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Gleisner, Jenny, Fil. dr.ORCID iD iconorcid.org/0000-0003-4318-0593
Publications (6 of 6) Show all publications
Gleisner, J. & Siwe, K. (2020). Differences in teaching female and male intimate examinations: A qualitative study. Medical Education, 54(4), 348-355
Open this publication in new window or tab >>Differences in teaching female and male intimate examinations: A qualitative study
2020 (English)In: Medical Education, ISSN 0308-0110, E-ISSN 1365-2923, Medical Education, E-ISSN 1365-2923, Vol. 54, no 4, p. 348-355Article in journal (Refereed) Published
Abstract [en]

Context

Teaching intimate examinations to medical students has been recognised as difficult because of the anxious feelings that the students may experience. For their professional development, previously incorporated understandings need to be relearned: how to transgress boundaries that regulate intimacy and physical closeness, learning to examine and touch other peoples' bodies, and talking about things that are otherwise taboo.

Objectives

This paper compares how students learn to perform two intimate examinations: (i) the digital rectal examination (DRE) of the prostate, and (ii) the bimanual pelvic examination (PE) and analyses how norms and expectations affect how students learn to approach them.

Methods

This study is based on ethnographic work: in‐depth qualitative interviews with two urologists and nine medical students in semesters four, eight and 11 of a medical education programme in Sweden, observations of three learning sessions where 16 students performed the PE on professional patients, and 2 days of observations at a urology outpatient clinic.

Results

The educational approach to the PE and DRE differ. The PE is taught as sensitive and to be handled with care, using a well‐documented learning concept including interpersonal and technical skills. The patient's exposed position in the gynaecological chair, possible previous negative experiences of PE or sexual exploitation are taken into account. In contrast, there is no educational concept for teaching the DRE. The students perform their first DRE on a clinical patient. The DRE is also handled with care, but with less sensitivity. The patients' possible previous negative experiences are not discussed and are thus made invisible.

Conclusions

Well‐established routines in performing the PE help doctors and students to be attentive to patients' emotions and previous experiences, and remind them to perceive the examination as sensitive. Aligning the teaching of the DRE with that of the PE will improve how the male prostate patient is approached.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-164910 (URN)10.1111/medu.14126 (DOI)000521960300013 ()32043635 (PubMedID)2-s2.0-85082529486 (Scopus ID)
Funder
Swedish Research Council
Note

Funding agencies:Vetenskapsradet [DNR 2013-8048]

Available from: 2020-04-01 Created: 2020-04-01 Last updated: 2020-05-12Bibliographically approved
Gleisner, J. (2019). Die Prostatauntersuchung und der (un-)empfindliche Mann (1ed.). In: Maria Björkman (Ed.), Der Mann und die Prostata: Kulturelle, medizinische und gesellschaftliche Perspektiven (pp. 51-68). Bielefeld: Transcript Verlag
Open this publication in new window or tab >>Die Prostatauntersuchung und der (un-)empfindliche Mann
2019 (German)In: Der Mann und die Prostata: Kulturelle, medizinische und gesellschaftliche Perspektiven / [ed] Maria Björkman, Bielefeld: Transcript Verlag, 2019, 1, p. 51-68Chapter in book (Other academic)
Place, publisher, year, edition, pages
Bielefeld: Transcript Verlag, 2019 Edition: 1
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-163154 (URN)10.14361/9783839448663-005 (DOI)9783839448663 (ISBN)9783839448663 (ISBN)
Available from: 2020-01-17 Created: 2020-01-17 Last updated: 2020-04-01Bibliographically approved
Gleisner, J. (2018). Prostataundersökningen och den (o)känslige mannen (1ed.). In: Maria Björkman (Ed.), Prostatan - det ständiga gisslet?: mannen och prostatan i kultur, medicin och historia (pp. 43-58). Lund: Nordic Academic Press
Open this publication in new window or tab >>Prostataundersökningen och den (o)känslige mannen
2018 (Swedish)In: Prostatan - det ständiga gisslet?: mannen och prostatan i kultur, medicin och historia / [ed] Maria Björkman, Lund: Nordic Academic Press, 2018, 1, p. 43-58Chapter in book (Other academic)
Abstract [sv]

Vissa undersökningssituationer kan upplevas som intima och känsliga, både för läkaren och för patienten. Prostataundersökningen är en sådan situation. Från det medicinska perspektivet lyfts dock inte alltid prostataundersökningen fram som särskilt känslig, utan kan behandlas som vilken rutinkontroll som helst. Denna inställning påverkar hur läkarstudenter får lära sig att utföra prostataundersökningar. I detta kapitel visar jag vad som kan förändras och göras annorlunda genom att kontrastera med den gynekologiska undersökningen – en annan kroppsligt intim situation som har mycket gemensamt med prostataundersökningen men som lärs ut på andra sätt.

Place, publisher, year, edition, pages
Lund: Nordic Academic Press, 2018 Edition: 1
Keywords
Prostataundersökning, gynekologisk undersökning, professionslärande, emotioner, normer, Prostata
National Category
Social Sciences Social Sciences Interdisciplinary Gender Studies
Identifiers
urn:nbn:se:liu:diva-156981 (URN)9789188661630 (ISBN)
Available from: 2019-05-21 Created: 2019-05-21 Last updated: 2019-10-25Bibliographically approved
Gleisner, J. (2013). Negotiating the Normal Birth: Norms and Emotions in Midwifery Education. (Doctoral dissertation). Linköping: Linköping University Electronic Press
Open this publication in new window or tab >>Negotiating the Normal Birth: Norms and Emotions in Midwifery Education
2013 (English)Doctoral thesis, monograph (Other academic)
Alternative title[sv]
Förhandlingar om den normala förlossningen : Normer och känslor i en barnmorskeutbildning
Abstract [en]

Pregnancies and childbirths are not just biological or medical events. Childbirths are also emotionally intense situations, not only for the parents-to-be but also for those who work in delivery care. In addition, pregnancies and childbirths are sociocultural situations; there are norms regarding the normal birth.

The study investigates how future midwives learn about the interactive and emotional work involved in supporting women in delivery care. It focuses on norms about the normal birthing trajectory and on how a midwife should encounter patients’ feelings and handle her own feelings in a “proper” way. Based on observations of collaborative group discussions within Swedish universitybased midwifery education, the study shows how students negotiate the appropriate feeling norms in normal birth, as well as in complicated and even tragic situations. In focus are their discussions on how to support the birthing women, their partners, and the babies, and the categorization work needed to recognize potential deviations from the normal birth. The study is based on a situated learning perspective on education, and combines sociological and anthropological approaches to emotions to elucidate how students within midwifery education negotiate the professional handling of normal and complicated births and the attendant feeling norms.

Abstract [sv]

Graviditeter och förlossningar är inte bara biologiska eller medicinska händelser. Förlossningar är också känslomässigt intensiva situationer, både för de blivande föräldrarna och för dem som arbetar inom förlossningsvård. Graviditeter och förlossningar kan dessutom ses som sociokulturella händelser och det finns normer om den normala förlossningen.

I avhandlingen undersöks hur framtida barnmorskor lär sig att stödja kvinnor inom förlossningsvården och det interaktiva och emotionella arbete som det innebär. Avhandlingen fokuserar på normer om den normala  förlossningstrajektorian samt hur en barnmorska ska bemöta patienternas känslor och hantera sina egna känslor på ett ”korrekt” sätt. Baserat på observationer av basgruppsgruppdiskussioner under den universitetsförlagda delen av en barnmorskeutbildning, visar studien hur barnmorskestudenter förhandlar känslonormer i relation till normal förlossning samt till komplicerade och även tragiska situationer. I fokus är studenternas diskussioner om hur de kan stödja de födande kvinnor, deras partners och barn samt den kategorisering som behövs för att identifiera eventuella avvikelser från den normala förlossningen. Studien bygger på ett situerat lärandeperspektiv på utbildning och kombinerar sociologiska och antropologiska förhållningssätt till känslor för att på så sätt belysa hur studenter inom en barnmorskeutbildning förhandlar hur normala och komplicerade förlossningar bör hanteras och de känslonormer som framkommer.

Place, publisher, year, edition, pages
Linköping: Linköping University Electronic Press, 2013. p. 201
Series
Linköping Studies in Arts and Sciences, ISSN 0282-9800 ; 595
Keywords
Norms, feelings, emotions, midwifery, midwifery education, student midwives, feeling norms, labor pain, stillbirth, negotiation, categorization work, birthing trajectory, Normer, känslor, barnmorska, barnmorskeutbildning, barnmorskestudenter, känslonormer, förlossningssmärta, dödfödda barn, förhandling, kategoriseringsarbete, förlossningstrajektorier
National Category
Social Sciences Interdisciplinary Social Sciences
Identifiers
urn:nbn:se:liu:diva-100671 (URN)10.3384/diss.diva-100671 (DOI)978-91-7519-480-6 (ISBN)
Public defence
2013-11-29, TEMCAS, Temahuset, Campus Valla, Linköpings universitet, Linköping, 13:15 (English)
Opponent
Supervisors
Available from: 2013-11-11 Created: 2013-11-11 Last updated: 2020-04-01Bibliographically approved
Berner, B., Blondin, M. & Gleisner, J. (2012). Att lära sig "emotionell kompetens".: Yrkespraktik, känslor och identitetsskapande. Stockholm: Vetenskapsrådet
Open this publication in new window or tab >>Att lära sig "emotionell kompetens".: Yrkespraktik, känslor och identitetsskapande
2012 (Swedish)Other (Other (popular science, discussion, etc.))
Place, publisher, year, pages
Stockholm: Vetenskapsrådet, 2012
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-88331 (URN)
Funder
Swedish Research Council
Available from: 2013-02-02 Created: 2013-02-02 Last updated: 2020-04-01
Gleisner, J. (2012). The good and normal pain: midwives' perception of pain in childbirth. In: Lisa Folkmarson Käll (Ed.), Dimensions of Pain: humanities and social science perspectives (pp. 107-116). New York: Routledge
Open this publication in new window or tab >>The good and normal pain: midwives' perception of pain in childbirth
2012 (English)In: Dimensions of Pain: humanities and social science perspectives / [ed] Lisa Folkmarson Käll, New York: Routledge, 2012, p. 107-116Chapter in book (Other academic)
Abstract [en]

Research on pain often concerns suffering, focusing on areas like chronic pain and stigmatization (Jackson 2005), the interdependency between pain and drug use (Connors 1994), or distress expressed through physical pain (Trnka 2007). Within research on labor pain, many focus on pain-coping methods from a birthing woman’s perspective (Abushaikha 2007; Leap et al. 2010; McNeil and Jomeen 2010), or how midwives assist or teach birthing women to manage labor pain through alternative as well as pharmacological pain relief (Benfield et al. 2010; Iliadou 2009; Yerby 2001). In this article, I will problematize this perspective by showing that midwives normally perceive women’s experience of pain during childbirth as something good and normal, a perception that has to be learnt through emotion management. My discussion is based on fieldwork at a delivery ward in Sweden, on interviews with three midwifery teachers at a midwifery education program, and on scenes from a Swedish documentary about the everyday life of midwives at a delivery ward. Pain will here be referred to in terms of physical pain. In line with a definition by Jean E. Jackson, pain can be described as “an aversive feeling experienced in the body that cannot be measured directly.” She continues by stating that pain is a “symptom rather than a disease” (Jackson 2005: 333). Sara Ahmed, like Jackson, refers to pain as an aversive feeling, but adds that there is more to pain than a mere physical experience: [Pain] as an unpleasant or negative sensation is not simply reducible to sensation: how we experience pain involves the attribution of meaning through experience, as well as associations between different kinds of negative or aversive feelings. So pain is not simply the feeling that corresponds to bodily damage.

Place, publisher, year, edition, pages
New York: Routledge, 2012
Series
Routledge Studies in the Sociology of Health and Illness
Keywords
Pain Physiological, Pain Social aspects, Pain psychology, Smärta, Smärta - sociala aspekter, Smärta - psykologiska aspekter
National Category
Other Social Sciences not elsewhere specified
Identifiers
urn:nbn:se:liu:diva-90884 (URN)0203087380 (ISBN)9780203087381 (ISBN)
Available from: 2013-04-08 Created: 2013-04-08 Last updated: 2020-05-20Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-4318-0593

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