Evidence map›Paper›PMID 36531297›Full record

ArticleSSM. Qualitative research in health2022

Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services.

Bianca M Stifani, Joanna Mishtal, Wendy Chavkin, Karli Reeves, Lorraine Grimes, Dyuti Chakravarty, Deirdre Duffy, Mark Murphy, Trish Horgan, Mary Favier and 1 more

Abstract read
In one paragraph

Article in SSM. Qualitative research in health, 2022. 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
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Sexual and reproductive health matters · 2023
    Article
  8. Step by Step in Argentina: Putting Abortion Rights into Practice.International journal of women's health · 2023
    Review
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

11 authors.

Bianca M StifaniAlbert Einstein College of Medicine / Montefiore Medical Center, Bronx, NY, USA.
Joanna MishtalDepartment of Anthropology, University of Central Florida, Orlando, FL, USA.
Wendy ChavkinColumbia University Mailman School of Public Health, New York, NY, USA.
Karli ReevesCollege of Medicine, University of Central Florida, Orlando, FL, USA.
Lorraine GrimesSocial Science Institute, Maynooth University, Ireland.
Dyuti ChakravartySchool of Sociology, University College Dublin, Ireland.
Deirdre DuffyDepartment of Social Work and Social Care, Manchester Metropolitan University, UK.
Mark MurphyEldon Family Practice, Dublin, Ireland.
Trish HorganBroadlane Family Practice, Cork, Ireland.
Mary FavierDoctors for Choice, Cork, Ireland.
Antonella LavelanetUNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211, Geneva, Switzerland.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Objective: To describe successes and highlight remaining challenges in the establishment of hospital-based abortion services after legal change in the Republic of Ireland. Methods: We conducted a mixed-methods study on the implementation of abortion policy in Ireland. In this manuscript, we present the results from a qualitative analysis of in-depth interviews conducted with hospital-based providers, service users, and key informants. We used Dedoose software to conduct a thematic analysis of the data. Results: We report findings from interviews with 28 obstetrician gynecologists, midwives, psychiatrists, anesthesiologists, and nurses; a subset of 7 service users who sought care in hospitals; and 27 key informants. In this analysis, we describe how key themes that pertain to information, capacity and power, facilitated and hindered the implementation of hospital-based abortion services. We found that individual champions are key to establishing the service, but their motivation is not always sufficient to integrate abortion into existing clinical services, and conscientious objection is a persistent barrier to expanding abortion services. The main challenges highlighted here are lack of abortion provision at some hospitals and limited access to surgical abortion at most hospitals due to provider-level, logistical, and infrastructure barriers. Conclusions: This study presents new information on how abortion policy is implemented on the ground in hospital settings. Its findings can inform public health officials and providers in Ireland and other countries wishing to establish abortion services.

Indexed as

AbortionContextual interaction theoryInformationMotivationPolicy implementationPowerRepublic of IrelandTermination of pregnancy

Identifiers

PMID36531297
PMCPMC9748298

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.