Evidence map›Paper›PMID 27736992›Full record

ArticlePloS one2016

Development of a Conceptual Model and Survey Instrument to Measure Conscientious Objection to Abortion Provision.

Laura Florence Harris, John Koku Awoonor-Williams, Caitlin Gerdts, Laura Gil Urbano, Ana Cristina González Vélez, Jodi Halpern, Ndola Prata, Peter Baffoe

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Laura Florence HarrisUC Berkeley-UCSF Joint Medical Program, School of Public Health, Berkeley, CA, United States of America.
John Koku Awoonor-WilliamsGlobal Doctors for Choice/Ghana, Bolgatanga, Upper East Region, Ghana.
Caitlin GerdtsIbis Reproductive Health, Oakland, CA, United States of America.
Laura Gil UrbanoGlobal Doctors for Choice/Colombia, Bogota, Colombia.
Ana Cristina González VélezGlobal Doctors for Choice/Colombia, Bogota, Colombia.
Jodi HalpernUC Berkeley-UCSF Joint Medical Program, School of Public Health, Berkeley, CA, United States of America.
Ndola PrataUC Berkeley-UCSF Joint Medical Program, School of Public Health, Berkeley, CA, United States of America.
Peter BaffoeGlobal Doctors for Choice/Ghana, Bolgatanga, Upper East Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveConscientious objection to abortion, clinicians' refusal to perform legal abortions because of their religious or moral beliefs, has been the subject of increasing debate among bioethicists, policymakers, and public health advocates in recent years. Conscientious objection policies are intended to balance reproductive rights and clinicians' beliefs. However, in practice, clinician objection can act as a barrier to abortion access-impinging on reproductive rights, and increasing unsafe abortion and related morbidity and mortality. There is little information about conscientious objection from a medical or public health perspective. A quantitative instrument is needed to assess prevalence of conscientious objection and to provide insight on its practice. This paper describes the development of a survey instrument to measure conscientious objection to abortion provision.

methodsA literature review, and in-depth formative interviews with stakeholders in Colombia were used to develop a conceptual model of conscientious objection. This model led to the development of a survey, which was piloted, and then administered, in Ghana.

resultsThe model posits three domains of conscientious objection that form the basis for the survey instrument: 1) beliefs about abortion and conscientious objection; 2) actions related to conscientious objection and abortion; and 3) self-identification as a conscientious objector.

conclusionsThe instrument is intended to be used to assess prevalence among clinicians trained to provide abortions, and to gain insight on how conscientious objection is practiced in a variety of settings. Its results can inform more effective and appropriate strategies to regulate conscientious objection.

Indexed as

Abortion, InducedAttitude of Health PersonnelColombiaConscienceGhanaHumansModels, TheoreticalPhysiciansRefusal to TreatSurveys and Questionnaires

Identifiers

PMID27736992
PMCPMC5063579

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.