Evidence map›Paper›PMID 36369652›Full record

ArticleJournal of advanced nursing2023

Nurse practitioners on 'the leading edge' of medication abortion care: A feminist qualitative approach.

Andrea Carson, Emma Stirling Cameron, Martha Paynter, Wendy V Norman, Sarah Munro, Ruth Martin-Misener

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of advanced nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
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, 14 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Andrea CarsonSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0003-4223-9418
Emma Stirling CameronFaculty of Health, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0001-9388-2556
Martha PaynterSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0002-4194-8776
Wendy V NormanDepartment of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0003-4340-7882
Sarah MunroDepartment of Obstetrics & Gynaecology, University of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-3884-6592
Ruth Martin-MisenerSchool of Nursing, Dalhousie University, Halifax, Nova Scotia, Canada.ORCID https://orcid.org/0000-0003-4554-7635
Dalhousie University · CAUniversity of British Columbia · CA

Funding

Institute of Health Services and Policy Research PJT-159550
6 · The paper itself

Abstract

aimsTo explore nurse practitioners' experiences of medication abortion implementation in Canada and to identify ways to further support the implementation of medication abortion by nurse practitioners in Canada.

designA qualitative approach informed by feminist theory and integrated knowledge translation.

methodsQualitative interviews with stakeholders and nurse practitioners between January 2020 and May 2021. Data were analysed using critical feminist theory.

resultsParticipants included 20 stakeholders, 16 nurse practitioner abortion providers, and seven nurse practitioners who did not provide abortions. We found that nurse practitioners conduct educational, communication and networking activities in the implementation of medication abortion in their communities. Nurse practitioners navigated resistance to abortion care in the health system from employers, colleagues and funders. Participants valued making abortion care more accessible to their patients and indicated that normalizing medication abortion in primary care was important to them.

conclusionWhen trained in abortion care and supported by employers, nurse practitioners are leaders of abortion care in their communities and want to provide accessible, inclusive services to their patients. We recommend nursing curricula integrate abortion services in education, and that policymakers and health administrators partner with nurses, physicians, midwives, social workers and pharmacists, for comprehensive provincial/territorial sexual and reproductive health strategies for primary care. IMPACT: The findings from this study may inform future policy, health administration and curriculum decisions related to reproductive health, and raise awareness about the crucial role of nurse practitioners in abortion care and contributions to reproductive health equity. PATIENT OR PUBLIC CONTRIBUTION: This study focused on provider experiences. In-kind support was provided by Action Canada for Sexual Health & Rights, an organization that provides direct support and resources to the public and is committed to advocating on behalf of patients and the public seeking sexual and reproductive health services.

Indexed as

Abortion, InducedNurse PractitionersCanadaFemaleHumansPatient CarePregnancyReproductionabortionfeminist theoryhealth services researchnurse practitionernursingqualitative methodsreproductive health

Identifiers

PMID36369652
PMCPMC10100085
OpenAlexW4308834489

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.