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dc.contributor.authorKjelsvik, Marianneen_US
dc.contributor.authorSekse, Ragnhild Johanne Tveiten_US
dc.contributor.authorMoi, Asgjerd Litleréen_US
dc.contributor.authorAasen, Elin Margretheen_US
dc.contributor.authorGjengedal, Evaen_US
dc.PublishedKjelsvik M, Sekse RJT, Moi AL, Aasen EM, Gjengedal E. Walking on a tightrope : caring for ambivalent woman considering abortions in the first trimester. Journal of Clinical Nursing. 2018;27(21-22):4192-4202eng
dc.description.abstractAims and objectives: To improve the understanding and competence of health personnel when caring for ambivalent pregnant women, the aim of this study was to explore the experiences of encountering women who are unsure whether to complete or terminate pregnancy. Background: Feelings of ambivalence are present in a significant number of women preparing for abortions and may challenge the provision of health care. Health personnel have reported an ideal to be nonjudgemental and supportive. Insufficient attention has been directed to the experiences of health personnel who prepare women for abortions in gynaecological units. Design: Qualitative design with a hermeneutic‐phenomenological approach. Methods: Focus group interviews were conducted with health personnel from four gynaecological outpatient clinics and wards in Norway (n = 20). Results: The health personnel felt responsible for contributing to patient well‐being. This demanded focused attention towards all women being prepared for abortions and meant a consciousness and balancing act towards revealing, handling and being involved in the woman's potential unsureness without influencing her decision. When involved, the health personnel risked being confronted with their own vulnerabilities and values. Conclusions: The health personnel tried to balance their care and support without influencing the woman's decision. Although they viewed the women as fully autonomous and responsible, they became personally involved, to varying degrees, in the uncertainty and were faced with their own vulnerabilities and values. They lacked a possibility for immediate debriefing and regular counselling after complicated consultations. Relevance to clinical practice: Knowledge of the experiences of health personnel can provide input for professional development at gynaecological departments. These findings contribute to discussions about what information should be given and whether the woman's feelings should be discussed in preparation for an abortion. The ability of health personnel to discuss subjects related to ethically challenging encounters with women who are considering abortions should be established, namely, professional education and workshops at the national level and small groups with counselling and case study discussions at hospitals.en_US
dc.rightsAttribution CC BY-NCeng
dc.subjectfocus groupseng
dc.subjectnurse practitionerseng
dc.subjectnurse–patient relationshipeng
dc.subjectqualitative studyeng
dc.subjectregistered nurseseng
dc.subjectreproductive healtheng
dc.subjectwomen's healtheng
dc.titleWalking on a tightrope : caring for ambivalent woman considering abortions in the first trimesteren_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2018 The Authors
dc.source.journalJournal of Clinical Nursing

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