PDF(Pubmed)
Abstract：
There is a global shortage of health providers in abortion care. Public discourse presents abortion providers as dangerous and greedy and links \'conscience\' with refusal to participate. This may discourage provision. A scoping review of empirical evidence is needed to inform public perceptions of the reasons that health providers participate in abortion.
The study aimed to identify what is known about health providers\' reasons for participating in abortion provision.
Studies were eligible if they included health providers\' reasons for participating in legal abortion provision. Only empirical studies were eligible for inclusion.
We searched the following databases from January 2000 until January 2022: Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Centre for Agricultural and Biosciences International Abstracts. Grey literature was also searched.
Dual screening was conducted of both title/abstract and full-text articles. Health providers\' reasons for provision were extracted and grouped into preliminary categories based on the existing research. These categories were revised by all authors until they sufficiently reflected the extracted data.
From 3251 records retrieved, 68 studies were included. In descending order, reasons for participating in abortion were as follows: supporting women\'s choices and advocating for women\'s rights (76%); being professionally committed to participating in abortion (50%); aligning with personal, religious or moral values (39%); finding provision satisfying and important (33%); being influenced by workplace exposure or support (19%); responding to the community needs for abortion services (14%) and participating for practical and lifestyle reasons (8%).
Abortion providers participated in abortion for a range of reasons. Reasons were mainly focused on supporting women\'s choices and rights; providing professional health care; and providing services that aligned with the provider\'s own personal, religious or moral values. The findings provided no evidence to support negative portrayals of abortion providers present in public discourse. Like conscientious objectors, abortion providers can also be motivated by conscience.
The study aimed to identify what is known about health providers\' reasons for participating in abortion provision.
Studies were eligible if they included health providers\' reasons for participating in legal abortion provision. Only empirical studies were eligible for inclusion.
We searched the following databases from January 2000 until January 2022: Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Centre for Agricultural and Biosciences International Abstracts. Grey literature was also searched.
Dual screening was conducted of both title/abstract and full-text articles. Health providers\' reasons for provision were extracted and grouped into preliminary categories based on the existing research. These categories were revised by all authors until they sufficiently reflected the extracted data.
From 3251 records retrieved, 68 studies were included. In descending order, reasons for participating in abortion were as follows: supporting women\'s choices and advocating for women\'s rights (76%); being professionally committed to participating in abortion (50%); aligning with personal, religious or moral values (39%); finding provision satisfying and important (33%); being influenced by workplace exposure or support (19%); responding to the community needs for abortion services (14%) and participating for practical and lifestyle reasons (8%).
Abortion providers participated in abortion for a range of reasons. Reasons were mainly focused on supporting women\'s choices and rights; providing professional health care; and providing services that aligned with the provider\'s own personal, religious or moral values. The findings provided no evidence to support negative portrayals of abortion providers present in public discourse. Like conscientious objectors, abortion providers can also be motivated by conscience.
摘要：
■在堕胎护理方面，全球医疗服务提供者短缺。公共话语将堕胎提供者视为危险和贪婪，并将“良心”与拒绝参与联系起来。这可能会阻碍提供。需要对经验证据进行范围审查，以告知公众对卫生提供者参与堕胎原因的看法。
■该研究旨在确定已知的有关健康提供者参与堕胎提供的原因。
■如果研究包括医疗服务提供者参与合法堕胎规定的理由，则研究符合资格。只有实证研究才有资格纳入。
■从2000年1月到2022年1月，我们搜索了以下数据库：在线医学文献分析和检索系统，摘录医学数据库，护理和相关健康文献的累积指数，科学指导和农业和生物科学中心国际文摘。还搜索了灰色文献。
■对标题/摘要和全文文章进行了双重筛选。根据现有研究，提取了医疗服务提供者的提供理由，并将其分为初步类别。所有作者都对这些类别进行了修订，直到它们充分反映了提取的数据。
■从检索到的3251条记录中，包括68项研究。按降序排列，参与堕胎的原因如下:支持妇女的选择和倡导妇女的权利(76%);专业致力于参与堕胎(50%);宗教或道德价值观（39％）；找到令人满意和重要的规定（33％）；受到工作场所接触或支持的影响（19％）；响应社区对堕胎服务的需求（14％），并出于实际和生活方式原因参与（8％）。
■堕胎提供者出于多种原因参与堕胎。原因主要集中在支持妇女的选择和权利;提供专业保健;并提供符合提供者自己的个人服务，宗教或道德价值观。研究结果没有提供任何证据来支持公共话语中对堕胎提供者的负面描述。像出于良心拒服兵役者一样，堕胎提供者也可能出于良心。
■该研究旨在确定已知的有关健康提供者参与堕胎提供的原因。
■如果研究包括医疗服务提供者参与合法堕胎规定的理由，则研究符合资格。只有实证研究才有资格纳入。
■从2000年1月到2022年1月，我们搜索了以下数据库：在线医学文献分析和检索系统，摘录医学数据库，护理和相关健康文献的累积指数，科学指导和农业和生物科学中心国际文摘。还搜索了灰色文献。
■对标题/摘要和全文文章进行了双重筛选。根据现有研究，提取了医疗服务提供者的提供理由，并将其分为初步类别。所有作者都对这些类别进行了修订，直到它们充分反映了提取的数据。
■从检索到的3251条记录中，包括68项研究。按降序排列，参与堕胎的原因如下:支持妇女的选择和倡导妇女的权利(76%);专业致力于参与堕胎(50%);宗教或道德价值观（39％）；找到令人满意和重要的规定（33％）；受到工作场所接触或支持的影响（19％）；响应社区对堕胎服务的需求（14％），并出于实际和生活方式原因参与（8％）。
■堕胎提供者出于多种原因参与堕胎。原因主要集中在支持妇女的选择和权利;提供专业保健;并提供符合提供者自己的个人服务，宗教或道德价值观。研究结果没有提供任何证据来支持公共话语中对堕胎提供者的负面描述。像出于良心拒服兵役者一样，堕胎提供者也可能出于良心。
