narrative writing pdf article
Other studies highlight the isolation of women undergoing TOP and their concerns to conceal it from others [21, 26]. 2001, 9 (17): 37-43. Studies conducted with women under the age of 21 revealed that other factors such as immaturity, parental attitudes, and education and employment prospects were more important than moral considerations [24, 29, 30]. 2000, 62: 117-124. Even so, mifepristone has only been approved in the US since September 2000, whereas the UK and Sweden have had more than a decade of experience of its use and it is approved for use in 14 European countries [11]. The object of the study is to find out the students achievement in writing narrative texts. Reproductive Health Matters. As such, medical TOP was associated with reduced feelings of guilt for some participants in her study. Journal of Family Planning and Reproductive Health Care. 10.1002/(SICI)1098-240X(199708)20:4<365::AID-NUR9>3.0.CO;2-E. CAS 10.1016/j.contraception.2004.08.013. 2001, 3 (1): 49-66. BMC Health Service Research. Contraception. These included a study embedded in the 199495 pre-legalisation clinical trials of mifepristone [15], and two studies of the home administration of mifepristone within the Abortion Rights Mobilisation Trials [16, 17]. 1999, 14 (10): 2669-2675. In the UK, expectations of better personal treatment and confidentiality were also reasons why some women chose private or voluntary sector clinics over National Health Service (NHS) clinics, although cost is an issue [19]. Mays N, Pope C: Qualitative research in health care. The effect of such attitudes is assumed to discourage women from seeking abortion, but there is no systematic evidence to support this assumption. 2004, 58 (12): 2559-2569. Alx L, Hammarstrm A: Women's experiences in connection with induced abortion - a feminist perspective. Trnbom M, Mller A: Repeat abortion: a qualitative study. May C: A rational model for assessing and evaluating complex interventions in health care. It starts with fluency practice and works towards developing accuracy. Google Scholar. PubMed Scandinavian Journal of Caring Services. To undertake a narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods. In the US, Pro-Life argument against TOP is rich with images of a destructive, act, often explicitly called murder, leading some women to think that they 'killed a baby', but also realising 'it wasn't really a child' [17]. Terms and Conditions, In this article, I therefore intend to present some thoughts on narrative inquiry as being both the phenomenon and method. The review identified two groups of qualitative studies on TOP. Journal of Evaluation in Clinical Practice. 10.2307/3030230. Teaching writing to Senior High School is not an easy task. This is also true of many of the qualitative studies reviewed in this paper, suggesting that major opportunities to inform current policy and practice debates utilizing the strengths of qualitative methods have been missed. Studies that focused on experiences of medical TOP, (n = 4, summarised in table 1) mainly in comparison with experiences of surgical TOP. 10.1016/S0968-8080(05)26199-2. Funding agreements with these agencies ensured the authors' independence in designing the study, interpreting the data, writing, and publishing the report. 10.1016/S0277-9536(97)10063-6. These searches revealed four comparative qualitative studies of surgical versus medical TOP [1518] of which three were conducted in the US and one in Latin America. 2001, 33 (5): 212-216. Women's cultural affiliations and beliefs also have a bearing on their emotional experiences [18, 22, 27]. (Grant 03/11/02: ISRCTN07823656 A randomised preference trial of medical versus surgical termination of pregnancy less then 14 weeks' gestation). Further evidence of this comes from another British study [28], where participants (n = 21) reported difficulties in getting an urgent appointment with their family doctor, problems with the NHS telephone booking system and being asked by doctors to further consider their decision, thus delaying the process. To undertake a narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods. Home TOP using mifepristone appears attractive to women who are concerned about professionals' negative attitudes and lack of privacy in formal healthcare settings but also leads to concerns about management and safety. Download lesson plan 79k pdf. The authors declare that they have no competing interests. "The" In the US, Fielding [17] and Elul [16] identified familiar surroundings, privacy and not having to encounter strangers, as adding to women's appreciation of home TOP. A study [27] on the long term emotional effects of abortion found that more than half of the women who had reported both positive and painful feelings continued to report these feelings after 12 months. 10.2307/3097714. Journal of Psychosomatic Obstetrics and Gynecology. The primary focus of the review is therefore on women's experiences of TOP, and this meant that other studies (for example qualitative studies of attitudes and moral considerations) were excluded. It is argued that TOP allows women to return to 'normality' psychologically, physiologically and socially, and women appreciated being treated in a non-stigmatised way [19]. Only two studies interviewed participants prior to TOP [20, 30]; two were longitudinal [24, 35]; and two investigated the longer term effects of abortion [31, 32]. Oakley A: Telling the truth about Jerusalem. A Canadian study [21] identified a mismatch between women's normative expectations that health care providers should provide them with options and access to whatever medical services they might need, and what they perceived to be an unsympathetic reception from medical staff. 10.1177/1049732304263677. 2006, 6: 86-10.1186/1472-6963-6-86. This article is published under license to BioMed Central Ltd. An American study recommended that each patient be given a choice in the amount of information she receives, and information packs could be provided accordingly [17]. 4. This lesson is aimed at developing the ability to tell stories or anecdotes. 10.1080/14768320600682384. 10.1111/1467-9566.00165. Jones RK, Henshaw SK: Mifepristone for Early Medical Abortion: Experiences in France, Great Britain and Sweden. 2003, 65: 217-226. In most studies, information provision and knowledge were critical factors. This paper goes some way towards filling that gap by providing a narrative review of qualitative studies of women's experiences of TOP and their perspectives on surgical or medical methods. PubMed Andrews J, Boyle J: African American Adolescents' Experiences with Unplanned Pregnancy and Elective Abortion. The final project is about the teaching narrative texts in improving writing skill to the tenth grade students of SMA N 1 Petarukan. An initial scoping exercise established that the qualitative research literature was too heterogeneous to permit a systematic review of qualitative studies along the lines proposed by Dixon-Woods [12], or a theoretical qualitative meta-synthesis using the methods proposed by Sandelowski [13]. Feelings of ambivalence in the decision-making process were highlighted in a Swedish study [26], where women felt positive towards the right to abortion, but negative about their own decision to abort. Google Scholar. A further 14 qualitative studies of women's experiences of TOP using either method were identified [1932]. In reports [15] of experiences with surgical TOP, treatment by medical staff figured more prominently than the actual physical experience of abortion. 10.1783/147118904322702009. This paper does not represent the views of the NIHR or ESRC. Lone mothers are often economically disadvantaged, but in Sweden, where universal childcare provision makes lone parenthood economically viable, one study showed that participants (n = 5) preferred not to bring up children on their own [26]. Article While one study [28] recruited a significant proportion (two thirds) from minority ethnic communities, no attempt was made to explain their results on the basis of ethnicity. Studies that explored general experiences of TOP (n = 14, summarised in table 2). These focused on the process of arranging TOP [19, 28], and the experience of undergoing it [21, 22, 26, 30]. Keyword searches of Medline, CINAHL, ISI, and IBSS databases. This review leads to four main conclusions. Kero A, Lalos A, Hgberg U, Jacobsson L: The male partner involved in legal abortion. Manual searches of other relevant journals and reference lists of primary articles. Read us. The US studies focused on women's perceptions of medical abortion as a new procedure, and often compared this with surgical TOP. Correspondence to MLSL's contribution to this paper was supported by funding from the NIHR HTA R&D Programme. 2002, 34 (1): 34-40. Psychology and Health. university, women's magazine) and snowballing [21, 31, 32] and the majority of studies interviewed single women from their late teens to their twenties. 1998, 46 (10): 1313-1323. Cochrane Database Syst Rev. Google Scholar, Say L, Kulier R, Gulmezoglu M, Campana A: Medical versus surgical methods for first trimester termination of pregnancy. Manage cookies/Do not sell my data we use in the preference centre. In studies of the home use of misoprostol [17, 18], there are accounts of women who undergo the abortion alone, or in secret with others such as family members around but unaware of the situation. Partnered or married women were also concerned about planning their families well [27], taking into consideration their partners' attitudes and the needs of their children [18] and their quality of life [17]. Qualitative studies published on TOP within the time frame of this review have been limited in scope and detail. Clinical trials have established that medical TOP provides a clinical and cost effective alternative to vacuum aspiration for the early termination of pregnancy [48]. Fielding SL, Edmunds E, Schaff EA: Having an Abortion Using Mifepristone and Home Misoprostol: A Qualitative Analysis of Women's Experiences. Studies reviewed for this paper suggest that although moral values are important [15, 21, 26, 27], the choice to seek TOP is a pragmatic one that reflects the impact of pregnancy and childbearing on personal and household circumstances [17, 18, 21, 26, 27, 29]. In one trial, women were encouraged to look at the expelled fetus at home, but the authors say that 'dramatic' responses were rare [15]. The review focused on the period 19982007 because it was during this period that medical TOP has become established in practice. BBC World Service, Bush House, Strand, London WC2B 4PH, UK, A Content and Language Integrated Learning Lesson, A remote House in the West of Scotland (lower level), Education exchange: Schools reopening - pupil well-being, Take a survey on teaching speaking in online environments. 2002, 99 (5 part 1): 813-819. Henshaw R, Naji SA, Russell IT, Templeton A: Comparison of medical abortion with vacuum aspiration: women's preferences and acceptability of treatment. This 'naturalness' (a subjective association with a miscarriage or menstruation without the insertion of instruments) seems to outweigh the pain and prolonged nature of the procedure, including the sight of fetus. In some parts of the non-Western world where women are more vulnerable, women's decision-making regarding abortion was influenced by the recommendations of the abortion provider and cost implications [18, 22, 23]. Analysis of the results of studies reviewed revealed three main themes: experiential factors that promote or inhibit the choice to seek TOP; experiences of TOP; and experiential aspects of the environment in which TOP takes place. Women also fear the risks of having an abortion at home where health professionals are not readily available to them. 10.1080/07399330500230961. Reproductive Health Matters. Springer Nature. 2004, 39 (1): 39-42. 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