背景:人工流产是世界上最常见的妇科手术之一,每十个怀孕中就有三个以堕胎告终。It,然而,仍然有争议。这项范围审查的目的是探索和绘制有关提供堕胎护理的人的经验的现有文献。
结果:这项探索性综述遵循了Levac等人。指南,并根据PRISMA-ScR清单报告。CINAHL,科克伦,EMBASE,PsycInfo,PubMed,和WebofScience被用来识别同行评审,发表关于提供者堕胎经验的原创研究文章。我们确定了106项相关研究,其中包括来自28个国家和六大洲的4,250家提供商的样本。大多数研究是定性的(n=83),虽然定量(n=15)和混合方法(n=8)研究也包括在内。我们确定了两个主要主题:(1)提供者“堕胎耻辱的经历”和(2)提供者对堕胎工作的反思。我们的发现表明,来自世界各地的提供者在社会及其社区和工作场所中都面临挑战,这些挑战加剧了堕胎的污名化和边缘化,并对这项工作的道德提出了质疑。大多数,然而,为他们的工作感到骄傲,相信堕胎护理是社会重要和必要的,并继续致力于提供护理。
结论:本综述的结果提供了提供堕胎护理的已知经验的全面概述。对于国际供应商来说,这是一个关键的参考点,研究人员,并主张在自己的领土上进一步研究或讨论这一领域。这项审查的结果将为今后如何支持提供者反对污名化的工作提供信息,并将为提供者提供反思自己经历的机会。
BACKGROUND: Induced abortion is one of the most common gynecological procedures in the world, with as many as three in every ten pregnancies ending in abortion. It, however, remains controversial. The objective of this scoping review was to explore and map existing literature on the experiences of those who provide abortion care.
RESULTS: This exploratory review followed the Levac et al. guidelines and was reported in accordance with the PRISMA-ScR checklist. CINAHL, Cochrane, EMBASE, PsycInfo, PubMed, and Web of Science were used to identify peer-reviewed, original research articles published on providers\' experience of abortion. We identified 106 relevant studies, which include a total sample of 4,250 providers from 28 countries and six continents. Most of the studies were qualitative (n = 83), though quantitative (n = 15) and mixed methods (n = 8) studies were also included. We identified two overarching themes: (1) Providers\' experiences with abortion stigma and (2) Providers\' reflections on their abortion work. Our findings suggest that providers from around the world experience challenges within society and their communities and workplaces which reinforce the stigmatization and marginalization of abortion and pose questions about the morality of this work. Most, however, are proud of their work, believe abortion care to be socially important and necessary, and remain committed to the provision of care.
CONCLUSIONS: The findings of this review provide a comprehensive overview on the known experiences of providing abortion care. It is a key point of reference for international providers, researchers, and advocates to further this area of research or discussion in their own territories. The findings of this review will inform future work on how to support providers against stigmatization and will offer providers the chance to reflect on their own experiences.