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- Rämgård, Margareta, 1961-
(författare)
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The birthroom in Greenland
- 2011
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Ingår i: 14th International Medical Geography Symposium (IMGS). - Durham : Durham University. ; , s. 217-217
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Konferensbidrag (refereegranskat)abstract
- A largely roadless country with barely 60.000 inhabitants in more or less rural environments and adverse climate, Greenland poses extreme challenges for childbirth and midwifery. Greenland possesses a modern hospital structure, but the training of midwives and physicians takes place in Denmark. Thus, like many other countries on the periphery, Greenland remains locked in a technological development with competence permanently transferred from the West instead of based of local needs. In an ethnographic study, following midwifery practice, it is described how this affects child delivery care and the localization of childbirth. Perinatal mortality and infant mortality in Greenland has long exceeded the rates in Denmark. Therefore, high security in obstetric care is considered essential. Greenland women do not give birth at home but in hospitals. These hospitals, however, are rather like primary care centres. For many years these hospitals have been staffed with Western surgeons and physicians spending a few months in Greenland. Normal deliveries were assisted by so called birth assistants, with shorter domestic training in general health care. In-depth interviews with the midwives revealed the pregnant women come from small villages and feel frightened by being far from their families. Due to the adverse topographic and climatic conditions the women have to stay in the hospital or with relatives in the capital 3 – 4 weeks before the expected delivery. The study shows that the combination of geographical factors and the dependency on foreign staff affects the structure of care as well as the women’s experience of giving birth.
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- Rämgård, Margareta, 1961-
(författare)
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The matter of place in care for dementia
- 2011
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Ingår i: 14th International Medical Geography Symposium (IMGS). - Durham : Durham University. ; , s. 154-154
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Konferensbidrag (refereegranskat)abstract
- The paper describes an action research project with nursing staff in three municipalities in Southern Sweden. The purpose was to explore the social well-being of dementia patient living in care units. Data were collected as observations of the patients, registered in diaries kept by the staff. The diaries were structured in accordance with time geography principles. Further, in-depth interviews were made with the patients’ next-of-kin. Focus groups of staff were organized in the care units. Result: previous research had shown that people suffering from dementia experience well-being influenced by colours and shapes in the care environment. This project, however, indicates that patients’ well-being is in fact strongly affected by experiences from places during earlier phases of their lives. Also, emotionally charged experiences connected with certain places in their lives influence their performance of social activities, strengthen their cognition and empower people with dementia. The staff now uses the result from the research to create social wellbeing for dementia in care.
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- Ziegert, Kristina, 1957-, et al.
(författare)
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Mapping family and social space in caring : a metamethod study
- 2008
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Ingår i: Parallel presentations. - Abingdon : Taylor & Francis. ; , s. 29-29
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Konferensbidrag (refereegranskat)abstract
- Social relations are about how we treat each other. They imply explicit and tacit knowledge, rules of behaviour, and values inherent in specific social spaces. When a family is struck by a life-threatening illness, the individual’s ‘‘life space’’ tends to shrink. This impacts the mutual relationships in the family, as well as the situation in the home. Therefore, there are obvious dialectics between spatial and social dimensions, when close relatives are afflicted by serious illness. This paper explores how research on homecare involves space in analysing social issues.Meta-method analysis was chosen, in order to extend the review format and analyse meta-questions. Meta-synthesis in different research areas and fora involved the examina- tion of a set of qualitative studies. Material was collected using the Cinahl, PubMed and Academic Search data- bases. These were supplemented by the Social Science Index, Sociological Abstract and Science Direct, to explore if aspects of care and space are treated in social science. The sample consisted of 38 articles, displaying a wide variety of methods. Findings suggest that in the fields of caring and sociological research, spatial factors are only implicitly described, and the dynamics of the social and spatial dialectics in home caring relationships seem to be rare. The concept of space in caring is found in a few studies in human geography. The observed absence of a spatial perspective in caring is problematic, since it neglects the fact that relationship and caring are situated in context.
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- Rämgård, Margareta
(författare)
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The Power of Place : in the context of pregnancy
- 2007
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The study explores the importance of place attachment for women’s sense of security during pregnancy. Coping strategies of pregnant women are analysed, focusing on how the prospectof giving birth affects their relationship to place. Anthony Giddens’ concept of ontologicalsecurity is critically examined and used to investigate the connection between place andontological security – what I call place security –through a set of empirical data drawn fromin-depth interviews with pregnant women. Two studies were carried out, one in Swedenand the other in northern Norway. A qualitative analysis was made of the interview material,using the three basic elements of ontological security, self-identity, continuity andritualisation, as a grid of analysis. Earlier psychological research indicates that the prospectof giving birth and raising a family brings the issue of ontological security to the surface.The data confirms such findings, demonstrating the particular importance of place. Duringpregnancy, the women came to consider issues of identity related to their own childhoodexperience. A sense of security connected to place was essential for their well-being in thisvulnerable period of transition, and places procuring this security were consciously sought toalleviate anxiety. Both women who had previously lived very mobile lives and those whohad been more sedentary exhibit the need for place security. A typical coping strategy was toreturn to childhood places. In other cases, the women tried to achieve place security for theirchildren by recreating an environment similar to the place their own sense of identity wasrooted in. Social institutions, such as schools, day-care facilities and jobs, largely determinein which places a sense of security can be achieved from a practical point of view. Deeperontological security, however, relates to the individual’s life history, and to places thatrepresent continuity, daily routines and the constitution of identity for that individual. Thestudy investigates the significance of childhood experiences of place with respect to thewomen’s experience of security during pregnancy.
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