An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities

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dc.contributor.author Kirk, S en
dc.contributor.author Beddoe, Elizabeth en
dc.contributor.author Chinnery, Shirley Ann en
dc.date.accessioned 2019-05-27T02:28:37Z en
dc.date.issued 2017-12-28 en
dc.identifier.citation Aotearoa New Zealand Social Work Review 30(3):31-44 28 Dec 2017 en
dc.identifier.issn 1178-5527 en
dc.identifier.uri http://hdl.handle.net/2292/46544 en
dc.description.abstract Introduction: Termination of pregnancy (ToP) service delivery in Aotearoa New Zealand occurs within a multi-dimensional system which is influenced and shaped by various philosophical, political and economic discourses, and is comprised of interconnected components. One component is the provision of counselling for women seeking a termination of pregnancy. This study aimed to explore how service managers and social work practitioners perceived how ToP services, particularly the counselling component therein, were being delivered nationally. Methods: A concurrent, multi-level, mixed-methods research design was employed in the study. Two purposively selected sample groups comprising: 1) service managers responsible for the oversight of ToP service delivery; and 2) ToP counselling practitioners were recruited from 19 District Health Boards (DHBs) across Aotearoa New Zealand. Service managers (20) participated in interviews with a focus on capturing information about operational systems that supported or hindered the delivery of ToP and counselling services, while 26 social work and counselling practitioners participated in an electronic survey questionnaire. Qualitative data were thematically analysed and quantitative data were descriptively analysed using descriptive statistics. Findings: Results from this mixed-methods study were integrated at the level of interpretation and linkage between the methods showed that practice within ToP licensed facilities varied markedly. Specifically, nine practice and systemic variations were identified that had implications for women receiving ToP services. Existing variations across licensed facilities were signalled as disconnects between components of the service delivery system. Conclusions: Recommendations that address variations and systemic disconnects are offered to the New Zealand Abortion Supervisory Committee and Ministry of Health. Further research is suggested to obtain the perspective of service users as this was one limitation of this small exploratory study. en
dc.publisher Aotearoa New Zealand Association of Social Workers en
dc.relation.ispartofseries Aotearoa New Zealand Social Work Review en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title An investigation of the nature of termination of pregnancy counselling within the current system of licensed facilities en
dc.type Journal Article en
pubs.issue 3 en
pubs.begin-page 31 en
pubs.volume 30 en
dc.rights.holder Copyright: The authors en
pubs.end-page 44 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 763160 en
pubs.org-id Education and Social Work en
pubs.org-id Counselling,HumanServ &Soc.Wrk en
pubs.record-created-at-source-date 2019-02-20 en


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