Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study
Abstract Background The abortion act in Thailand is approximately 60 years old. However, because of increasing problems due to unsafe abortions, the act was recently amended to accord a legal status for abortions. In the southernmost provinces of Thailand, most people follow the Islamic faith, accor...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-11-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-02064-7 |
| _version_ | 1797984030100029440 |
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| author | Natchanika Sinthuchai Penkae Rothmanee Vorachart Meevasana Ratthapong Rongkapich Rada Poolkumlung Saowanee Saro Somsook Santibenchakul Unnop Jaisamrarn |
| author_facet | Natchanika Sinthuchai Penkae Rothmanee Vorachart Meevasana Ratthapong Rongkapich Rada Poolkumlung Saowanee Saro Somsook Santibenchakul Unnop Jaisamrarn |
| author_sort | Natchanika Sinthuchai |
| collection | DOAJ |
| description | Abstract Background The abortion act in Thailand is approximately 60 years old. However, because of increasing problems due to unsafe abortions, the act was recently amended to accord a legal status for abortions. In the southernmost provinces of Thailand, most people follow the Islamic faith, according to which induced abortion is a sin for both the providers and the pregnant women. This may affect the attitude of the medical staff, such as registered nurses, who play an important role in abortion services. Our study aims to evaluate the knowledge of the amended abortion act, attitude toward abortions and the intentions behind them, and willingness to perform abortions among registered nurses. Methods A cross-sectional study was conducted from January 2022 to February 2022 wherein a self-administrated questionnaire was electronically distributed to 450 registered nurses practicing at a tertiary hospital in the southernmost province of Thailand. Linear regression analysis and Fisher’s exact test were conducted to evaluate the association between basic characteristics, knowledge scores, and attitudes toward induced abortion. Results A total of 375 nurses (83.3%) completed the survey. Most participants were Muslim (58.9%), and 18.7% of them correctly answered > 80% of the knowledge questions. Among all the participants, 41.4% had a favorable attitude toward induced abortion, of which 21.3% were willing to provide safe abortion services. Knowledge scores were independently associated with practicing in obstetrics-gynecology departments and a lower age. Participants practicing Buddhism and having good knowledge scores tended to have favorable attitudes toward abortion. Conclusions Nurses in the southernmost province of Thailand lack knowledge regarding the amended abortion act and do not have a favorable moral attitude toward abortion. Favorable attitudes toward abortions, support toward intentions behind abortions, and a willingness to provide abortion services were all lesser among the Muslim participants than among the Buddhist participants. Compared with participants who scored lower, those with higher knowledge scores had a better moral attitude toward abortion and, in turn, demonstrated a greater intention to provide abortion services. Encouraging nurses to gain better knowledge may improve their attitude toward abortion, which may positively influence future medical practices. |
| first_indexed | 2024-04-11T06:56:19Z |
| format | Article |
| id | doaj.art-05385215b3ec40599bc5118eeeaa6841 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-11T06:56:19Z |
| publishDate | 2022-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-05385215b3ec40599bc5118eeeaa68412022-12-22T04:39:01ZengBMCBMC Women's Health1472-68742022-11-0122111210.1186/s12905-022-02064-7Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional studyNatchanika Sinthuchai0Penkae Rothmanee1Vorachart Meevasana2Ratthapong Rongkapich3Rada Poolkumlung4Saowanee Saro5Somsook Santibenchakul6Unnop Jaisamrarn7Obstetrics and Gynecology Unit, Nakhon Pathom HospitalObstetrics and Gynecology Unit, Naradhiwasrajanagarindra HospitalObstetrics and Gynecology Unit, Pimai HospitalFaculty of Medicine, Chulalongkorn UniversityFaculty of Medicine, Chulalongkorn UniversityObstetrics and Gynecology Unit, Sungaikolok HospitalDepartment of Obstetrics and Gynecology, King Chulalongkorn Memorial HospitalDepartment of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn UniversityAbstract Background The abortion act in Thailand is approximately 60 years old. However, because of increasing problems due to unsafe abortions, the act was recently amended to accord a legal status for abortions. In the southernmost provinces of Thailand, most people follow the Islamic faith, according to which induced abortion is a sin for both the providers and the pregnant women. This may affect the attitude of the medical staff, such as registered nurses, who play an important role in abortion services. Our study aims to evaluate the knowledge of the amended abortion act, attitude toward abortions and the intentions behind them, and willingness to perform abortions among registered nurses. Methods A cross-sectional study was conducted from January 2022 to February 2022 wherein a self-administrated questionnaire was electronically distributed to 450 registered nurses practicing at a tertiary hospital in the southernmost province of Thailand. Linear regression analysis and Fisher’s exact test were conducted to evaluate the association between basic characteristics, knowledge scores, and attitudes toward induced abortion. Results A total of 375 nurses (83.3%) completed the survey. Most participants were Muslim (58.9%), and 18.7% of them correctly answered > 80% of the knowledge questions. Among all the participants, 41.4% had a favorable attitude toward induced abortion, of which 21.3% were willing to provide safe abortion services. Knowledge scores were independently associated with practicing in obstetrics-gynecology departments and a lower age. Participants practicing Buddhism and having good knowledge scores tended to have favorable attitudes toward abortion. Conclusions Nurses in the southernmost province of Thailand lack knowledge regarding the amended abortion act and do not have a favorable moral attitude toward abortion. Favorable attitudes toward abortions, support toward intentions behind abortions, and a willingness to provide abortion services were all lesser among the Muslim participants than among the Buddhist participants. Compared with participants who scored lower, those with higher knowledge scores had a better moral attitude toward abortion and, in turn, demonstrated a greater intention to provide abortion services. Encouraging nurses to gain better knowledge may improve their attitude toward abortion, which may positively influence future medical practices.https://doi.org/10.1186/s12905-022-02064-7KnowledgeAttitudeNursesThai abortion lawMuslimInduced abortion |
| spellingShingle | Natchanika Sinthuchai Penkae Rothmanee Vorachart Meevasana Ratthapong Rongkapich Rada Poolkumlung Saowanee Saro Somsook Santibenchakul Unnop Jaisamrarn Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study BMC Women's Health Knowledge Attitude Nurses Thai abortion law Muslim Induced abortion |
| title | Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study |
| title_full | Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study |
| title_fullStr | Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study |
| title_full_unstemmed | Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study |
| title_short | Survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in Thailand after amendment of the abortion act: a cross-sectional study |
| title_sort | survey of knowledge and attitude regarding induced abortion among nurses in a tertiary hospital in thailand after amendment of the abortion act a cross sectional study |
| topic | Knowledge Attitude Nurses Thai abortion law Muslim Induced abortion |
| url | https://doi.org/10.1186/s12905-022-02064-7 |
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