cited:2
Deposited By:Nursing
Deposited On:2022-10-03
Last Modified:2022-11-03
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