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Biomedical subjects

M Sandelowski

Publications and source records attributed to M Sandelowski.

67 records · Page 4Linked to original sources
PubMedDate not supplied

Amniocentesis in the context of infertility.

The encounter with amniocentesis compels infertile couples to experience again the mix of adversity, uncertainty, and hope characterizing both infertility and prenatal testing. Findings from open-ended interviews of 38 couples, 25 infertile and 13 fertile, participating in an ongoing longitudinal field study of infertile childbearing and adopting couples suggest that amniocentesis both reprises elements of the infertility experience and interrupts elements of the pregnancy experience.

Adult↗
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Beyond couvade: pregnancy symptoms in couples with a history of infertility.

Thirty-six couples with a history of infertility reported their physical, positive emotional, and negative emotional symptoms during pregnancy. The women experienced more physical symptoms than did the men. Both the men and women experienced second-trimester decreases in negative emotional symptoms and third-trimester increases in negative emotional symptoms. The women's physical symptoms also showed a second-trimester dip. Each symptom type was correlated for husbands and wives, but only 6 husbands showed evidence of couvade syndrome by exhibiting exact correspondence with their wives' symptoms. Symptom attunement appears to be a better term than couvade for most infertile men's experiences of pregnancy.

Adult↗
PubMedDate not supplied

On infertility.

Infertility is not one objective life event and is not necessarily the salient event in understanding infertile couples' behaviors. Common behaviors observed in infertile couples may have different meanings. The nursing care of infertile couples is enhanced and more faithful to individual experience when the complexity and variation of infertility is recognized.

Attitude to Health↗
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The nurse-technology relationship: the case of ultrasonography.

OBJECTIVE: To examine the nurse-technology relationship via a case study of ultrasonography in women's health nursing practice. DESIGN: Exploratory case study using ethnographic methods. SETTING: Outpatient obstetric and gynecology clinic of a large teaching hospital. PARTICIPANTS: Three nurses, two technicians, and one physician. RESULTS: Two of the nurses and the physician were very "nurse-like" in their use of the technology of ultrasonography to fulfill the traditional nursing purposes of observation, teaching, and comforting. The third nurse was nurse-like in talk, but at times "technician-like" in performance, allowing the technology to pull her away from nursing purposes. CONCLUSIONS: The expert nurses bent the technology to nursing purposes. Sonographers performed in accordance with professional training and experience, rather than with gender expectations. The subtle differences between expert nurse use and technical use (by novice nurses or technicians) of ultrasonography may provide a strong rationale against current efforts to substitute technically trained or technically oriented personnel for expert nurses.

Attitude of Health Personnel↗
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Retrofitting technology to nursing: the case of electronic fetal monitoring.

OBJECTIVES: To describe how nurses put electronic fetal monitoring to use in the 1960s and 1970s and the dilemmas this caused. DESIGN: Social history. RESULTS: Nurses used electronic fetal monitoring to improve the watchful and comfort care of childbearing women, and they saw it as validating nursing. They retrofitted, or worked to reconcile machine monitoring with natural, prepared, and participative childbirth, and with attentive and embodied nursing. CONCLUSION: Electronic fetal monitoring was another in a long line of technological innovations that fell to nurses to put into use and to make work. The remarkably rapid way electronic fetal monitoring became routine in the United States depended, in large part, on the articulation work of nurses. However, like all such work, what nurses did to make electronic fetal monitoring work for patients, physicians, hospitals, and manufacturers was largely invisible. Retrofitting efforts often entail unrecognized innovation and risks for nursing.

Diffusion of Innovation↗
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This most dangerous instrument: propriety, power, and the vaginal speculum.

The vaginal speculum is an instrument in a contested technology. As the oldest instrument in the technology of obstetric surveillance and diagnosis, the vaginal speculum provoked serious debates about the propriety and power of looking at women's bodies. Contemporary devices, such as the ultrasound machine and the electronic fetal monitor, continue to engender debates about looking. Nurses are key participants in technologically mediated spectatorship, as nursing practice with women increasingly comprises looking at and through them with instruments.

Female↗