Abstract：
BACKGROUND: Legal and safe termination of pregnancy (TOP) has long been recognised as an important public health issue internationally. Healthcare professionals (HCPs) and students have a key role within TOP services, and it is crucial that they have sufficient understanding of laws, guidelines and clinical practice to facilitate safe and effective care. The current systematic review aims to study the level of knowledge of both HCPs and students on TOP legislation, methods and procedures and potential associated complications.
METHODS: PubMed, Embase, Scopus and EBSCOhost were searched for peer-reviewed studies published until July 2020. After initial selection, 239 articles were screened in full and 31 studies (qualitative and quantitative) were included. A narrative review and synthesis of the findings was completed.
RESULTS: Poor knowledge on TOP legislation and clinical practice was reported for HCPs and students. The main issues identified included limited awareness of specific circumstances for legal TOP and poor understanding of methods and medical regimens recommended. Overall, education/training, experience in provision of TOP and receiving reminders of legislation were the main factors associated with increased levels of knowledge.
CONCLUSIONS: HCPs must be fully aware of the clinical practice and circumstances in which TOP is legal in their country/region so adequate provision of this service is ensured. This study highlighted the importance of involving and promoting participation of HCPs and students in the provision of TOP services. A clear need and desire for staff education and training on TOP was shown. Adequate training allows preparation of current and future HCPs to provide respectful and compassionate care.
METHODS: PubMed, Embase, Scopus and EBSCOhost were searched for peer-reviewed studies published until July 2020. After initial selection, 239 articles were screened in full and 31 studies (qualitative and quantitative) were included. A narrative review and synthesis of the findings was completed.
RESULTS: Poor knowledge on TOP legislation and clinical practice was reported for HCPs and students. The main issues identified included limited awareness of specific circumstances for legal TOP and poor understanding of methods and medical regimens recommended. Overall, education/training, experience in provision of TOP and receiving reminders of legislation were the main factors associated with increased levels of knowledge.
CONCLUSIONS: HCPs must be fully aware of the clinical practice and circumstances in which TOP is legal in their country/region so adequate provision of this service is ensured. This study highlighted the importance of involving and promoting participation of HCPs and students in the provision of TOP services. A clear need and desire for staff education and training on TOP was shown. Adequate training allows preparation of current and future HCPs to provide respectful and compassionate care.
摘要：
背景：合法和安全终止妊娠（TOP）长期以来一直被国际公认为重要的公共卫生问题。医疗保健专业人员（HCP）和学生在TOP服务中发挥关键作用，他们对法律有足够的理解是至关重要的，指南和临床实践，以促进安全有效的护理。目前的系统综述旨在研究HCPs和学生对TOP立法的知识水平，方法和程序以及潜在的相关并发症。
方法：PubMed，Embase,搜索了Scopus和EBSCOhost，以获取截至2020年7月发表的同行评审研究。初始选择后，共筛选了239篇文章，纳入了31项研究（定性和定量）。完成了对调查结果的叙述性审查和综合。
结果：据报道，HCP和学生对TOP立法和临床实践的了解不足。确定的主要问题包括对法律TOP的具体情况了解有限，对建议的方法和医疗方案了解不足。总的来说,教育/培训，提供TOP和收到立法提醒的经验是与知识水平提高相关的主要因素。
结论：HCP必须充分了解TOP在其所在国家/地区合法的临床实践和情况，以确保充分提供此项服务。这项研究强调了参与和促进HCPs和学生参与提供TOP服务的重要性。显示了对工作人员进行TOP教育和培训的明确需求和愿望。充分的培训可以为当前和未来的HCP做好准备，以提供尊重和富有同情心的护理。
方法：PubMed，Embase,搜索了Scopus和EBSCOhost，以获取截至2020年7月发表的同行评审研究。初始选择后，共筛选了239篇文章，纳入了31项研究（定性和定量）。完成了对调查结果的叙述性审查和综合。
结果：据报道，HCP和学生对TOP立法和临床实践的了解不足。确定的主要问题包括对法律TOP的具体情况了解有限，对建议的方法和医疗方案了解不足。总的来说,教育/培训，提供TOP和收到立法提醒的经验是与知识水平提高相关的主要因素。
结论：HCP必须充分了解TOP在其所在国家/地区合法的临床实践和情况，以确保充分提供此项服务。这项研究强调了参与和促进HCPs和学生参与提供TOP服务的重要性。显示了对工作人员进行TOP教育和培训的明确需求和愿望。充分的培训可以为当前和未来的HCP做好准备，以提供尊重和富有同情心的护理。
