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Sjuksköterskors upplevelser när de medverkar vid genomförandet av abort: En litteraturöversikt
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Nurses´ experiences of participation in abortion procedures : A literature review (English)
Abstract [en]

Background: Abortion implies that the pregnancy is interrupted. According to the World Health Organization approximately 46 million induced abortions are carried out each year. Different methods of abortion can be used such as medical and surgical methods. The medical method especially affects a nurse’s experience of the procedure. Most likely, a woman undergoes the abortion process only once in her lifetime, while the nurse may face the experience several times a week. Induced abortion can be morally difficult for nurses and can generate ethical dilemmas between the woman´s right and the fetus value of protection.

Aim: The aim of this literature review was to describe nurses experiences when they participate in the implementation of induced abortion.

Method: A literature review has been conducted, where ten caring sciences articles were studied. The articles were all of qualitative design.

Results: The analyses of the results were divided into two themes: nurses approaches to abortion. Feelings that could occur in relation to abortions were guilt, shock, fear, anger and sadness.  Most nurses used self-preservation to shut out emotions. The most demanding and challenging situations. All nurses were affected emotionally, especially in relation to repeated and late abortions. It could also occur an ethical conflict between a woman´s right and the fetus value of protection. It was therefore important for the nurses to have the opportunity to discuss and reflect on their experiences.

Discussions: The discussion addressed: feelings associated with late and repeated abortions as the nurses need support to care for women undergoing an abortion. The results were discussed in relation to Jean Watson theory of nursing.

Abstract [sv]

Bakgrund: Abort innebär att havandeskapet avbryts. Enligt World Health Organization genomförs cirka 46 miljoner inducerade aborter årligen. Det kan användas olika tillvägagångssätt vid abort så som medicinska och kirurgiska metoder. Den medicinska metoden har en påverkbar faktor på sjuksköterskors upplevelser. Kvinnan kanske genomgår denna abortprocess endast en gång under sin livstid, medan sjuksköterskorna genomgår det flertalet gånger i veckan. Dessa situationer kan vara moraliskt svåra för sjuksköterskorna och kan skapa ett etiskt dilemma mellan kvinnans rättigheter och fostrets skyddsvärde.

Syfte: Syftet med denna litteraturöversikt var att beskriva sjuksköterskors upplevelser när de medverkar vid genomförandet av inducerad abort.

Metod: En litteraturöversikt har genomförts, där tio vårdvetenskapliga artiklar har använts. Samtliga av dessa var av kvalitativ design.

Resultat: Analysen av resultatet delades in i två teman: sjuksköterskors förhållningssätt till abort. Känslor som kunde uppstå i relation till aborten var skuld, chock, skräck, ilska och sorg. Flertalet sjuksköterskor använde sig av självbevarelsedrift för att utestänga känslor. Särskilt påfrestande och utmanande situationer. Alla sjuksköterskor påverkades känslomässigt, särskilt vid återkommande och sena aborter. Det kunde även uppstå en etisk konflikt mellan kvinnans rättighet och fostrets skyddsvärde. Det var viktigt för sjuksköterskorna att få möjlighet att diskutera och reflektera sina erfarenheter sinsemellan.

Diskussion: Det som togs upp i diskussionen var känslor förknippat med sena och återkommande aborter samt sjuksköterskors behov av stöd när de vårdar kvinnan som genomgår abort. Resultatet diskuterades i relation till Jean Watsons omvårdnadsteori.

Place, publisher, year, edition, pages
2015. , p. 32
Keywords [en]
Abortion, Termination of pregnancy, Experience, Nurses, Nursing, Ethics
Keywords [sv]
Abort, Upplevelse, Sjuksköterskor, Vårdande, Etik
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-4716OAI: oai:DiVA.org:esh-4716DiVA, id: diva2:821807
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2015-06-18 Created: 2015-06-15 Last updated: 2015-12-11Bibliographically approved

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