Activity Form

ISU-I
NUR311 Research
Activity
Name: Jomari P. Jimenez
Year and Section: BSN3- C
NRES LAB
Directions: Choose one broad topic related to Nursing that interests you. Then, do preliminary
research about this topic. Take note of at least five (5) related studies with its
corresponding author/s, then list three (3) quantitative and (3) qualitative research questions related
to it. Follow the format below.
Broad Topic: Abortion

1. Title: Abortion during the Covid 19 pandemic: ensuring access to an essential health service.
Author/s: Michelle J. Bayefsky, B.A., Deborah Bartz, M.D., M.P.H., and Katie L. Watson, J.D.
Year of Publication: 2020
Name of Journal/Publication: The New England Journal of Medicine
Link/Reference: https://www.nejm.org/doi/full/10.1056/NEJMp2008006
Notes/ Important information:
 5 state governments in America ordered a halt to abortion care throughout the Covid 19. Meanwhile, other state
directed that surgical abortion alone must stop. In Texas, the cessation of abortion resulted thousands of women
turned down away from abortion care.
 In ordinary times, access to abortion is essential because deciding whether and when to bear a child is central to
women’s self – determination and equal participation in society. During pandemic such access is even more
important. First, because women may have less access to contraception or difficulty in travelling safely to a
pharmacy. Second, ambulatory clinics have restricted in outpatient visits including placement of contraceptive
devices. Lastly, possible that woman increased time at home may also increase couple’s sexual activity or
increased intimate partner violence and sometimes sexual coercion and assault that may result in unplanned
pregnancy. Due to financial hardship brought by pandemic in many families, the inability to support a child is a
leading reason that women choose to have an abortion.
 Politicians and others advocating for the closure of abortion clinics claim that their goal is to increase the
availability of personal protective equipment (PPE) for medical staff treating Covid – 19. However, woman who
are unable to obtain an abortion will either remain pregnant and require prenatal care and support during delivery
or may use dangerous methods to induce an abortion on their own. Hence, both of these scenarios could lead to
much more contact with clinicians and greater need for PPE, also increasing the risks to both patients and staff.
2. Title: The role of nurses and midwives in the provision of abortion care: A scoping review
Author/s: Lydia Mainey RN, MPH,Catherine O’Mullan PhD, MSc, BA Hons,Kerry Reid-Searl PhD, RN,
RM,Annabel Taylor PhD,Kathleen Baird PhD, RM,
Name of Journal/Publication: Journal of Clinical Nursing (JCN)
Link/Reference: https://onlinelibrary.wiley.com/doi/full/10.1111/jocn.15218
 The literature on nursing and midwifery practice in abortion is broad. Abortion related practices are potentially
over – regulated. Appropriately trained nurses and midwives can provide abortions as safely as physicians.
Healthcare organizations should explore person – centered models of abortion care.
 Nurses and midwives provide technical and psychosocial care to women who seek abortions. Governments and
regulatory bodies could safely extend their scope of practice to increase women’s access to safe abortions.
Introduction of education programs, as well as embedding practice in person – centered models of care, may
improve outcomes for women seeking abortions.
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3. Title: Unintended pregnancy and abortion by income, religion, and the legal status of abortion: estimates from a
comprehensive model for 1990 - 2019
Author/s: Jonathan Bearak PhD, Anna Popinchalk MPH, Bela Ganatra MD, Ann – Beth Moller MPH, Ozge Tuncalp
MD, Cynthia Beavin BA, Lorraine Kwok BA, Leontine Alkema PhD
Name of Journal/Publication: The Lancet Global Health
Link/Reference: https://reader.elsevier.com/reader/sd/pii/S2214109X20303156?
token=32A069D2737BB5B271BB10FB562921845E858E92F7EEAB2C3274433E5744419703A9439D965561F3039
9B8519B5E3E67&originRegion=eu-west-1&originCreation=20210923030345
 For 2015 – 2019, low-income countries had the highest unintended pregnancy rate and the lowest proportions of
unintended pregnancies ending in abortion.
 The trends in abortion rates were more nuanced, which can be explained by how the proportions of unintended
pregnancies ending in abortions generally increased throughout the 30-year period. This trend could reflect
increases in access to abortion, such as through the spread of medication abortion, on a stronger motivation to
avoid unintended births.
 We found no evidence that abortion rates were lower in settings where abortions were restricted also made little
difference on the abortion rate due to unintended pregnancy rates being substantially higher in countries where
abortions were restricted.
 Averaging among all other countries where abortion is broadly legal, abortion rates were higher among countries
where abortion was restricted.
 We also found that the proportion of unintended pregnancies ending in abortions increased in countries where
abortions was legally restricted.
 High income countries where abortion is broadly legal had the lowest unintended pregnancy rate, abortion rate,
and proportion of unintended pregnancies ending in abortion. Among middle – income and low – income
countries there was not a clear relationship between legal restrictions and abortion rates, or the proportion of
unintended pregnancies ending in abortion.
4. Title: Transgender abortion patients and the provision of transgender – specific care at non-hospital facilities that
provide abortions
Author/s: Rachel K. Jones, Elizabeth Witwer, Jenna Jerman
Name of Journal/Publication: Contraception: x – Journal - Elsevier
Link/Reference: https://reader.elsevier.com/reader/sd/pii/S2590151620300022?
token=81A9F4B6F047648FA9E5B73E64CEE221BBD524459A4C6CCC4D9CEB851EDEC1D455F38D9F0874FC4
0B8A5EE27E14395D7&originRegion=eu-west-1&originCreation=20210923042232
 In 201, there were 1069 non – hospital facilities providing abortion care, and 85 reported providing abortions to
230 Transgender Non-Binary (TGNB) individuals. The majority occurred in specialized or non – specialized
clinics, though 2 were reported to be provided in physicians offices. Our weighted estimates suggests that these
figures represent between 462 and 530 TGNB abortion patient nationwide.
 Some 122 clinic facilities provided transgender-specific health services, and the weighted estimate suggests that
23% of all U.S. clinics offering abortions provided this type of care. An additional 38 physicians' offices reported
providing transgender-specific health care. In the unweighted data, 58 nonhospital facilities that provided
abortions to TGNB patients did not provide transgender-specific health care, and estimate that only 70 of the 230
(30%) abortions provided to TGNB individuals occurred at facilities that provided transgender-specific health
services.
 Some abortion – providing facilities do not routinely document the gender identity of abortion patients and for
those that do, it may be underreported or not always captured due to concerns around stigma and confidentiality.
5. Title: Self-managed abortion: A systematic scoping review
Author/s: Heidi Moseson, Stephanie Herold, Sofia Filippa, Jill Barrwalker, Sara E. Baum, Caitlin Gerdts
Name of Journal/Publication: Elsevier
Link/Reference: https://reader.elsevier.com/reader/sd/pii/S1521693419301191?
token=2F2746F4076BB795C2D4EFE2D3B102A7C77F2CF6294CB0296BA423C258B34CE28F3849815DBFDB68
B281AEDCBD60ED0B&originRegion=eu-west-1&originCreation=20210924014828
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 The study found a substantial number of reported of non-medication-based methods, including ingesting
plants/herbs, toxic substances, intrauterine trauma, physical trauma, alcohol and drug abuse, and more. Reported
safety outcomes included signs of complications, rare actual complications, and, even more rarely, adverse events.
Studies reporting on self-managed medication abortion reported high-levels of effectiveness. Due to the variation
in definitions of effectiveness and the wide range of methods of self-managed abortion presented in the included
studies, an overall assessment of the effectiveness of the complete range of methods of self-managed abortion was
not possible.
QUANTITATIVE RESEARCH QUESTIONS:

Question 1: How many times did abortion comes in your mind as an option?
Question 2: How often do you visit a facility providing abortion care?
Question 3: What is the difference in taking misoprostol with or without mifepristone between teens and adult?
QUALITATIVE RESEARCH QUESTIONS:

Question 1: Describe the last time that you seek these services.
Question 2: Why did you choose medication abortion over surgical abortion or vice versa?
Question 3: How would you describe the procedure in a facility providing abortion care?

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Broad Topic: Abortion

QUANTITATIVE RESEARCH QUESTIONS:

QUALITATIVE RESEARCH QUESTIONS:

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