Understanding the extent of and limitations to conscientious objection by health care practitioners to abortion

了解医疗保健从业人员出于良心拒绝堕胎的程度和限制

• 批准号: ES/R008841/1
• 负责人: Valerie Fleming
• 金额: $ 25.28万
• 依托单位: Liverpool John Moores University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2018
• 资助国家: 英国
• 起止时间: 2018 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FR008841%2F1
• 关键词: Understanding; extent; limitations; conscientious; objection

Project title Understanding the extent of and limitations to conscientious objection by health care practitioners to abortionContextThe 1967 Abortion Act, which was the first legislation on abortion to cover Scotland, England and Wales, has had a significant impact on social norms and healthcare practice. There was substantial controversy around the introduction of the Act and now with its Act's 50th anniversary, the topic is once more being brought to society's attention through various radio and television programmes and workshops and conferences being held in a number of locations. These have shown that the 'abortion debate' still has the power to be socially-divisive today.However, another question has come to the fore and that is the right by health care practitioners (HCPs) to 'conscientious objection' under section 4 of the Act. At the time of its enactment, this right was granted without question but in more recent times, especially with changes to the practice of carrying out abortions, it has been called into question and its limits have become blurred. Aim, research questions and objectives.Aim Our research aims to identify the appropriate parameters of conscientious objection (CO) to abortion, and communicate the findings to a range of national and international beneficiaries. Key research questions1. What do health care practitioners understand as constituting 'participation in abortion'?2. Which elements of the abortion process should professionals be permitted to withdraw from on grounds of conscience?Main objectives1. To explore what HCPs understand as constituting 'participation in abortion' by gathering empirical evidence from HCPs working in two geographical areas, both of which provide the full range of abortion services2. To synthesise this evidence with that already available in academic literature, policy documents and legal proceedings 3. Ultimately, to produce recommendations and guidance on the appropriate parameters of CO to abortion by HCPsPotential application and benefitThrough the dual approach grounded in empirical and philosophical enquiry the key deliverable from this study will be the identification and delivery of specific recommendations of appropriate parameters for CO to abortion to health care institutions throughout the UK. The findings will thus have the potential to inform governance, management, and practice in medicine, midwifery, nursing and pharmacy; to impact upon regulation of CO by the UK and devolved governments; and to influence policymaking by international organisations such as the WHO and the international professional bodies. We will then provide clear guidelines for national use. Our study will be unique in several respects:(I) it will be truly multi-disciplinary and will involve academics and HCPs with diverse expertise; (II) it will proceed upon a purposive premise, whereas most academic enquiry about CO proceeds on the basis of an ideological commitment to defending/opposing CO; (III) it will be the first research in its field to employ parallel empirical and philosophical methodologies; whereas most academic study of CO is either heavily empirical or heavily philosophical, our study will start at ground level, collecting perspectives from HCPs whose roles bring them into contact with the abortion process, and subjecting the data gathered to philosophical analysis. .

项目标题了解医疗保健从业人员对堕胎的良心反对的程度和限制1967年的堕胎法，这是第一部涵盖苏格兰，英格兰和威尔士的堕胎立法，对社会规范和医疗保健实践产生了重大影响。该法的出台引起了很大的争议，现在正值该法50周年，通过各种广播和电视节目以及在一些地方举行的讲习班和会议，这一主题再次引起了社会的注意。这些都表明，“堕胎辩论”今天仍然有力量造成社会分裂。然而，另一个问题已经浮出水面，那就是根据该法第4条，卫生保健从业人员（HCP）有权“出于良心拒服兵役”。这项权利在颁布时是毫无疑问地给予的，但最近，特别是随着堕胎做法的改变，这项权利受到质疑，其界限变得模糊。目的，研究问题和objectives.Aim我们的研究旨在确定出于良心拒服兵役（CO）堕胎的适当参数，并将研究结果传达给一系列国家和国际受益者。关键研究问题1.保健从业人员如何理解"参与堕胎“？2.堕胎过程中的哪些环节应允许专业人员出于良心退出？主要目标1.通过从两个地理区域的HCP（这两个区域都提供全方位的堕胎服务）收集经验证据，探索HCP对构成“参与堕胎”的理解。将这些证据与学术文献、政策文件和法律的诉讼中已有的证据综合起来3.最终，通过HCP对CO堕胎的适当参数提出建议和指导潜在的应用和益处通过基于经验和哲学探究的双重方法，本研究的关键成果将是确定并向整个英国的医疗保健机构提供CO堕胎的适当参数的具体建议。因此，研究结果将有可能为医学，助产士，护理和药学的治理，管理和实践提供信息;影响英国和下放政府对CO的监管;并影响世卫组织和国际专业机构等国际组织的决策。然后，我们将提供明确的准则供各国使用。我们的研究将在以下几个方面是独一无二的：（一）它将是真正的多学科，并将涉及学者和HCP与不同的专业知识;（二）它将继续在一个有目的的前提下，而大多数关于CO的学术研究收益的基础上，意识形态承诺，以捍卫/反对CO;（三）这将是第一个研究在其领域采用平行的经验和哲学方法;鉴于大多数CO的学术研究要么是大量的经验主义，要么是大量的哲学，我们的研究将从基层开始，收集来自HCP的观点，他们的角色使他们接触到堕胎过程，并对收集的数据进行哲学分析。.

项目成果

Accommodating conscientious objection in the midwifery workforce: a ratio-data analysis of midwives, birth and late abortions in 18 European countries in 2016.

包容助产士队伍中的良心拒绝：2016 年 18 个欧洲国家助产士、出生和晚期堕胎的比率数据分析。

• DOI: 10.1186/s12960-020-00482-y
• 发表时间: 2020
• 期刊: Human resources for health
• 影响因子: 4.5
• 作者: Fleming V

Die Gewissensentscheidung von Hebammen am Beispiel von ABORTION-RELATED CARE Einblicke in hebammenwissenschaftliche Forschung in einem komplexen Forschungsfeld

堕胎相关护理的医疗保健在复杂的医疗领域中的研究

• 发表时间: 2020
• 作者: Ramsayer, B

Accommodating conscientious objection in the midwifery workforce: a ratio-data analysis of midwives, birth and late abortions in 18 European countries in 2016

包容助产士队伍中的良心拒绝：2016 年 18 个欧洲国家助产士、分娩和晚期堕胎的比率数据分析

• DOI: 10.21203/rs.2.23385/v1
• 发表时间: 2020
• 作者: Fleming V

Conscientious objection to participation in abortion by midwives and nurses: a systematic review of reasons.

• DOI: 10.1186/s12910-018-0268-3
• 发表时间: 2018-04-27
• 期刊: BMC medical ethics
• 影响因子: 2.7
• 作者: Fleming V;Frith L;Luyben A;Ramsayer B
• 通讯作者: Ramsayer B

Conscience and conscientious objection: The midwife's role in abortion services.

• DOI: 10.1177/0969733020928416
• 发表时间: 2020-07-06
• 期刊: Nursing ethics
• 影响因子: 4.2
• 作者: Ramsayer B;Fleming V
• 通讯作者: Fleming V