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- W2519907006 abstract "Objectives: This study aimed to describe the experiences of leaders of abortion services. We sought to define the leadership role and explore leaders' motivations, challenges, sources of resilience, the impact of stigma on their lives and work and impressions of the future of abortion care leadership. Methods: We conducted in-depth interviews with 29 US abortion care leaders including clinic owners, administrators, CEOs and medical directors in several practice settings. Interviews were audio-recorded, transcribed and analyzed using a grounded theory approach. Results: Leaders had varied professional backgrounds, including business, nonprofit, social work and medicine. There was no consistent pathway to leadership. Leaders' roles included a wide range of activities; most had no “typical day.” All expressed passion for their work but described intense challenges. These included personal costs (financial and interpersonal), harassment and violence, stigma, isolation and lack of support, burnout, legislative burdens and constant scrutiny. Despite this, participants demonstrated humor and resilience. Regarding the future, most had no succession plan and believed that it would be hard to find their replacement. As one said, “You can’t give this job away.” Participants identified the lack of a “leadership pipeline” as a key challenge. Conclusions: A pipeline exists for sustaining a physician work force in abortion care, but no equivalent pipeline exists for leaders of abortion care organizations. Abortion care leadership is uniquely challenging, and training and preparation are needed. Movement-wide priorities need to expand beyond physician training to include the development and mentorship of new leaders in abortion care from a variety of disciplines." @default.
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- W2519907006 date "2016-10-01" @default.
- W2519907006 modified "2023-09-27" @default.
- W2519907006 title "“You can’t give this job away”: being a leader in abortion care" @default.
- W2519907006 doi "https://doi.org/10.1016/j.contraception.2016.07.054" @default.
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