Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22676
Record ID: 268b733e-e4ff-4d7a-ad2e-2064993ccf5e
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dc.contributor.authorMainey, Linda-
dc.contributor.authorO'mullan, Catherine-
dc.contributor.authorReid-Searl, Kerry-
dc.coverage.spatialNationalen_US
dc.date.accessioned2024-05-03T06:14:10Z-
dc.date.available2024-05-03T06:14:10Z-
dc.date.issued2023-
dc.identifier.citationVol.79 (4), p.1329-1341en_US
dc.identifier.issn0309-2402en_US
dc.identifier.urihttps://anrows.intersearch.com.au/anrowsjspui/handle/1/22676-
dc.description.abstractThe aim of this study was to explain the process through which Australian nurses and midwives provide abortion care to people affected by gender-based violence (GBV). A constructivist grounded theory study. 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. 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. 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. 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.en_US
dc.publisherWiley Subscription Services, Incen_US
dc.relation.ispartofJournal of advanced nursingen_US
dc.subjectPregnancyen_US
dc.subjectNursesen_US
dc.subjectMidwiferyen_US
dc.subjectQualitative researchen_US
dc.subjectGender-based violenceen_US
dc.subjectAbortionen_US
dc.subjectdomestic violenceen_US
dc.subjectIntimate partner violenceen_US
dc.subjectHealthcareen_US
dc.titleWorking with or against the system: Nurses' and midwives' process of providing abortion care in the context of gender-based violence in Australiaen_US
dc.typeJournal Articleen_US
dc.identifier.doihttps://doi.org/10.1111/jan.15226en_US
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/10.1111/jan.15226en_US
dc.subject.keywordsystems, healthcare, abortion care, intervention, detecting violenceen_US
dc.subject.readinglistANROWS Completed Register of Active Research projectsen_US
dc.description.notes<p>This research was included in the ANROWS Register of Active Research (RAR). The research has concluded and the output has been added to the ANROWS library. Please visit <a class="PrimaryLink BaseLink" href="https://www.anrows.org.au/register-of-active-and-recent/" target="_blank">https://www.anrows.org.au/register-of-active-research/</a> for more information on the RAR.<br /> <br>Project title: Australian nurses’ and midwives’ experiences of providing abortion care to women in the context of domestic violence or sexual assault <br>Project description: The research project was designed to explore Australian nurses' and midwives' experiences when providing abortion care to people in the context of gender-based violence. It is a feminist project and the research team proposed that they will create research that is beneficial to women. It is aligned with 1) the postmodern paradigm, which emphasises bringing the "other" into the research process and empowering oppressed groups; and 2) the constructivist worldview, which assumes that knowledge and research are constructed from the personal, cultural and historical experiences of the participants and the researcher. It is a simultaneous multiple methods qualitative study using constructivist grounded theory and situational analysis methodologies. <br>Project contact Lydia Mainey CQUniversity <br>Funding Body Australian Government Research Training Program <br>Project start & End Dates: Feb 2019 - Jan 2023en
dc.subject.anratopicHealth, primary care and specialist service responsesen_US
dc.subject.anratopicStructural inequitiesen_US
dc.subject.anratopicSystems responsesen_US
dc.subject.anratopicTrauma and DFSV-informed, victim-centred systemsen_US
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