Advertisement

Recruitment and retention strategies for expert nurses in abortion care provision

      Abstract

      Objective(s)

      The purpose of this thematic analysis is to describe recruitment, retention and career development strategies for expert nurses in abortion care provision.

      Study design

      Thematic analysis influenced by grounded theory methods were used to analyze interviews, which examined cognitive, emotional, and behavioral processes associated with how nurses make decisions about participation in abortion care provision. The purposive sample consisted of 16 nurses, who were interviewed between November 2012 and August 2013, who work (or have worked) with women seeking abortions in abortion clinics, emergency departments, labor and delivery units and post anesthesia care units.

      Results

      Several themes emerged from the broad categories that contribute to successful nurse recruitment, retention, and career development in abortion care provision. All areas were significantly influenced by engagement in leadership activities and professional society membership. The most notable theme specific to recruitment was exposure to abortion through education as a student, or through an employer. Retention is most influenced by flexibility in practice, including: advocating for patients, translating one's skill set, believing that nursing is shared work, and juggling multiple roles. Lastly, providing on the job training opportunities for knowledge and skill advancement best enables career development.

      Conclusion(s)

      Clear mechanisms exist to develop expert nurses in abortion care provision.

      Implications

      The findings from our study should encourage employers to provide exposure opportunities, develop activities to recruit and retain nurses, and to support career development in abortion care provision. Additionally, future workforce development efforts should include and engage nursing education institutions and employers to design structured support for this trajectory.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cullen Du-Pont K.
        Margaret Sanger, pioneering advocate for birth control.
        An autobiography. First Cooper Square Press, Rowmann & Littlefield Publishers Inc, New York, NY1999
        • Fonseca J.
        Induced abortion: nursing attitudes and action.
        Am J Nurs. 1968; 68: 1022-1027
        • Ferris L.E.
        • McMain-Klein M.
        • Iron K.
        Factors influencing the delivery of abortion services in Ontario: a descriptive study.
        Fam Plann Perspect. 1998; 30: 134-138
        • Henshaw S.
        Factors hindering access to abortion services.
        Fam Plann Perspect. 1995; 27 ([87]): 54-59
        • Kade K.
        • Kumar D.
        • Polis C.
        • Schaffer K.
        Effect of nurses’ attitudes on hospital-based abortion procedures in Massachusetts.
        Contraception. 2004; : 59-62
        • Leeman L.
        • Espey E.
        “You can’t do that ‘round here”: a case study of the introduction of medical abortion care at a University Medical Center.
        Contraception. 2005; 71: 84-88
        • Lindstrom M.
        • Wulff M.
        • Dahlgren L.
        • Laslos A.
        Experiences of working with induced abortion: focus group discussions with gynaecologists and midwives/nurses.
        Scand J Caring Sci. 2011; 25: 542-548
        • Marek M.J.
        Nurses’ attitudes toward pregnancy termination in the labor and delivery setting.
        JOGNN. 2003; 33: 472-479
        • Gallaher K.
        • Porock D.
        • Edgley A.
        The concept of “nursing” in the abortion services.
        J Adv Nurs. 2010; 2010: 849-857
        • Marshall S.L.
        • Gould D.
        • Roberts J.
        Nurses’ attitudes toward termination of pregnancy.
        J Adv Nurs. 1994; 20: 567-576
        • McLemore MR
        • Kools S
        • Levi A
        Calculus Formation: Expanding Our Understanding of Nurse Decision-Making. 1994; ([Under Review])
        • Hendershot G.E.
        • Grimm J.W.
        Abortion attitudes among nurses and social workers.
        Am J Public Health. 1974; 64: 438-441
        • Benner P.
        From novice to expert.
        Am J Nurs. 1982; 82: 402-407
        • Braun V.
        • Clarke V.
        Using thematic analysis in psychology.
        Qual Res Psychol. 2006; 3: 77-101
        • American Association of Colleges of Nursing [AACN]
        Annual report.
        (retrieved from) ([on 6/29/2014])
        • McHugh M.D.
        • Lake E.T.
        Understanding clinical expertise: nurse education, experience and the hospital context.
        Res Nurs Health. 2010; 33: 276-287
        • Steinauer J.E.
        • Turk J.K.
        • Preskill F.
        • Devaskar S.
        • Freedman L.
        • Landy U.
        Impact of partial participation in integrated family planning training on medical knowledge, patient communication and professionalism.
        Contraception. 2014; 89: 278-285
        • Turk J.K.
        • Steinauer J.E.
        • Landy U.
        • Kerns J.L.
        Barriers to D&E practice among family planning subspecialists.
        Contraception. 2013; 88: 561-567
        • Martin L.A.
        • Debbink M.
        • Hassinger J.
        • Youatt E.
        • Harris L.H.
        Abortion providers, stigma and professional quality of life.
        Contraception. 2014; 90: 581-587
        • Institute of Medicine [IOM]
        The future of nursing: leading change, advancing health.
        2010 ([Retrieved from: http://www.iom.edu/Reports/2010/the-future-of-nursing-leading-change-advancing-health.aspx on 6/29/2014])
        • McLemore MR
        • Levi A
        Nurses and care of women seeking abortions, 1971–2011.
        JOGNN. 2011; 40: 672-677