Midwifery students’ conceptions of worst imaginable pain

BackgroundThe Visual Analogue Scale (VAS) is one of the most widely used pain assessment scales in clinical practice and research. However, the VAS is used less frequently in midwifery than in other clinical contexts. The issue of how people interpret the meaning of the VAS endpoints (i.e. no pain and worst imaginable pain) has been discussed. The aim of this study was to explore midwifery students’ conceptions of ‘worst imaginable pain’.MethodsA sample of 230 midwifery students at seven universities in Sweden responded to an open-ended question: ‘What is the worst imaginable pain for you?’ This open-ended question is a part of a larger study. Their responses underwent manifest content analysis.ResultsAnalysis of the midwifery students’ responses to the open-ended question revealed five categories with 24 sub-categories. The categories were Overwhelming pain, Condition-related pain, Accidents, Inflicted pain and Psychological suffering.ConclusionsThe midwifery students’ conceptions of ‘worst imaginable pain’ are complex, elusive and diverse.     

依温妮·维拉：诗意写作与女性生存困境

依温妮·维拉是非洲最具世界性和天赋的作家之一。她的小说致力于书写津巴布韦战乱年代国家命运走向与极端暴力性事件中底层女性的生存境况。在其代表性的作品《无名》《舌下》《蝴蝶燃烧》中,女主人公分别陷入身份、情感、自我实现的困境。这折射出殖民掠夺、反殖民战争对妇女的伤害以及父权制下女性生存之艰难。同时,维拉大胆运用诗意化的写作方式,与小说中的暴力事件产生强烈视觉对比,悲剧效果更甚。     

Patterns of working and living conditions: a holistic, multivariate approach to occupational health studies

The objective of the study was to develop a multivariate approach to occupational health studies that is: capable of identifying groups with similar working conditions; relevant for studies of associations between working and living conditions and health; and an appropriate basis for preventive actions. Data at the individual level were obtained through measurements, observations, interviews and questionnaires, and at the organizational level, through interviews with managers. Cluster analyses were applied with the purpose of identifying groups of individuals with small, within-group differences. Eighty work sites and a sample of employees at each site were strategically selected. The study group comprised 203 men and women, and was characterized by large variation. The final analysis produced eight clusters of individuals, denoted according to their best-defining characteristic, i.e. 'decent', 'boundary-less', 'locked', 'exposed', 'heavy and monotonous', 'changed', 'mobile' and 'restrained'. The clusters differed with regard to 'what' characterized working conditions, 'where' on the labour market they were found, and 'who' clustered in these groups. The holistic approach revealed conditions that were important for health and had higher explanatory power in relation to ill-health than applying socio-economic groupings or the demand-control-support model. It showed how psychosocial, ergonomic-physical and occupational hygiene factors combine and interact to create settings with different risks of ill-health. The chosen strategy is recommended for future occupational health studies and is particularly suitable as guidance for preventive actions relevant to specific clusters of working and living conditions.     

A Cross-Cultural Study of the Psychosocial and Spiritual Impact of Natural Disaster

We report a cross-cultural comparison of coping with natural disaster involving two populations—survivors from the 1999 earthquake in Turkey and from the 1994 Northridge earthquake in California. The research project was explorative in design and included 222 people—123 individuals from Turkey and 99 from California. A main focus of the study was how age, gender, marital status, and cultural differences impact on levels of Posttraumatic Stress Disorder (PTSD). Concomitantly, the association of many other variables was explored including cultural education, presence and degree of loss, extent of damage to one's home, whether individuals did or did not receive assistance, etc., and how these impacted their coping. Statistical analysis revealed strong associations between PTSD and age for both studies. It was found that the highest level of PTSD in the California sample occurred among individuals at least 60 years old. In the Turkey sample, those in their fifties showed the highest level of PTSD. The article highlights similarities and differences between the post-earthquake coping responses in California and Turkey and concludes by discussing forms of assistance to earthquake victims.     

Women rebuilding lives post-disaster: innovative community practices for building resilience and promoting sustainable development

Disasters result in devastating human, economic, and environmental effects. The paper highlights women's active participation in community-based disaster recovery efforts drawing from the results of the ‘Rebuilding Lives Post-disaster: Innovative Community Practices for Sustainable Development’ by an international research partnership. Two case studies are presented from Pakistan and the USA to demonstrate how women contribute to building resilience and promoting sustainable development in diverse post-disaster contexts. The policy and practice implications are relevant for discussions regarding the post-2015 Sustainable Development Goals and framework.     

Who Participates and Who Benefits From Employer‐Provided Child‐Care Assistance?

Support from employers to help parents balance work and family responsibilities has become an increasingly important issue, particularly in the United States, where public support for families is scarce. Little is known about the effectiveness of employer‐provided child‐care support. Who participates in these programs, and what are their benefits? This study is among the first to address these questions using a dataset that combines administrative with survey data from employees at a large organization. Findings indicate that employer financial support for child care can be structured so that employees with the greatest need benefit and employee participation is not associated with stigma. Results suggest the employer benefits from increased employee commitment and reduced employee stress, but employees do not report increased parent or child satisfaction with care. Although employer financial support alone cannot compensate for structural problems with regard to child care, it may reduce stress and increase employee commitment in the workplace.     

Towards a language of sexual gray zones: feminist collective knowledge building through autobiographical multimedia storytelling

This article examines the narrative and discursive feminist labor of the Swedish 2010 Twitter-initiated #talkaboutit campaign focusing on sexual “gray areas.” The campaign sought to lessen the perceived gap between experience and discourse and work towards an adequate language encompassing difficult sexual situations presented as residing in the gray area between choice and coercion. Autobiographical narratives of negative sexual situations amounting to something less than rape were summoned, produced, and intensively disseminated online and in print media. I mainly analyze the autobiographical stories produced by what could be called the core members of the campaign as they signal the purpose of collective autobiographical storytelling as well as what is sayable and culturally exigent. I analyze how new grounds of contention in between sex and violence are staked out focusing equally on the feminist act of personal/political storytelling and on the story told about sexual “gray areas.” The article discusses the tension between the feminist collective, side-by-side, mode of storytelling and knowledge building and the equally present neoliberal narrative arc which culminates in a subject personally responsible for acting differently next time.