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

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Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services. / Stifani, Bianca M; Mishtal, Joanna; Chavkin, Wendy et al.
In: SSM. Qualitative research in health, Vol. 2, 100090, 31.12.2022.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Stifani, BM, Mishtal, J, Chavkin, W, Reeves, K, Grimes, L, Chakravarty, D, Duffy, D, Murphy, M, Horgan, T, Favier, M & Lavelanet, A 2022, 'Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services', SSM. Qualitative research in health, vol. 2, 100090. https://doi.org/10.1016/j.ssmqr.2022.100090

APA

Stifani, B. M., Mishtal, J., Chavkin, W., Reeves, K., Grimes, L., Chakravarty, D., Duffy, D., Murphy, M., Horgan, T., Favier, M., & Lavelanet, A. (2022). Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services. SSM. Qualitative research in health, 2, Article 100090. https://doi.org/10.1016/j.ssmqr.2022.100090

Vancouver

Stifani BM, Mishtal J, Chavkin W, Reeves K, Grimes L, Chakravarty D et al. Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services. SSM. Qualitative research in health. 2022 Dec 31;2:100090. Epub 2022 Apr 26. doi: 10.1016/j.ssmqr.2022.100090

Author

Stifani, Bianca M ; Mishtal, Joanna ; Chavkin, Wendy et al. / Abortion policy implementation in Ireland : successes and challenges in the establishment of hospital-based services. In: SSM. Qualitative research in health. 2022 ; Vol. 2.

Bibtex

@article{51d1dd37ec1048568addd5792137cca5,
title = "Abortion policy implementation in Ireland: successes and challenges in the establishment of hospital-based services",
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.",
keywords = "Abortion, Termination of pregnancy, Policy implementation, Contextual interaction theory, Motivation, Information, Power, Republic of Ireland",
author = "Stifani, {Bianca M} and Joanna Mishtal and Wendy Chavkin and Karli Reeves and Lorraine Grimes and Dyuti Chakravarty and Deirdre Duffy and Mark Murphy and Trish Horgan and Mary Favier and Antonella Lavelanet",
year = "2022",
month = dec,
day = "31",
doi = "10.1016/j.ssmqr.2022.100090",
language = "English",
volume = "2",
journal = "SSM. Qualitative research in health",
issn = "2667-3215",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Abortion policy implementation in Ireland

T2 - successes and challenges in the establishment of hospital-based services

AU - Stifani, Bianca M

AU - Mishtal, Joanna

AU - Chavkin, Wendy

AU - Reeves, Karli

AU - Grimes, Lorraine

AU - Chakravarty, Dyuti

AU - Duffy, Deirdre

AU - Murphy, Mark

AU - Horgan, Trish

AU - Favier, Mary

AU - Lavelanet, Antonella

PY - 2022/12/31

Y1 - 2022/12/31

N2 - 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.

AB - 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.

KW - Abortion

KW - Termination of pregnancy

KW - Policy implementation

KW - Contextual interaction theory

KW - Motivation

KW - Information

KW - Power

KW - Republic of Ireland

U2 - 10.1016/j.ssmqr.2022.100090

DO - 10.1016/j.ssmqr.2022.100090

M3 - Journal article

C2 - 36531297

VL - 2

JO - SSM. Qualitative research in health

JF - SSM. Qualitative research in health

SN - 2667-3215

M1 - 100090

ER -