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“The Unavoidable Ambiguity of Abortion Legislation” Navigating through the great state of Missouri in a post-Roe world

Brewer, Madisen LU (2023) MPHN40 20231
Social Medicine and Global Health
Abstract
Background: The Supreme Court’s Dobbs v. Jackson Women’s Health Organization ruling was monumental for sexual and reproductive health and rights in the United States. This shifted the legislative power over the right to an abortion from federal to state government. Missouri’s post- Roe legislation banned abortion statewide. Health care providers (HCPs) are facing unique facilitators and barriers that influence their capabilities to engage with abortion related care.

Aim: To understand how HCPs experience and perceive Missouri’s post-Roe abortion law and context and discuss the potential implications on occupational agency in abortion related care.

Methods: Utilizing a constructivist grounded theory methodology, seven interviews were... (More)
Background: The Supreme Court’s Dobbs v. Jackson Women’s Health Organization ruling was monumental for sexual and reproductive health and rights in the United States. This shifted the legislative power over the right to an abortion from federal to state government. Missouri’s post- Roe legislation banned abortion statewide. Health care providers (HCPs) are facing unique facilitators and barriers that influence their capabilities to engage with abortion related care.

Aim: To understand how HCPs experience and perceive Missouri’s post-Roe abortion law and context and discuss the potential implications on occupational agency in abortion related care.

Methods: Utilizing a constructivist grounded theory methodology, seven interviews were conducted to explore HCPs experiences and perceptions of navigating Missouri’s post-Roe abortion law and context.

Findings: Three theoretical themes emerged from the constant comparative analysis (1) learning the law’s limits and extents; foundational and configuring elements of Missouri’s abortion law that directly impact HCPs occupational capabilities (2) balancing the breaking branches; choices and situations HCPs actively balance in the clinical setting concerning abortion related care and (3) professional pushes and pulls; profession-related factors that influence HCPs involvement in the abortion discourse beyond their occupational duties. These aspects contribute to the emerging main concept of curating occupational agency, the process of HCPs actively navigating Missouri’s post-Roe abortion law and context to curate their occupational agency, both individually and collectively.

Conclusion: HCPs curate their occupational agency by navigating through the post-Roe landscape. As HCPs comprehend, integrate, and organize their individual and shared reality, they are curating their occupational agency, which in turn impacts how they engage with abortion related care and the abortion discourse at large. Thus, their engagement with abortion related care and the abortion discourse will impact the sexual and reproductive health and rights landscape in Missouri and across the United States. Although the post-Roe world is ambiguous, HCPs can still provide care and protect people’s health and wellbeing through autonomously curating their occupational agency. (Less)
Popular Abstract
The United States’ Supreme Court overturned the precedence set by Roe v. Wade, which shifted the legislative power over the right to an abortion from federal to state government. The right to abortion is an extensively controversial and sensitive public health issue, and significantly influences the landscape of sexual and reproductive health and rights in the United States. Missouri state’s law bans all abortion except in the case of a medical emergency. This directly impacts the clinical interventions of sexual and reproductive health care providers; thus, influencing the access and quality of abortion related care.

The aim of this study was to understand how health care providers experience and perceive Missouri’s post-Roe abortion... (More)
The United States’ Supreme Court overturned the precedence set by Roe v. Wade, which shifted the legislative power over the right to an abortion from federal to state government. The right to abortion is an extensively controversial and sensitive public health issue, and significantly influences the landscape of sexual and reproductive health and rights in the United States. Missouri state’s law bans all abortion except in the case of a medical emergency. This directly impacts the clinical interventions of sexual and reproductive health care providers; thus, influencing the access and quality of abortion related care.

The aim of this study was to understand how health care providers experience and perceive Missouri’s post-Roe abortion law and context and discuss the potential occupational implications. The study wanted to determine what factors are influential to occupational agency and how this impacts the abortion discourse and health care landscape in Missouri. Seven interviews were conducted and analyzed through a constant comparison analysis.

The findings showed that health care providers’ realities in Missouri’s post-Roe world involve learning the law’s limits and extents, balancing the breaking branches, and professional pushes and pulls. As health care providers navigate through these elements, they are curating occupation agency, which encourages them to enhance engagement with abortion related care in post-Roe Missouri. Comprehensively understanding the factors that influence occupational agency can significantly impact the abortion discourse and health care landscape. Despite the unavoidable ambiguity of abortion legislation, health care providers can still prevail in providing and protecting the publics sexual and reproductive health. (Less)
Please use this url to cite or link to this publication:
author
Brewer, Madisen LU
supervisor
organization
course
MPHN40 20231
year
type
H2 - Master's Degree (Two Years)
subject
keywords
abortion laws, abortion care, sexual and reproductive health and rights, Roe v. Wade, United States, health care providers, health policy, post-Roe world, Missouri, SRH, SRHR
language
English
id
9139626
date added to LUP
2024-06-13 09:00:55
date last changed
2024-06-13 09:00:55
@misc{9139626,
  abstract     = {{Background: The Supreme Court’s Dobbs v. Jackson Women’s Health Organization ruling was monumental for sexual and reproductive health and rights in the United States. This shifted the legislative power over the right to an abortion from federal to state government. Missouri’s post- Roe legislation banned abortion statewide. Health care providers (HCPs) are facing unique facilitators and barriers that influence their capabilities to engage with abortion related care.

Aim: To understand how HCPs experience and perceive Missouri’s post-Roe abortion law and context and discuss the potential implications on occupational agency in abortion related care.

Methods: Utilizing a constructivist grounded theory methodology, seven interviews were conducted to explore HCPs experiences and perceptions of navigating Missouri’s post-Roe abortion law and context.

Findings: Three theoretical themes emerged from the constant comparative analysis (1) learning the law’s limits and extents; foundational and configuring elements of Missouri’s abortion law that directly impact HCPs occupational capabilities (2) balancing the breaking branches; choices and situations HCPs actively balance in the clinical setting concerning abortion related care and (3) professional pushes and pulls; profession-related factors that influence HCPs involvement in the abortion discourse beyond their occupational duties. These aspects contribute to the emerging main concept of curating occupational agency, the process of HCPs actively navigating Missouri’s post-Roe abortion law and context to curate their occupational agency, both individually and collectively.

Conclusion: HCPs curate their occupational agency by navigating through the post-Roe landscape. As HCPs comprehend, integrate, and organize their individual and shared reality, they are curating their occupational agency, which in turn impacts how they engage with abortion related care and the abortion discourse at large. Thus, their engagement with abortion related care and the abortion discourse will impact the sexual and reproductive health and rights landscape in Missouri and across the United States. Although the post-Roe world is ambiguous, HCPs can still provide care and protect people’s health and wellbeing through autonomously curating their occupational agency.}},
  author       = {{Brewer, Madisen}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{“The Unavoidable Ambiguity of Abortion Legislation” Navigating through the great state of Missouri in a post-Roe world}},
  year         = {{2023}},
}