Bogota abortion nurse perspectives on abortion quality of care Public
Bracho, Adriana Roxana (2016)
Abstract
In May 2006 the Constitutional Court in Colombia made a landmark ruling (C-355/06), allowing abortion to be legal in three circumstances: pregnancy resulting from incest or rape, a fetal abnormality incompatible with life, and a pregnancy threatening the life or health of a woman. The purpose of this research is to help understand the current status of quality of care of legal abortions in Bogotá. The study has two core questions related to nurses and their experiences in abortion services: What do nurses currently assisting abortion patients consider to be high-quality care for abortion services? What education on abortion have nurses received throughout their training? The study questions were answered through a qualitative research study using semi-structured, one-on-one interviews with nurses who worked exclusively with abortion patients in designated hospital abortion departments, nurses who worked with both abortion and non-abortion obstetric patients and nurses who worked administratively with abortion patients. In total ten nurses were interviewed representing seven different hospitals and clinics. A thematic data analysis using inductive and deductive coding was conducted for all interviews using the software MAXQDA10 based on interview notes and transcripts written in Spanish. The analysis lead to three major finding areas, quality of care of abortions, abortion education in Colombia and recommendations for improved service, and eleven major themes. Within quality of care of abortions, the major themes were professionalism, information, integrated services, and compassionate care. The major themes for abortion education in Colombia were abortion education in nursing school, training from the Ministry of Health, and other sources for training. The four major themes for recommendations to improve abortion care are education, overall service experience, improved access and changes to the ruling. The first public health implication of this work is that components referenced by nurses defining their perspectives on quality of care closely mirrors those found in other definitions of quality of care, most notable the Bruce-Jain framework used by the WHO to define quality of care for reproductive health services. The second public health implication shows that nurses do not suggest that anyone other than the attending physician perform the abortion.
Table of Contents
Chapter 1
Introduction
Definition of terms
Chapter 2
Chapter Introduction
Quality of care for abortions
Abortion education for nurses
Nursing in relation to abortion
Chapter 3
Methods
Results
Demographic Results
Quality of Care of abortions
Professionalism
Information
Integrated Services
Compassionate Care
Abortion Education in Colombia
Abortion education in nursing school
Training from Ministry of Health
Other sources of training
Recommendations for improvement of care for abortion services
Education
Overall Service Experience
Improved Access
Changes to the ruling
Chapter 4
Discussion
Public Health Implications
Recommendations
Bibliography
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