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Opinions on conscientious objection to induced abortion among Finnish medical and nursing students and professionals

机译：关于芬兰医护学生和专业人员出于良心拒服人工流产的意见

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Background Conscientious objection (CO) to participating in induced abortion is not present in the Finnish health care system or legislation unlike in many other European countries. Methods We conducted a questionnaire survey with the 1st- and the last-year medical and nursing students and professionals (548 respondents; response rate 66–100%) including several aspects of the abortion process and their relation to CO in 2013. Results The male medical respondents chose later time points of pregnancy than the nursing respondents when considering when the embryo/fetus “becomes a person”. Of all respondents, 3.5–14.1% expressed a personal wish to CO. The medical professionals supported the right to CO more often (34.2%) than the nursing professionals (21.4%), while ≥62.4% could work with someone expressing CO. Yet ≥57.9% of the respondents anticipated social problems at work communities caused by CO. Most respondents considered self-reported religious/ethical conviction to be adequate for CO but, at the same time, 30.1–50.7% considered that no conviction would be sufficient. The respondents most commonly included the medical doctor conducting surgical or medical abortion to be eligible to CO. The nursing respondents considered that vacuum suction would be a better justification for CO than medical abortion. The indications most commonly included to potential CO were second-trimester abortions and social reasons. Among the medical respondents, the men were more willing to grant CO also in case of a life-threatening emergency of the pregnant woman. Conclusions While the respondents mostly seemed to consider the continuation of adequate services important if CO is introduced, the viewpoint was often focused on the staff and surgical abortion procedure instead of the patients. The issue proved to be complex, which should be taken into consideration for legislation.
机译：背景技术与许多其他欧洲国家不同，芬兰的医疗保健体系或法律中没有对参与人工流产的出于良心拒服兵役。方法我们对第一和第二年以及最后一年的医学和护理专业的学生和专业人员（548名受访者;回应率66-100％）进行了问卷调查，包括流产过程的几个方面及其关系。结果在2013年达到CO。结果在考虑胚胎/胎儿何时“成为人”时，男性医学受访者选择的怀孕时间点比护理受访者选择的时间晚。在所有受访者中，有3.5–14.1％的人表达了对CO的个人意愿。与护理专业人士（21.4％）相比，医疗专业人员对CO的支持频率更高（34.2％），而≥62.4％的人可以与表达CO的人员合作。 ≥57.9％的受访者预计工作场所的社会问题是由CO引起的。大多数受访者认为自我报告的宗教/道德信念足以满足CO的需要，但同时，有30.1–50.7％的人认为没有信念是足够的。受访者中最常包括进行手术或药物流产的医生才有资格获得CO。护理受访者认为，真空抽吸比CO药物流产更适合CO。潜在一氧化碳最常见的适应症是孕中期流产和社会原因。在医学受访者中，如果孕妇发生危及生命的紧急情况，男性也更愿意发放CO。结论尽管受访者似乎认为如果引入CO，继续提供足够的服务很重要，但这种观点通常侧重于人员和手术流产程序，而不是患者。事实证明，这个问题很复杂，立法应考虑到这一点。

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