住院医师在堕胎训练中的道德痛苦体验

IF 2.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2025-10-13 DOI:10.1016/j.contraception.2025.111102

JK Turk, E Claymore, J Steinauer

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引用次数: 0

摘要

目的探讨妇产科住院医师在堕胎和计划生育轮转中是否以及如何经历道德困扰。方法：自2003年以来，瑞安计划一直对轮换后的住院医师进行调查。在2023年5月，增加了一些问题，询问妇产科医生在各种堕胎限制之后，他们是否以及如何在培训中经历了道德上的痛苦。“道德困境”被定义为“卫生工作者由于无法控制的情况而无法履行职责时所经历的紧张和冲突”。使用内容分析对主题内容的定性回答进行编码和分析。结果从2023年5月至2025年4月共收集问卷199份，回复率为70%。受访者为：90%为女性，59%为白人，20%为亚洲人，10%为黑人，4%为拉丁裔，7%为多种族，42%居住在限制堕胎的州。59%的人打算为所有适应症提供堕胎，79%的人打算为妊娠并发症提供堕胎；76%的人表示，自多布斯诉杰克逊妇女健康组织以来，她们提供堕胎服务的意愿有所增加。总体而言，45%的受访者表示，他们在堕胎培训中经历了道德困扰，其中22%的受访者来自受保护州，61%来自受限制州。结论妇产科住院医师描述了他们在堕胎轮转和病人护理中的道德痛苦经历，以及限制如何影响他们提供堕胎服务的意愿。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

RESIDENTS’ EXPERIENCES OF MORAL DISTRESS IN ABORTION TRAINING

Objectives

We aimed to explore if and how Ob-Gyn residents have experienced moral distress in the abortion and family planning rotation.

Methods

The Ryan Program has administered post-rotation resident surveys since 2003. In May 2023, questions were added asking Ob-Gyn residents if and how they have experienced moral distress in their training in the wake of various abortion restrictions. “Moral distress” was defined as “a tension and conflict that health workers experience when they are unable to fulfill their duties due to circumstances outside of their control.” Qualitative responses were coded and analyzed for thematic content using content analysis.

Results

We collected 199 surveys between May 2023 and April 2025 (response rate, 70%). Respondents were: 90% female, 59% White, 20% Asian, 10% Black, 4% Latinx, 7% multiple races, and 42% resided in abortion-restricted states. Fifty-nine percent intended to provide abortion for all indications, 79% for pregnancy complications; 76% indicated that their intention to provide abortion had increased since Dobbs v Jackson Women’s Health Organization. Overall, 45% reported that they experienced moral distress in their abortion training, including 22% of respondents in protected states, and 61% in restricted states.

Conclusions

Ob-Gyn residents described their experiences of moral distress on the abortion rotation and patient care, and how restrictions affected their intentions to provide abortion.

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.