{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T19:00:49Z","timestamp":1785438049215,"version":"3.56.0"},"reference-count":37,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["ES\/R008841\/1"],"award-info":[{"award-number":["ES\/R008841\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To report a study investigating the implementation of the \u201cconscience clause\u201d by practising nurses in two National Health Service Hospital Trusts in the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 2018 to 2020 through qualitative face\u2010to\u2010face interviews with 20 nurses, transcribed verbatim and analyzed by thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Major themes were developing conscience, negotiating conscience and parameters of participation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Participants had varied views on conscientious objection, reflecting a continuum from unwillingness to be near anything related to abortion to being willing to participate in the whole process. Most participants framed involvement as fulfilling their \u201cduty of care\u201d to their patient. Direct experience of witnessing abortion overrode faith\u2010based foundations to shape participants' beliefs as objectors or non\u2010objectors. Non\u2010objectors were supportive of objecting colleagues.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession<\/jats:title>\n                    <jats:p>The complex nature of conscience as a fundamental human right is inherently related to the cultural and social context of nursing. \u201cEmployability\u201d raised important questions over the real world of a nurse's legal right to invoke conscientious objection without consequences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Problem addressed Conscientious objection to abortion continues to affect nursing. Main findings There was little knowledge of the law and a reluctance to make formal objections. Where and on whom will the research have an impact It highlights the need for delineated and implemented guidelines on conscientious objection in practice for nurses. Its findings, while local, may be applicable to other abortion services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Contribution<\/jats:title>\n                    <jats:p>Representatives of each were key in our advisory group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>COREQ checklist for qualitative research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.16258","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T05:29:15Z","timestamp":1718170155000},"page":"926-936","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["To participate or not to participate: The troublesome question of nurses' conscientious objection to abortion: A qualitative study"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4672-4843","authenticated-orcid":false,"given":"Valerie","family":"Fleming","sequence":"first","affiliation":[{"name":"Liverpool John Moores University  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clare","family":"Maxwell","sequence":"additional","affiliation":[{"name":"Liverpool John Moores University  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Hanlon","sequence":"additional","affiliation":[{"name":"Liverpool John Moores University  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Robb","sequence":"additional","affiliation":[{"name":"Glasgow Caledonian University (Retired)  Glasgow UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joeri","family":"Vermeulen","sequence":"additional","affiliation":[{"name":"Brussels Centre for Healthcare Innovation  Brussels Belgium"},{"name":"Vrije Universiteit  Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Dobrowolska","sequence":"additional","affiliation":[{"name":"Medical University of Lublin  Lublin Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5471.1141"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625187.2016.1156246"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0968\u20108080(09)34473\u20100"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics\u20102017\u2010104200"},{"key":"e_1_2_13_7_1","unstructured":"Council of Europe. 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(2020).Code of professional practice.https:\/\/www.nmc.org.uk\/standards\/code\/conscientious\u2010objection\u2010by\u2010nurses\u2010and\u2010midwives\/"},{"key":"e_1_2_13_28_1","first-page":"145","volume-title":"Conscientious objection in medical practice \u2010 ethical and legal aspects","author":"Pawlikowski J.","year":"2014"},{"key":"e_1_2_13_29_1","volume-title":"Alice in Westminster: The political life of Alice bacon","author":"Reeves R.","year":"2016"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910\u2010023\u201000934\u20109"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/jme.2011.042770"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733017731915"},{"key":"e_1_2_13_34_1","volume-title":"Abortion act","author":"United Kingdom Government","year":"1967"},{"key":"e_1_2_13_35_1","volume-title":"Human fertilisation and embryology act 1990","author":"United Kingdom Government","year":"1990"},{"key":"e_1_2_13_36_1","unstructured":"United Nations. 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(1966).International Covenant on Civil and Political Rights.https:\/\/www.ohchr.org\/en\/instruments\u2010mechanisms\/instruments\/international\u2010covenant\u2010civil\u2010and\u2010political\u2010rights"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11017\u2010019\u201009514\u20108"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.16258","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.16258","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.16258","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:43:55Z","timestamp":1785437035000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.16258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,12]]},"references-count":37,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/jan.16258"],"URL":"https:\/\/doi.org\/10.1111\/jan.16258","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.16258\/v2\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v3\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v2\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.16258\/v2\/response1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,12]]},"assertion":[{"value":"2023-11-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}