{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:41:10Z","timestamp":1785404470287,"version":"3.56.0"},"reference-count":44,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background:\u00a0Choice on termination of pregnancy remains a sensitive and complex aspect of reproductive healthcare, particularly in settings where cultural, religious, legal and institutional factors intersect.\nAim:\u00a0To identify nurses\u2019 roles and challenges in providing choice on termination of pregnancy services in South Africa using a socio-ecological framework.\nSetting:\u00a0The review was conducted using findings from studies on nurses regarding the provision of choice on termination of pregnancy services in South Africa.\nMethod:\u00a0A scoping review was conducted following the Arksey and O\u2019Malley framework and aligned with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Electronic databases include ScienceDirect, EBSCOhost, PsycINFO, PubMed and regional databases like African Index Medicus. Literature published between January 1996 and December 2024 was searched; only English-language studies were included.\nResults:\u00a0Twenty-one studies, published between 1998 and 2023, were included. The results show diverse and in-depth insights into the multifaceted challenges of nurses involved in choice on termination of pregnancy services, highlighting emotional and moral challenges, interpersonal dynamics, organisational constraints, sociocultural influences and legal gaps.\nConclusion:\u00a0This review reveals that nurses\u2019 roles in providing choice on termination of pregnancy services are shaped by multiple levels of influence, with moral beliefs, stigma and systemic barriers hindering the delivery of quality care.\nContribution:\u00a0This review enhances understanding of the multi-level barriers nurses face in providing choice on termination of pregnancy services in South Africa and underscores the need for targeted interventions to improve access to sexual and reproductive health services.<\/jats:p>","DOI":"10.4102\/jphia.v17i1.1600","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T07:32:43Z","timestamp":1773991963000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Socio-ecological analysis of nurses\u2019 roles and challenges in choice on termination of pregnancy services in South Africa: A scoping review"],"prefix":"10.4102","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1061-9912","authenticated-orcid":false,"given":"Vutlhari A.","family":"Ndlovu","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017p87168","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Limpopo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7088-8357","authenticated-orcid":false,"given":"Tshepo A.","family":"Ntho","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017p87168","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Limpopo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0085-5231","authenticated-orcid":false,"given":"Masenyani O.","family":"Mbombi","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017p87168","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Limpopo"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0524-0033","authenticated-orcid":false,"given":"Mxolisi W.","family":"Ngwenya","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/017p87168","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Limpopo"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Makelele AM, Shimilimo A, Solomon MT, Elioba JL, Obajimi GO, Olayemi O. 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