“I'm supposed to be a helper”: Spiritual distress of abortion providers after the Dobbs decision

AJOG Global Reports, Год журнала: 2025, Номер 5(2), С. 100469 - 100469

Опубликована: Фев. 22, 2025

The Dobbs v. Jackson Women's Health Organization decision has undoubtably affected the practice of abortion providers nationally. We hypothesized that also impacted ways in which experience meaning and purpose through their work, are elements spirituality. sought to describe spectrum spirituality understand whether how caused spiritual distress. For this qualitative study, we conducted video interviews with 26 from 17 states between November 2022 February 2023. States were classified according Guttmacher Institute classifications most restrictive very protective as December 2022. Interviews included questions such as, "Can you your own sense or identity?" "How does belief inform response decision?" Participants' well-distributed across restrictive-protective spectrum. majority participants spiritual, while less than half identified part an organized religion. Many felt a call obligation provide care 46% described act for provider and/or patient. Most experienced distress (74%), including those practicing Of note, 92% helpful coping effects fall Roe Wade. Sources strength advocacy, agency, legislative community; over specifically cited community. decision-and subsequent state-level restrictions-impacts by causing While many abortion-restrictive laws influenced religious beliefs, it is important recognize individuals.

Язык: Английский

---

Structural Inequities and Provider Burnout in Maternal Health in the United States

Social Science & Medicine, Год журнала: 2025, Номер unknown, С. 118010 - 118010

Опубликована: Март 1, 2025

Язык: Английский

---

Primer for Clinicians Treating Medical Students and Residents

Psychiatric Annals, Год журнала: 2025, Номер 55(3)

Опубликована: Март 1, 2025

Many consider the state of medical trainee mental health in United States to be crisis. Studies consistently show that trainees (students, residents, and fellows) suffer from higher rates depression, burn-out, anxiety, suicidal ideation compared general population. Rate increases are seen as early first year school continue remain elevated into their careers. Given unique complex challenges face, interventions for prevention treatment must come multiple levels tailored this special population, governing bodies education individual provider. This article is a primer psychiatrists appreciate crisis experiencing, risk factors suicide trainees, common barriers treatment, conceptualize appropriate interventions. [ Psychiatr Ann . 2025;55(3):e58–e61.]

Язык: Английский

---

Experiences of Obstetrician-Gynecologists Providing Pregnancy Care After Dobbs

JAMA Network Open, Год журнала: 2025, Номер 8(3), С. e252498 - e252498

Опубликована: Март 31, 2025

Importance Following the Dobbs v Jackson Women’s Health Organization ( ) decision in June 2022, which overturned federal right to abortion, Wisconsin physicians faced threat of an 1849 state law widely interpreted criminalize provision abortion except life-saving emergencies. Physicians and their institutions were left interpret whether how they could treat and/or refer certain pregnant patients. Objective To document post- legal landscape shaped obstetrician-gynecologists’ (OB-GYNs’) ability provide health care patients facing pregnancy-related risks complications, with particular attention mediating role institutions. Design, Setting, Participants In this qualitative study, 21 OB-GYNs recruited between 2022 December 2023 from rural urban areas varying hospital affiliations, scopes practice, individual demographics participate semistructured, remote interviews. Exposure An that suspended 2023. Main Outcomes Measures Physicians’ perceptions (1) management pregnancy related (2) institutional-level factors contributed physicians’ experiences caring for following . Results This study included (mean [SD] age, 43 [5.88] years; 16 [76.2%] female; 5 [23.8%] non-White White) who practiced obstetrics Wisconsin. described criminalization was detrimental care. Absence clarity surrounding led confusion wide variations institutional comfort clinical resulted substandard, delayed, fragmented patient Overwhelmingly, after exacerbated barriers providing comprehensive seeking it. Conclusions Relevance practicing abortion-restrictive state, uncertainty worse The absence clear guidance support system leadership emerged as a particularly salient missed opportunity. These experiences, contribute critical evidence base on harms restrictions, are relevant states similar bans or restrict

Язык: Английский

---

Moral Stress and Moral Distress: Confronting Challenges in Post- Dobbs Contexts

The American Journal of Bioethics, Год журнала: 2024, Номер 24(12), С. 43 - 45

Опубликована: Ноя. 20, 2024

Язык: Английский

---

Moral Distress, Hope, and the Carceral Experience

Academic Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 27, 2024

Язык: Английский

---