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首页> 外文期刊>International Journal of Africa Nursing Sciences >The influence of norms and values on the provision of termination of pregnancy services in South Africa
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The influence of norms and values on the provision of termination of pregnancy services in South Africa

机译:规范和价值观对南非终止妊娠服务的影响

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Introduction As front-line providers, nurses play an integral role in the implementation of South Africa’s Choice on Termination of Pregnancy Act and, thus, the promotion of women’s reproductive rights. In light of low levels of support for termination of pregnancy services in South Africa, it is important to understand nurses’ views of such services. The purpose of this study was to examine how nurses’ norms and values shape the provision of abortion services. Methods Qualitative interviews with nurses were conducted at seven rural hospitals in the Western Cape Province of South Africa. Data were analysed using thematic and narrative analysis. Results Nurses, like other public service workers, make moral judgments about their clients. They classify clients seeking abortions into two groups: those ‘worthy’ of support, and those ‘unworthy’ of support. Nurses’ moral judgments are largely shaped by the circumstances of the pregnancy and the behaviour of the client. In addition, nurses’ understanding of their professional identity and their work environments may influence their decision whether a client deserves their assistance. While nurses claimed that they would offer the same services to all of their clients, further research on the availability and quality of abortion services is required to confirm these results. Conclusion The study shows that nurses make moral judgments about abortion clients and divide them into deserving and less deserving clients. These value judgments undermine the rights-based approach of South African legislation, which provides every women with the right to choose whether they wish to terminate a pregnancy.
机译:简介作为一线服务提供者,护士在实施南非的《终止妊娠选择法》并因此促进妇女的生殖权利方面发挥着不可或缺的作用。鉴于南非终止妊娠服务的支持水平较低,因此重要的是要了解护士对此类服务的看法。这项研究的目的是检验护士的规范和价值观如何影响堕胎服务的提供。方法在南非西开普省的七家乡村医院对护士进行了定性访谈。数据采用主题分析和叙述分析。结果护士与其他公共服务工作者一样,对他们的客户做出道德判断。他们将寻求堕胎的客户分为两类:“值得”支持和“不值得”支持。护士的道德判断在很大程度上取决于怀孕的情况和服务对象的行为。此外,护士对他们的专业身份和工作环境的理解可能会影响他们对服务对象是否值得帮助的决定。护士声称他们将向所有客户提供相同的服务,但需要进一步研究堕胎服务的可用性和质量,以确认这些结果。结论研究表明,护士对人工流产者做出道德判断,将其分为应得和不应得客户。这些价值判断破坏了南非立法中基于权利的方法,该方法使每个妇女都有权选择是否希望终止妊娠。

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