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On-line version ISSN 2223-6279
Print version ISSN 0379-8577

Curationis vol.32 n.3 Pretoria  2009




Abortion care training framework for nurses within the context of higher education in the Western Cape



I SmitI; EM BitzerII; ELD BoshoffIII; DW SteynIV

IPhD. Lecturer, Division of Nursing, Faculty of Health Sciences, University of Stellenbosch
IIDEd. Professor, Department of Curriculum Studies, Faculty of Education, University of Stellenbosch
IIIDEd. Senior Lecturer, Division of Nursing, Faculty of Health Sciences, University of Stellenbosch
IVMD. Professor, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of Stellenbosch





The high morbidity and mortality rate due to illegal abortions in South Africa necessitated the implementation of abortion legislation in February 1997. Abortion legislation stipulates that registered nurses who had undergone the proposed abortion care training - certified nurses - may carry out abortions within the first 12 weeks of pregnancy. Currently it seems that an inadequate number of nurses are being trained in the Western Cape to provide pregnant women with counselling, to perform abortions and/or refer problem cases. No real attempts have since been made by higher education institutions in the Western Cape to offer abortion care training for nurses. This case study explores the situation of certified nurses and the context in which they provide abortion care in different regions of the Western Cape. The sampling included a random, stratified (non-proportional) number of designated state health care facilities in the Western Cape, a non-probability purposive sampling of nurses who provided abortion care, a non-probability convenience sample of women who had received abortion care, and a non-probability purposive sampling of final-year pre-registration nursing students. Data was generated by means of questionnaires, a checklist and semi-structured interviews. The main findings of this study indicate that the necessary infrastructure required for legal abortion is in place. However, the ongoing shortage of trained health care practitioners hampers abortion care services. Deficiencies were identified in the existing provincial protocol as some of the guidelines were either not in use or had become obsolete. Certified midwives who had been trained by the regional offices of the Department of Health: Western Cape were skilled in carrying out the abortion procedure, but other aspects of abortion care mainly carried out by other categories of nurses required more attention. This article suggests a training framework that should provide focus for the development of a formal programme or programmes for the training of nurses in abortion care at higher education institutions in the Western Cape.

Key words: abortion care training; abortion care training at higher education institutions; certified nurse



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DENOSA 1998: Ethical standards for nursing research. Pretoria: DENOSA.         [ Links ]

DE VOS, AS 2001: Research at grass roots: A primer for the caring professions. Pretoria: Van Schaik Publishers.         [ Links ]

DICKSON-TETTEH, K & BILLINGS, DL 2002: Abortion care services provided by registered midwives in South Africa. International Family Planning Perspectives. 28(3):144-150.         [ Links ]

DOLENCE, MG 2003: The learner-centered curriculum approach. http:/ Accessed 17 June 2008.         [ Links ]

IPAS SA 2002: Certificate short course: Termination of pregnancy and related reproductive health issues leading to certification as a TOP provider. IPAS.         [ Links ]

KERN, DE; THOMAS, PA; HOWARD, DM & BASS, EB 1998: Curriculum development for medical education. London: The Johns Hopkins University Press.         [ Links ]

MILES, MB & HUBERMAN, AM 1994: Qualitative data analysis: A sourcebook of new methods. Beverley Hills: Sage.         [ Links ]

RSA (REPUBLIC OF SOUTH AFRICA) 1996: Choice on Termination of Pregnancy Act, No. 92 of 1996. Pretoria: Government Printer.         [ Links ]

RSA (REPUBLIC OF SOUTH AFRICA) 2004: Choice on Termination of Pregnancy Amendment Act, No. 38 of 2004. Pretoria: Government Printer.         [ Links ]

RSA (REPUBLIC OF SOUTH AFRICA) 2008: Choice on Termination of Pregnancy Amendment Act, No. 38 of 2004. Pretoria: Government Printer.         [ Links ]

SANC (SOUTH AFRICAN NURSING COUNCIL) 2007: Discontinuation of listing of short courses by the South African Nursing Council, Accessed 24 April 2007.         [ Links ]

SAQA (SOUTH AFRICAN QUALIFICATIONS AUTHORITY) 2007: Qualification for public comment, Accessed 26 October 2007.         [ Links ]

UYS, HHM & BASSON, AA 1991: Navorsingsmetodologie in die verpleegkunde. Pretoria: HA UM.         [ Links ]

WESTERN CAPE DEPARTMENT OF HEALTH 2000: Circular No H97/2000: Termination of Pregnancy: Policy, Guidelines and Protocols.         [ Links ]

WHO (WORLD HEALTH ORGANISATION) 2003: Safe abortion: Technical and policy guidance for health systems. Geneva: WHO.         [ Links ]



Dr Ilze Smit
Division of Nursing
Faculty of Health Sciences
University of Stellenbosch
Tygerberg 7505
Tel: 083 287 6372; Fax: (021) 976-4646

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