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Exploring the Experiences of Women who are Wheelchair Bound in Attaining Contraceptives: A focused ethnographic study

  • Author / Creator
    Gratton, Carolyn
  • Contraceptive and gynecological care is an important part of woman’s health, whether able bodied or wheelchair bound. After a thorough literature search, the gap in knowledge with respect to contraceptive use in women who are wheelchair bound was evident. Lack of adequate information and options, inaccessible facilities and examination rooms, and uncertainties about contraceptive care by health care professionals all came to surface by reviewing the literature. The purpose of the study was to explore the experiences of women who are wheelchair bound in attaining contraceptive and gynecological care. In using a focused ethnographic approach, ten women completed an online survey and an unstructured interview exploring their experience in attaining contraceptives, with the health care facilities, their relationship with health care providers, and they were asked about what could be done to better their experience. Transcripts of the interviews were analyzed using a structured 10-step interpretive thematic analysis with constant back checking. Although the women differed in their experiences with contraceptives, they were unanimous in the importance of being in control of their sexual health. The gap in knowledge of the various methods was evident and the women agreed they were unsatisfied with the current contraceptive options they were using. The women deemed the suggestion of more accessible contraceptive information advantageous. Improved facilities, especially examination beds with adjustable heights would significantly benefit the experience of women in wheelchairs in attaining gynecological care. Also, having health care professionals being open and educated about the sexual health needs of women who are wheelchair bound would also be beneficial. The women all desired to have individualized contraceptive care, which would allow them to collaborate with their health care providers and select a contraceptive method best suited to them as an individual.

  • Subjects / Keywords
  • Graduation date
    2013-06
  • Type of Item
    Thesis
  • Degree
    Master of Science
  • DOI
    https://doi.org/10.7939/R3G087
  • License
    This thesis is made available by the University of Alberta Libraries with permission of the copyright owner solely for non-commercial purposes. This thesis, or any portion thereof, may not otherwise be copied or reproduced without the written consent of the copyright owner, except to the extent permitted by Canadian copyright law.
  • Language
    English
  • Institution
    University of Alberta
  • Degree level
    Master's
  • Department
    • Faculty of Rehabilitation Medicine
  • Specialization
    • Rehabilitation Science
  • Supervisor / co-supervisor and their department(s)
    • Leung, Ada (Faculty of Rehabilitation Medicine)
    • Esmail, Shaniff (Faculty of Rehabilitation Medicine)
  • Examining committee members and their departments
    • Rusk, Kerry (Faculty of Nursing)