liu.seSearch for publications in DiVA
Change search
Refine search result
1 - 24 of 24
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1.
    Hopwood, Nick
    et al.
    University of Technology, Sydney, Australien.
    Abrandt Dahlgren, Madeleine
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Developing professional responsibility in medicine: A sociomaterial curriculum2014In: Reconceptualising professional learning: sociomaterial knowledges, practices, and responsibilities / [ed] Tara Fenwick & Monika Nerland, London and New York: Routledge, 2014, p. 171-183Chapter in book (Other academic)
    Abstract [en]

    This book presents leading-edge perspectives and methodologies to address emerging issues o concern for professional learning in contemporary society. The conditions for professional practice and learning are changein dramatically in the wake of globalisation, new modes of knowledge production, new regulatory regiemes and increased economic-political pressures. A number of chllenges for professional learning emerge:

    • more practitioners becoming involved in interprofessional collaboration
    • devlopments in new technologies and virtual workworlds
    • emergence of transnational knowedge cultures and interrelated circuits of knowledge.

    The space and time relations in which professional practice and learning are mebedded are becoming more complext, as are the epistemic underpinnings om professional work. Together these shifts bring about intersections of professional knowledge and responsibilities that call for new conceptions of professional knowing. Exploring what the authors call sociomaterial perspectives on professional learning, they argue that theories that trace not just the social but also the material aspects of practice - tools, texts, bodies, devices - are useful for coming to terms with the challenges above. Reconceptualising professional learning develops these issues through specific contemporary cases focused on one of the book's three main themes: (1) professionals' knowing in practice, (2) professionals' work arrangements and technologies and (3) professional responsibility. Each chapter draws on innovative theory to highlight the sociomaterial webs through which professional learning may be reconceptualised. Authors are based in Australia, Canada, italy, Norway, Sweden and the USA as well as the UTK and their cases are based in a range of professional settings including medicine, teaching, nursing engineering, social services, the creative industries and more. 

    By presenting detailed accounts of these themes from a sociomaterial perspective, the book raises new questions and opens new methodological approaches. These can help make more visible what is often invisible in today's messy dynamics of professional learning, and pont to new ways of configuring educational support and policy for professionals.

  • 2.
    Möller, Amanda
    et al.
    Linköping University, Faculty of Health Sciences, Engelska: Faculty of Health Sciences, Medical Programme.
    Öfverstedt, Sofie
    Linköping University, Faculty of Health Sciences, Engelska: Faculty of Health Sciences, Medical Programme.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Proud, not yet satisfied: the experiences of abortion service providers in the Kathmandu Valley, Nepal2012In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 3, no 4, p. 135-140Article in journal (Refereed)
    Abstract [en]

    Objectives: In Nepal, the change of the abortion law in 2002 extended the staff duties at family planning clinics to include performing induced abortions. This study investigated the experiences, opinions and attitudes of the staff about their work at safe abortion service centres in the Kathmandu Valley and identified areas in which the health care staff stated the need for improvement.

    Study design: Fifteen qualitative semi-structured interviews were conducted with doctors and nurses working with induced abortion at one hospital and five clinics in the Kathmandu Valley. The interviews were transcribed verbatim and analysed using the constant comparative method.

    Results: The core category ‘Proud, not yet satisfied’ comprised a strong perception of providing an important service that is beneficial for women’s health and a feeling of pride in providing quality service. Four related categories were identified: ‘Beneficial legal framework’, ‘A will to reach out to all women’, ‘Frustration about misuse’ and ‘Dilemma of sex-selective abortion’. The respondents emphasised that improvements are necessary to (1) ensure that all women have access to safe abortion services; (2) prevent abortions from being used instead of contraceptives; (3) stop illegal medical abortions; and (4) deal with the dilemma of sex-selective abortions.

    Conclusions: Respondents were proud of and had psitive experiences from their work. They stated they have the opportunity to secure women’s rights and health; however, changes are needed to bring the quality of abortion care to a satisfactory level.

  • 3.
    Shrestha, S.
    et al.
    Kakani Primary Health Centre, Nepal.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Swahnberg, Katarina
    Linköping University, Department of Molecular and Clinical Medicine, Gender and Medicine. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Learning Pelvic Examination with Professional Patients2010In: JOURNAL OF NEPAL MEDICAL ASSOCIATION, ISSN 0028-2715, Vol. 49, no 1, p. 68-75Article in journal (Refereed)
    Abstract [en]

    Performing pelvic examination is a vital skill to learn during gynecological and obstetrical training. Its a difficult maneuver to master as there is very little to see and more to feel and interpret. In addition, learning PE in usual clinical set-up has been found to induce lot of stress and anxiety among both the patients and the students. Students fear of hurting the patients and being judged inept, whereas patients feel embarrassed having to expose their most intimate body parts for learning purpose. This hampers effective learning. Learning PE on sedated women before surgery or on mannequins has been practiced as alternative learning models. But, they have been found to miss out on teaching the communication skills, which are as important as the palpation skills. However, there exists another model of learning PE - the professional patients, who are specially trained to act as patients and also guide the students on how to make a proper PE. They provide stress-free environment for the students to learn PE and at the same time, provide immediate feedback on each of their maneuvers. They form a complete learning model and help students to see patients as partner and not just a person seeking help.

  • 4.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Att växa i gynstolen- en möjlighet genom empowerment?2010In: Genus och kön inom medicin och vårdutbildningar / [ed] Barbro Wijma, Goldina Smirthwaite, Katarina Swahnberg, Lund: Studentlitteratur , 2010, 1:1, p. 135-149Chapter in book (Other academic)
    Abstract [sv]

    Kvinnor och män är delvis lika, delvis olika. Det innebär att kvinnor och män både har behov av likadan behandling och av behandling som är anpassad till det egna könets förutsättningar. Denna antologi belyser kvinnors och mäns förutsättningar och behov inom en rad olika medicinska områden och tar upp både biologiska och sociala faktorer som påverkar hälsa och behandling. Den behandlar även den roll som kön spelar inom vårdens arbetsliv samt hur köns- och genusperspektiv kan integreras inom olika typer av medicin- och vårdutbildningar. Ett av bokens teman är våld, kränkningar och diskriminering, och inom ramen för detta behandlas några av de olika maktordningar som kommer till uttryck vid behandlingar inom hälso- och sjukvården. Antologin har en stor spännvidd när det gäller ämnen och författare. Förhoppningsvis ska den bredd som antologin uppvisar, leda fram till frågeställningar där läsaren utmanar sina förgivettaganden inom både genusvetenskap och mer traditionell medicin samt väcka nya frågor: Om könet snarare ses som en konstruktion än en fysisk realitet - kan då kvinnor lika gärna äta mediciner som är utprovade på män och opereras med metoder och verktyg anpassade till mäns fysiologi? Å andra sidan - hur objektiv är den naturvetenskapligt inriktade medicinska forskningen egentligen om man börjar granska den utifrån frågeställningar om perspektivval och genus? Antologin vänder sig till lärare på utbildningar inom medicin, hälsa och vård. Andra målgrupper är studenter på sådana utbildningar, vårdpersonal och en intresserad allmänhet.

  • 5.
    Siwe, Karin
    Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Gynekologisk undersökning: Instruktionsbroschyr om gýnekologisk undersökningsteknik.2010Other (Other academic)
    Abstract [sv]

    Instruktionsbroschyr i färgtryck om gynekologisk undersöknigsteknik  för läkar- och  barnmorskestudenter liksom läkare under allmäntjänstgöring och specialistutbildning. Broschyren visar stegvis och i detalj hur en fullständig gynekologisk undersökning går till med instrument och palpation med händerna. Därutöver visas bilder på kvinnlig anatomi, anvisningar för cellprovstagning och provtagning för infektionssjukdomar i de kvinnliga könsorganen.

  • 6.
    Siwe, Karin
    Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Gynekologisk undersökning: InstruktionsDVD i gynekologisk undersökningsteknik.2010Other (Other academic)
    Abstract [sv]

    Undervisningsfilm i gynekologisk undersökningsteknik för läkar och  barnmorskestudenter liksom läkare under allmäntjänstgöring och specialistutbildning. Filmen betsår av två delar. Del ett utgör basen och visar stegvis och i detalj en fullständig gynekologisk undersökning. Del två visar kvinnlig anatomi, ultraljudsundersökning och provtagningsanvisningar.

  • 7.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Learning the Pelvic Examination2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The inspiration for the present studies was the learning concept that used professional patients (PP) as instructors for medical students in learning how to perfom the pelvic examination (PE).

    Interviews performed with women who were PPs showed that they experienced a continuous beneficial increase in knowledge. This promoted personal development related to bodily awareness and affirmed their femininity, making them less vulnerable and reversing their approach to their own body of being an object to becoming a subject. The growing ability to contribute to students’ learning and the feeling of being valuable enhanced the PPs self-esteem and well-being and promoted independence in the learning situation. Being a PP was rewarding and contributed to the feeling of being empowered and growing as a woman in the examination chair.

    Two models of teaching the PE to medical students were compared: with PPs or with clinical patients (CP). The outcome showed that the PP students were more skilful in palpating the terus and ovaries and performed more PEs during the clinical clerkship than did CP students.

    Female and male medical students were interviewed after they had performed their first PE with PPs as instructors. The female students’ most obvious concern was about looking and touching another women’s vulva whereas male students were concerned about how to establish rapport with the PP. The interactive and supportive feedback from the PPs enabled the students to overcome their hesitation and encouraged creative learning of interpersonal and palpation skills. The LS positively enhanced the female students’ awareness of own bodies and promoted a deeper interest in PEs, both as an examiner and as patients. The male students became aware of the importance of creating a beneficial interaction with the woman and gained an insight into a previously “unknown” female world that deepened their understanding of women’s possible vulnerability during a PE.

    Women at an outpatient clinic participated in individual LSs about the female anatomy and the PE, and performed a PE on a mannequin prior to visiting the gynaecologist. Following the visit interviews were performed to gain a deeper understanding of the impact of the LS. The womens’ active participation during the LS generated increased self-confidence and knowledge, triggered emowerment and promoted a creative ability to interact subsequently during their own PE.

    Part of the studies involved developing a questionnaire to measure the fear of performing the pelvic examination, the Fear of Pelvic Examination Scale (F-PEXS). The questionnaire was shown to have a very good reliability (e.g. Cronbach alpha is .96) and good construct validity.

    Engaging voluntary, healthy and knowledgeable women as instructors in the PE situation creates a safe and ethical learning environment and promotes interaction with students. Immediate constructive feedback enables students to integrate communication and behavioural skills in a professional manner whilst learning to palpate the uterus, facilitating an inner security as a future examiner.

    The learning sessions were of benefit to the PPs, the female students in the PP model, and the women in the clinical study. The acquired knowledge started something positive within the women; a will to act and find out more about themselves. The LSs initiated empowerment in the sense that an empowered person has increased capacity to act in goal-directed ways.

    List of papers
    1. A Stronger and Clearer Perception of Self Womens Experience of Being Professional Patients in Teaching the Pelvic Examination: a qualitative study
    Open this publication in new window or tab >>A Stronger and Clearer Perception of Self Womens Experience of Being Professional Patients in Teaching the Pelvic Examination: a qualitative study
    2006 (English)In: BJOG: An International Journal of Obstetrics and Gynaecology, ISSN 1470-0328, Vol. 113, no 8, p. 890-895Article in journal (Refereed) Published
    Abstract [en]

    Objectives To identify and describe the experience of being a professional patient (PP) in teaching the pelvic examination (PE).

    Design Qualitative study using in-depth interviews.

    Setting Participant's home, place of work or other place of choice.

    Population Thirteen female PPs who teach the PE to medical students and student midwives.

    Method Semi-structured interviews analysed with an interpretive phenomenological approach.

    Main outcome measures Five themes were identified during the analysis: 'embodied knowledge', 'promoting a proper approach', 'redrawing private boundaries', 'feeling confident' and 'doing something meaningful'. The essence 'experience of stronger and clearer perception of self' emerged from the themes and is the described structure of the lived experience of the women who are PP.

    Conclusions Being a PP in this setting was beneficial for the women. They acquired increased knowledge about their bodies and PE procedure, which led to a new awareness of their own body. Contributing to students' learning in such an intimate examination procedure was rewarding and increased self-esteem.

    Keywords
    Interpretive phenomenology, pelvic examination, professional patient, qualitative study, women's experience
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-12769 (URN)10.1111/j.1471-0528.2006.01019.x (DOI)
    Available from: 2007-11-20 Created: 2007-11-20 Last updated: 2018-11-15
    2. Medical students learning the pelvic examination: Comparison of outcome in terms of skills between a professional patient and a clinical patient model
    Open this publication in new window or tab >>Medical students learning the pelvic examination: Comparison of outcome in terms of skills between a professional patient and a clinical patient model
    2007 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 68, no 3, p. 211-217Article in journal (Refereed) Published
    Abstract [en]

    Objective: To compare two models of learning the pelvic examination (PE) for medical students, with professional patients (PP) or with clinical patients (CP), by measuring perceived distress and learning outcome in terms of skills.

    Methods: Prospective longitudinal study. Assessments of self-perceived distress on four occasions at the prospect of performing a PE. Evaluation of the learning session (LS) and clinical clerkship concerning outcome of palpation skills.

    Results: During the LS, students in the PP model (PP students) received enough guidance from their coaches, were certain they had palpated the uterus and at least one ovary, and were less distressed afterwards compared with students who were instructed using the CP model (CP students). During the clinical clerkship, the PP students performed twice as many PEs as CP students did and had more often confirmed palpating the uterus and an ovary.

    Conclusion: PP students were more skilful in palpating the uterus and ovaries and performed more PEs during the clinical clerkship than did CP students.

    Practice implications: Engaging healthy and voluntary women as PPs takes time and effort. It is, however, worthwhile as it increases the confidence of students who perform PEs, makes them more competent, and ultimately improves their skills in performing the examination during their clinical clerkship.

    Keywords
    Pelvic examination, Medical students, Professional patient, Learning outcome, Skills
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-12770 (URN)10.1016/j.pec.2007.05.007 (DOI)
    Available from: 2007-11-20 Created: 2007-11-20 Last updated: 2018-11-15
    3. Performing the First Pelvic Examination: Female Medical Students’ Transition to Examiners
    Open this publication in new window or tab >>Performing the First Pelvic Examination: Female Medical Students’ Transition to Examiners
    2007 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 69, no 1-3, p. 55-62Article in journal (Refereed) Published
    Abstract [en]

    Objective: To gain a deeper understanding of how female medical students perceive and experience performing their first pelvic examination (PE).

    Methods: A qualitative study. In-depth interviews after the students’ involvement in a learning session about the PE, with professional patients (PPs) as instructors and a gynaecologist as supervisor. The interviews were analysed according to the constant comparative method to acquire a deeper understanding of the students’ experiences and the ongoing social processes.

    Results: “Transcending unspoken boundaries and taboos, a prerequisite for learning” was the essence of the entire material and was identified from two categories: “A didactic design facilitates the transition to examiner” and “Interactive support enables creative learning of interpersonal and palpation skills”.

    Conclusion: Through interactive guidance from the PPs, the students overcame affective obstacles and achieved the aim of becoming an examiner. The favourable learning experience heightened their awareness of their own bodies and promoted a deeper interest in PEs, both as examiners and as patients.

    Practice implications: Engaging voluntary, healthy and knowledgeable women as instructors in the PE situation creates a safe learning environment and promotes interaction with students. Immediate feedback teaches students to integrate communicative and behavioural skills in a professional manner and to palpate the uterus.

    Keywords
    Pelvic examination, Medical students, Professional patients, Education, Interactive learning, Qualitative method
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-12771 (URN)10.1016/j.pec.2007.07.002 (DOI)
    Available from: 2007-11-20 Created: 2007-11-20 Last updated: 2018-11-15
    4. Female patients learning to perform the pelvic examination"Active involvement triggers empowerment": a qualitative study
    Open this publication in new window or tab >>Female patients learning to perform the pelvic examination"Active involvement triggers empowerment": a qualitative study
    2007 (English)Article in journal (Refereed) Submitted
    National Category
    Medical and Health Sciences
    Identifiers
    urn:nbn:se:liu:diva-12772 (URN)
    Available from: 2007-11-20 Created: 2007-11-20 Last updated: 2018-11-15
  • 8.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Berterö, Carina
    Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Pugh, C.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Use of clinical simulations for patient education: targeting an untapped audience.2009In: Medicine Meets Virtual Reality 17 / [ed] James D. Westwood, Susan W. Westwood, Randy S. Haluck, Helene M. Hoffman, Greg T. Mogel, Roger Phillips, Richard A. Robb, Kirby G. Vosburgh, Amsterdam, Netherlands: IOS Press, 2009, Vol. 142, p. 325-330Conference paper (Refereed)
    Abstract [en]

    In most cases, the health professional has been the target for simulation based learning curricula. We have developed a simulation based curriculum for patient education. In our curriculum lay-women learn how to perform the clinical female pelvic examination using a manikin-based trainer. Learner assessments show that prior negative expectations turned into positive expectations regarding future pelvic examinations.

  • 9.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Berterö, Carina
    Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Gynecological patients learning to perform the pelvic examination: A win-win concept2013In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 4, no 2, p. 73-77Article in journal (Refereed)
    Abstract [en]

    Objective: This study explored gynecological patient perceptions of previous pelvic examinations (PE), a learning session about PE prior to a scheduled PE consultation, and the impact of the learning session on the PE during the consultation. Study design: Twelve informants were purposefully sampled from women with scheduled gynecologist appointments at a Swedish University Hospital. The learning session preceded the consultation and provided information on female genital anatomy and the PE, and the informant performed a PE on a mannequin. Individual qualitative interviews followed the consultation. The interviews were transcribed verbatim and analyzed using a constant comparative analysis to acquire a deeper understanding of the womens experiences of the learning session and the subsequent PE. Results: Three categories were identified in the analysis: Harmonizing the bad with the good category, which primarily concerned the informants previous experiences of the PE. Gaining self-confidence through knowledge, which depicted the informants experiences of the learning session. Mental preparation enables bodily recapture, which was the summarizing category of informant experiences of the scheduled PE. The core category, active involvement triggers empowerment, was created from the categories, and constitutes the core of the empirical material. Conclusion: The informants active participation during the learning session increased their knowledge, generated self-confidence, triggered an empowering process, and promoted interaction with the examiner during their subsequent PE.

  • 10.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Berterö, Carina
    Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Unexpected enlightening of a "female world". Male medical students experiences of learning and performing the first pelvic examination2012In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 3, no 3, p. 123-127Article in journal (Refereed)
    Abstract [en]

    Objective: To gain a deeper understanding of how undergraduate male medical students experience a pelvic examination learning concept and performing the first pelvic examination (PE) on a professional patient. less thanbrgreater than less thanbrgreater thanStudy design: A qualitative study. In-depth interviews with 12 male medical students after their involvement in a learning session about the PE, with professional patients and a supervising gynecologist as instructors. The interviews were analyzed according to the constant comparative method, a variety of content analysis, to acquire a deeper understanding of the students experiences and the ongoing social processes. less thanbrgreater than less thanbrgreater thanResults: The essence of the entire analysis was "Unexpected enlightening of a female world" and was identified from the three categories; "Not just any exam", "Professional supportive interaction" and "Humble awareness". The male students most prominent concern was how to establish a professional rapport with the patient in the PE situation. Beneficial active support from the professional patient and the gynecologist assisted the students to overcome inherent barriers and facilitated the examination procedure. The informants gained "inside information" from the patients perspective of being examined leading to a new awareness about an earlier unknown "female world" that is what women might go through before and during a PE and an humble understanding of how vulnerable it is to be placed in the examination position. less thanbrgreater than less thanbrgreater thanConclusion: The beneficial PE learning concept promoted an unexpected insight in what a woman might experience during a PE, creating a humble awareness of this vulnerable intimate situation and ideas for how to establish professional rapport.

  • 11.
    Siwe, Karin
    et al.
    Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Gynekologisk undersökningsteknik.: InformationsDVD för patienter.2003Other (Other academic)
    Abstract [sv]

    Informationsfilm för patienter om hur en gynekologisk undersökning går till.

  • 12.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    The first pelvic examination for an adolescent: is this rite of passage used to its full potential?2013In: Current Opinion in Obstetrics and Gynecology, ISSN 1040-872X, E-ISSN 1473-656X, Vol. 25, no 5, p. 357-63Article, review/survey (Refereed)
    Abstract [en]

    Purpose of review: Adolescents' experiences of their first pelvic examination (external inspection, speculum examination and bimanual palpation) may have a marked influence on future experiences; why examination techniques and strategies for creating a positive experience of this situation need to be developed. This review addresses to what extent that ambition is reflected in recent literature.Recent findings: The majority of articles on 'pelvic examination during adolescence' come from the United States, which skews the review's perspective. Several researchers recommend using investigations based on new technology rather than a pelvic examination when medical indications for a full examination are present. The profession's attitudes toward annual check-ups and pelvic examinations (in the United States) are currently debated, for teens as well as for adults.How to perform a first pelvic examination on an adolescent is not often discussed, nor are strategies for creating a positive experience of this event.The contexts in which a first pelvic examination is performed probably differ among societies. The Swedish and the US contexts are compared as an illustration; for example preventive healthcare and sex education is in Sweden the responsibility of schools, open for anybody and without admission fees.Summary: Recent literature does not mirror a need for developing examination techniques and strategies for creating a positive experience of the first pelvic examination, nor for exploiting its maximal potential as a positive rite of passage.The ongoing US debate on indications for pelvic examinations and annual check-ups is even more relevant for adolescents, in whom contraindications need to be considered.

  • 13.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Berterö, Carina
    Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    A Stronger and Clearer Perception of Self Womens Experience of Being Professional Patients in Teaching the Pelvic Examination: a qualitative study2006In: BJOG: An International Journal of Obstetrics and Gynaecology, ISSN 1470-0328, Vol. 113, no 8, p. 890-895Article in journal (Refereed)
    Abstract [en]

    Objectives To identify and describe the experience of being a professional patient (PP) in teaching the pelvic examination (PE).

    Design Qualitative study using in-depth interviews.

    Setting Participant's home, place of work or other place of choice.

    Population Thirteen female PPs who teach the PE to medical students and student midwives.

    Method Semi-structured interviews analysed with an interpretive phenomenological approach.

    Main outcome measures Five themes were identified during the analysis: 'embodied knowledge', 'promoting a proper approach', 'redrawing private boundaries', 'feeling confident' and 'doing something meaningful'. The essence 'experience of stronger and clearer perception of self' emerged from the themes and is the described structure of the lived experience of the women who are PP.

    Conclusions Being a PP in this setting was beneficial for the women. They acquired increased knowledge about their bodies and PE procedure, which led to a new awareness of their own body. Contributing to students' learning in such an intimate examination procedure was rewarding and increased self-esteem.

  • 14.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences.
    Berterö, Carina
    Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Female patients learning to perform the pelvic examination"Active involvement triggers empowerment": a qualitative study2007Article in journal (Refereed)
  • 15.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Silén, Charlotte
    Linköping University, Department of Medicine and Health Sciences, Clinical Physiology . Linköping University, Faculty of Health Sciences.
    Berterö, Carina
    Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Performing the First Pelvic Examination: Female Medical Students’ Transition to Examiners2007In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 69, no 1-3, p. 55-62Article in journal (Refereed)
    Abstract [en]

    Objective: To gain a deeper understanding of how female medical students perceive and experience performing their first pelvic examination (PE).

    Methods: A qualitative study. In-depth interviews after the students’ involvement in a learning session about the PE, with professional patients (PPs) as instructors and a gynaecologist as supervisor. The interviews were analysed according to the constant comparative method to acquire a deeper understanding of the students’ experiences and the ongoing social processes.

    Results: “Transcending unspoken boundaries and taboos, a prerequisite for learning” was the essence of the entire material and was identified from two categories: “A didactic design facilitates the transition to examiner” and “Interactive support enables creative learning of interpersonal and palpation skills”.

    Conclusion: Through interactive guidance from the PPs, the students overcame affective obstacles and achieved the aim of becoming an examiner. The favourable learning experience heightened their awareness of their own bodies and promoted a deeper interest in PEs, both as examiners and as patients.

    Practice implications: Engaging voluntary, healthy and knowledgeable women as instructors in the PE situation creates a safe learning environment and promotes interaction with students. Immediate feedback teaches students to integrate communicative and behavioural skills in a professional manner and to palpate the uterus.

  • 16.
    Siwe, Karin
    et al.
    Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Wijma, Klaas
    Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences.
    Validation of the Fear of Pelvic Examination Scale (F-PEXS) - measuring students fear of performing a pelvic examination2015In: Journal of Psychosomatic Obstetrics and Gynaecology, ISSN 0167-482X, E-ISSN 1743-8942, Vol. 36, no 1, p. 23-28Article in journal (Refereed)
    Abstract [en]

    Introduction: Medical students of both genders often show signs of fear before they perform their first pelvic examination. This situation puts a novice in a special setting of intimacy never experienced before and where different emotions may emerge. A specially designed questionnaire, the Fear of Pelvic Examination Scale (F-PEXS) has been developed to assess fear in this context. The aim of this paper is to describe the validation of the F-PEXS. Methods: Undergraduate medical students (N = 100) answered the F-PEXS one week before, prior to and after a learning session with professional patients to assess levels of anxiety towards performing the pelvic exam. The validity of the scale was examined using item analysis, reliability assessments and analysis of the construct validity in comparing the F-PEXS with the Spielberger State and Trait Anxiety Inventory and Becks Anxiety Inventory. Results: The F-PEXS has very good reliability (Cronbachs alpha 0.96) and good construct validity. The mean score on the F-PEXS did not differ between gender either before or after the learning session. Conclusions: The F-PEXS can be used to assess students fear of performing the pelvic examination, to evaluate new strategies for learning the pelvic exam and to evaluate the outcome of such interventions.

  • 17.
    Siwe, Karin
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Wijma, Klaas
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences.
    Stjernquist, Martin
    Department of Clinical Sciences/Obstetrics & Gynaecology, University Hospital MAS, Malmö, Sweden.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Medical students learning the pelvic examination: Comparison of outcome in terms of skills between a professional patient and a clinical patient model2007In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 68, no 3, p. 211-217Article in journal (Refereed)
    Abstract [en]

    Objective: To compare two models of learning the pelvic examination (PE) for medical students, with professional patients (PP) or with clinical patients (CP), by measuring perceived distress and learning outcome in terms of skills.

    Methods: Prospective longitudinal study. Assessments of self-perceived distress on four occasions at the prospect of performing a PE. Evaluation of the learning session (LS) and clinical clerkship concerning outcome of palpation skills.

    Results: During the LS, students in the PP model (PP students) received enough guidance from their coaches, were certain they had palpated the uterus and at least one ovary, and were less distressed afterwards compared with students who were instructed using the CP model (CP students). During the clinical clerkship, the PP students performed twice as many PEs as CP students did and had more often confirmed palpating the uterus and an ovary.

    Conclusion: PP students were more skilful in palpating the uterus and ovaries and performed more PEs during the clinical clerkship than did CP students.

    Practice implications: Engaging healthy and voluntary women as PPs takes time and effort. It is, however, worthwhile as it increases the confidence of students who perform PEs, makes them more competent, and ultimately improves their skills in performing the examination during their clinical clerkship.

  • 18.
    Swahnberg, Katarina
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Wijma, Barbro
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
    Strong discomfort during vaginal examination: why consider a history of abuse?2011In: European Journal of Obstetrics, Gynecology, and Reproductive Biology, ISSN 0301-2115, Vol. 157, no 2, p. 200-205Article in journal (Refereed)
    Abstract [en]

    Objective

    To study factors associated with strong discomfort during vaginal examinations (SD/VE) by means of four hypotheses.

    Study design

    A cross sectional postal questionnaire study, conducted at three Swedish departments of obstetrics and gynaecology and with a random population sample (n = 4453).

    Main outcome measures

    The associations between a self-reported history of emotional, physical and sexual abuse and abuse in health care, flashbacks during the previous year, emotional contact with the examiner, and SD/VE during the index visit (discomfort estimated on a ten-point scale; six-ten = SD). Statistical analyses used were Chi-square, Binary logistic regression, and Pearson Correlation.

    Results

    Eighteen percent of the women reported SD/VE. There was an association between SD/VE and a lifetime history of abuse. Having experienced combinations of abuse, especially combinations including emotional abuse and abuse in health care, was strongly associated with SD/VE. SD/VE was furthermore associated with flashbacks during the previous year, and negative emotional contact with the examiner during the index visit.

    Conclusions

    We conclude that women who unexpectedly react with SD/VE are more likely to have a background of abuse, and may even run a risk of feeling re-traumatised during the VE. A clinical implication is to consider a history of abuse in patients who react with SD/VE or experience negative emotional contact during the consultation.

  • 19.
    Wijma, Barbro
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Liss, P-E
    Jansson, MA
    Siwe, Karin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Att vilja eller inte vilja.2002In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 99, p. 1716-1719Article in journal (Other academic)
  • 20.
    Wijma, Barbro
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Den gynekologiska undersökningen2010In: Gynekologi: (Lärobok i gynekologi) / [ed] Per-Olof Janson, Britt-Marie Landgren, Lund: Studentlitteratur , 2010, 1:1, p. 33-44Chapter in book (Other academic)
    Abstract [sv]

    Kvinnosjukvården genomgår för närvarande stora förändringar, där gynekologer och övrig vårdpersonal tar ett allt större ansvar för kvinnors hälsa. Den gynekologiska öppenvården ökar och samtidigt koncentreras de traditionella kärnverksamheterna förlossningsvård och tung gynekologisk kirurgi i den slutna vården.Inom gynekologin kommer specialiteten att engageras av förebyggande och behandling av åkommor som kan drabba kvinnor i högre åldrar, av nya principer för antikonception, av utvecklingen inom urogynekologin och den genetiska diagnostiken, och av nya teknologier inom reproduktionsmedicinen.Denna lärobok i gynekologi tar bland annat fasta på vikten av kritisk granskning av medicinska och kirurgiska åtgärder så att medicinska prioriteringar kan göras på bästa möjliga evidens. Läroboken innehåller utförliga kapitel om lagstiftning, gynekologisk ultraljudsdiagnostik, våld mot kvinnor, sexologi och diagnostik och behandling av akut och kronisk bäckensmärta.Läroboken är resultatet av ett unikt samarbete mellan ett stort antal specialister inom gynekologi. Boken vänder sig till läkarstuderande på grundutbildningen samt till läkare, barnmorskor och sjuksköterskor inom såväl öppen som sluten vård. Den kan även användas som fördjupnings- och referensbok.

  • 21.
    Wijma, Barbro
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Siwe, Karin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Obstetrics and gynecology. Östergötlands Läns Landsting, Centre of Surgery and Oncology, Department of Surgery in Östergötland.
    Empowerment i gynstolen. Teori, empiri och möjligheter.2002In: Kvinnovetenskaplig tidskrift, ISSN 0348-8365, p. 61-73Article in journal (Other academic)
  • 22.
    Wijma, Barbro
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Gender and Medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Siwe, Karin
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Molecular and Clinical Medicine, Gender and Medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping.
    Examiner's unique possibilities to catalyze women's empowerment during a pelvic examination2004In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 83, no 12, p. 1102-1103Article in journal (Refereed)
  • 23.
    Wijma, Barbro
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Centre of Paediatrics and Gynecology and Obstetrics, Department of Gynecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Gynekologisk undersökningsteknik1996Report (Other academic)
    Abstract [sv]

    Den gynekologiska undersökningen utgör basen för att kunna ställa en diagnos inom ämnet obstetrik/gynekologi. Syftet med detta kapitel är att granska vad som står i den litteratur som rekommenderas till studenterna på Läkarlinjen, Hälsouniversitet avseende gynekologisk kroppsundersökning både ur teknisk och psykologisk synvinkel.

  • 24.
    Wijma, Barbro
    et al.
    Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Faculty of Health Sciences.
    Siwe, Karin
    Östergötlands Läns Landsting, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping. Linköping University, Department of Clinical and Experimental Medicine, Gender and medicine. Linköping University, Faculty of Health Sciences.
    Johnson, Ericka
    Sociologiska Institutionen, Göteborgs Universitet, Sweden.
    Sandell, Kerstin
    Centrum för genusvetenskap, Lunds Universitet, Sweden.
    Adrian, Stine
    Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Thematic Studies, The Department of Gender Studies.
    Lykke, Nina
    Linköping University, Department of Thematic Studies, The Department of Gender Studies. Linköping University, Faculty of Arts and Sciences.
    Visualisering av kvinnokroppen: Analys ur ett genusperspektiv2008Report (Other academic)
    Abstract [sv]

    Nya digitala tekniker gör att tidigare fördolda skeende inom gynekologin alltmer kan visualsieras. Projektets mål var att utforska hur nya teknologier för att visualisera kvinnokroppen påverkar kunskapsproduktion och läroprocessser inom gynekologi med avseende på två aktörer; gynekologen och patienten. De två exempel på visualisering som studerades var ultraljudsundersökning av den gravida livmodern och äggstockar vid behandling av ofrivillig barnlöshet och simulatorn E-pelvis för undervisning av läkarstudenter i gynekologisk undersökningsteknik.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

1 - 24 of 24
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf