Prenatal loss, such as miscarriage and stillbirth, may be understood as the confluence of birth a... more Prenatal loss, such as miscarriage and stillbirth, may be understood as the confluence of birth and death. The most significant of life’s transitions, these events are rarely if ever expected to coincide. Although human cultures have long recognized death through ritual, it has not typically been used in cases of pregnancy loss. Interest in prenatal losses in the fields of medicine and the social sciences, as well as among the general public, has grown significantly in recent years in many countries, including Spain, as evidenced by increasing numbers of clinical protocols, academic books and articles, public events and popular media coverage. Even with this growing attention, there are still no officially sanctioned or generally accepted ways of using ritual to respond to prenatal losses in Spain. However, despite a lack of public recognition or acceptance of the use of ritual, we found that women in the autonomous community of Catalonia, in Spain, are employing ritual in various f...
El contexto reproductivo espanol ha sido descrito como de "infertilidad estructural" (M... more El contexto reproductivo espanol ha sido descrito como de "infertilidad estructural" (Marre, 2009), a causa del descenso de la fecundidad desde mediados de los anos 70, debido principalmente a las condiciones del mercado laboral (Marre, 2009), los discursos feministas que vinculaban la libertad de las mujeres con la no-maternidad (Marre, 2012 a Briggs et al., 2012) y a la falta de politicas publicas de apoyo a la maternidad (Comas d'Argemir et al., 2016). A pesar de esta situacion, la mayoria de mujeres tienen hijos/as, aunque tengan menos de los que quisieran (Bernardi, 2005) y mas tarde. A traves de cincuenta y nueve entrevistas presenciales y de una etnografia digital (Murthy, 2008), se han analizado las condiciones del mercado laboral y las relaciones de genero como mecanismos de gobernanza reproductiva (Morgan y Roberts, 2012), para comprender los procesos de decisiones reproductivas de las parejas heterosexuales que tuvieron hijos/as a traves de relaciones sexual...
Después de frecuentar durante más de un año el ambiente de la prostitución en el Barrio Chino de ... more Después de frecuentar durante más de un año el ambiente de la prostitución en el Barrio Chino de Barcelonay sobre la base del testimonio directo de sus protagonistas, Regina de Paula Medeiros ha trazado un vivo mapa urbano y humano de las redes sociales y ...
We analyze the mechanisms of reproductive governance that influence reproduction in Spain through... more We analyze the mechanisms of reproductive governance that influence reproduction in Spain through 66 semi-structured interviews with heterosexual parents. We examine reproductive governance through moral regimes surrounding four arenas: the labor market, gender relations at home, institutional feminist discourses, and the narrative of choice. We show that mothers are considered to be socially responsible for children, a fact that is key to understanding how Spain went from a "baby boom" between the 1950 and 1970s to "structural infertility" since the 1990s.
Surviving the Death of your Ex: Managing the Grief No One Talks About pretende ser el inicio de l... more Surviving the Death of your Ex: Managing the Grief No One Talks About pretende ser el inicio de la ruptura de un silencio. Un silencio social que influye en como las personas sienten y hacen el duelo de la muerte de sus exparejas. Y es que en los rituales funerarios no hay una silla reservada para los y las ex. Imaginemos que muere un hombre, que tiene un hijo de ocho anos en custodia compartida con su exmujer, de la que se divorcio pocos anos atras. Ella tiene una nueva pareja con quien esta esperando un hijo. Nuestro protagonista no habia acabado de adecuarse a la nueva vida de separado despues de catorce anos compartiendo la vida y el proyecto familiar con su exmujer. Pero en el momento de su muerte, tiene una novia, con la que salia desde hacia poco mas de un ano. ?Quien deberia tomar, en este caso, las decisiones sobre el ritual de entierro? ?Quien deberia asumir los costes del funeral? ?Como se pasa el proceso de duelo de un ex cuando se tiene un nuevo proyecto familiar? ?Es que se sigue amando al ex, a pesar de la nueva pareja?
Las técnicas de reproducción asistida (TRA) con donantes, receptores y subrogación, se han ido pe... more Las técnicas de reproducción asistida (TRA) con donantes, receptores y subrogación, se han ido perfeccionando desde que en 1978 nacía la primera niña por fertilización in vitro (FIV) en el Reino Unido, a la vez que ha aumentado el número de personas que recurren a ellas para tener hijos o hijas. Estas nuevas y diversas formas de reproducirse han hecho surgir nuevos planteamientos referentes al parentesco y la filiación, al mismo tiempo que han diversificado las opciones en las decisiones reproductivas.
Abstract Aims To identify the organisational changes faced by front‐line nurses working with COVI... more Abstract Aims To identify the organisational changes faced by front‐line nurses working with COVID‐19 patients during the first wave and describe how they responded to these changes. Background The COVID‐19 pandemic has altered the provision of care and the management of health care around the world. Evolving information about SARS‐CoV‐2 meant that health care facilities had to be reorganised continually, causing stress and anxiety for nurses. Methods Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL). The research took place in hospital and community health settings of the Spanish national health system with a purposive sampling of 23 front‐line nurses. Semi‐structured interviews were conducted between May and June 2020. The duration was 30–45 min per interview. We used the Dedoose® data analysis software to perform a thematic analysis. Results Nurses responded to organisational changes using the following strategies: improvisation, adaptation and learning. Conclusion Our rapid approach allowed us to record how nurses responded to changing organisation, information that is easily lost in a disaster such as the COVID‐19. Implications for nursing management: Knowing about their strategies can help planning for future health disasters, including subsequent waves of the COVID‐19.
AIMS AND OBJETIVES Explore nurses' experiences and perception of risk regarding the use of pe... more AIMS AND OBJETIVES Explore nurses' experiences and perception of risk regarding the use of personal protective equipment during the first wave of the pandemic in Spain. BACKGROUND The contribution of our study is to use qualitative methods to understand nurses' experiences and perceptions of the risk of the contagion linked to the shortage of PPE during the first wave of the pandemic, whose explosive start strained health systems around the globe. DESIGN Qualitative descriptive design according to the Rapid Research Evaluation and Appraisal model. METHODS Semi-structured videoconference interviews were conducted to explore the experiences of 29 nurses including staff nurses, nursing supervisors and nursing directors from hospital and community services of the Spanish health system. Interviews lasted 30-45 min and were conducted in May 2020. We carried out a thematic analysis using Dedoose. The COREQ checklist was used to report findings. RESULTS We identified the following themes and subthemes: 1. Experiences with personal protective equipment: scarcity, inequality, reutilization, self-protection, delegation of responsibility, and gap between protocols and reality; 2. Perception of the risk of contagion: lack of credibility, lack of trust, lack of support, and meeting subjective needs. CONCLUSIONS The scarcity of personal protective equipment and inequality in its distribution led nurses to take initiatives to feel more protected. Mid-ranking supervisors were caught between the responsibility of monitoring and rationing personal protective equipment and providing the necessary protection to nurses. The disjuncture between protocols and the available supply of personal protective equipment caused confusion. Lack of credibility, lack of trust and lack of support from management influenced participants' perception of the risk of contagion. Mid-ranking supervisors were often responsible for trying to alleviate fear among nursing staff. RELEVANCE TO CLINICAL PRACTICE Understanding the factors involved in risk perception can be helpful to decision-makers who help protect nurses in clinical practice. These results can help administrators and policymakers because they point to the need for nurses to feel that their departments and centers look after their safety at work. Transparent communication and emotional support may contribute to their well-being in the face of risk.
This article seeks to expand researchers’ understanding of choice in the
reproductive decision-ma... more This article seeks to expand researchers’ understanding of choice in the reproductive decision-making narratives of heterosexual couples to help explain fertility rates in Spain. The data comprise 32 interviews and two focus groups with heterosexual mothers and fathers. Two broad categories have been identified: couples who chose “when” to have children and couples who chose “whether” to have children. The results show that couples choosing “when” considered having children to be a normal step in the life course and had a shared plan to become parents. Couples who chose “whether” considered having children to be a voluntary lifestyle choice and decisions were more individualized. Both groups reported having decided to have children. Parents’ sense of responsibility for this decision could help explain the postponement of motherhood and low fertility rates in Spain.
Prenatal loss, such as miscarriage and stillbirth, may be understood as the confluence of birth a... more Prenatal loss, such as miscarriage and stillbirth, may be understood as the confluence of birth and death. The most significant of life’s transitions, these events are rarely if ever expected to coincide. Although human cultures have long recognized death through ritual, it has not typically been used in cases of pregnancy loss. Interest in prenatal losses in the fields of medicine and the social sciences, as well as among the general public, has grown significantly in recent years in many countries, including Spain, as evidenced by increasing numbers of clinical protocols, academic books and articles, public events and popular media coverage. Even with this growing attention, there are still no officially sanctioned or generally accepted ways of using ritual to respond to prenatal losses in Spain. However, despite a lack of public recognition or acceptance of the use of ritual, we found that women in the autonomous community of Catalonia, in Spain, are employing ritual in various f...
El contexto reproductivo espanol ha sido descrito como de "infertilidad estructural" (M... more El contexto reproductivo espanol ha sido descrito como de "infertilidad estructural" (Marre, 2009), a causa del descenso de la fecundidad desde mediados de los anos 70, debido principalmente a las condiciones del mercado laboral (Marre, 2009), los discursos feministas que vinculaban la libertad de las mujeres con la no-maternidad (Marre, 2012 a Briggs et al., 2012) y a la falta de politicas publicas de apoyo a la maternidad (Comas d'Argemir et al., 2016). A pesar de esta situacion, la mayoria de mujeres tienen hijos/as, aunque tengan menos de los que quisieran (Bernardi, 2005) y mas tarde. A traves de cincuenta y nueve entrevistas presenciales y de una etnografia digital (Murthy, 2008), se han analizado las condiciones del mercado laboral y las relaciones de genero como mecanismos de gobernanza reproductiva (Morgan y Roberts, 2012), para comprender los procesos de decisiones reproductivas de las parejas heterosexuales que tuvieron hijos/as a traves de relaciones sexual...
Después de frecuentar durante más de un año el ambiente de la prostitución en el Barrio Chino de ... more Después de frecuentar durante más de un año el ambiente de la prostitución en el Barrio Chino de Barcelonay sobre la base del testimonio directo de sus protagonistas, Regina de Paula Medeiros ha trazado un vivo mapa urbano y humano de las redes sociales y ...
We analyze the mechanisms of reproductive governance that influence reproduction in Spain through... more We analyze the mechanisms of reproductive governance that influence reproduction in Spain through 66 semi-structured interviews with heterosexual parents. We examine reproductive governance through moral regimes surrounding four arenas: the labor market, gender relations at home, institutional feminist discourses, and the narrative of choice. We show that mothers are considered to be socially responsible for children, a fact that is key to understanding how Spain went from a "baby boom" between the 1950 and 1970s to "structural infertility" since the 1990s.
Surviving the Death of your Ex: Managing the Grief No One Talks About pretende ser el inicio de l... more Surviving the Death of your Ex: Managing the Grief No One Talks About pretende ser el inicio de la ruptura de un silencio. Un silencio social que influye en como las personas sienten y hacen el duelo de la muerte de sus exparejas. Y es que en los rituales funerarios no hay una silla reservada para los y las ex. Imaginemos que muere un hombre, que tiene un hijo de ocho anos en custodia compartida con su exmujer, de la que se divorcio pocos anos atras. Ella tiene una nueva pareja con quien esta esperando un hijo. Nuestro protagonista no habia acabado de adecuarse a la nueva vida de separado despues de catorce anos compartiendo la vida y el proyecto familiar con su exmujer. Pero en el momento de su muerte, tiene una novia, con la que salia desde hacia poco mas de un ano. ?Quien deberia tomar, en este caso, las decisiones sobre el ritual de entierro? ?Quien deberia asumir los costes del funeral? ?Como se pasa el proceso de duelo de un ex cuando se tiene un nuevo proyecto familiar? ?Es que se sigue amando al ex, a pesar de la nueva pareja?
Las técnicas de reproducción asistida (TRA) con donantes, receptores y subrogación, se han ido pe... more Las técnicas de reproducción asistida (TRA) con donantes, receptores y subrogación, se han ido perfeccionando desde que en 1978 nacía la primera niña por fertilización in vitro (FIV) en el Reino Unido, a la vez que ha aumentado el número de personas que recurren a ellas para tener hijos o hijas. Estas nuevas y diversas formas de reproducirse han hecho surgir nuevos planteamientos referentes al parentesco y la filiación, al mismo tiempo que han diversificado las opciones en las decisiones reproductivas.
Abstract Aims To identify the organisational changes faced by front‐line nurses working with COVI... more Abstract Aims To identify the organisational changes faced by front‐line nurses working with COVID‐19 patients during the first wave and describe how they responded to these changes. Background The COVID‐19 pandemic has altered the provision of care and the management of health care around the world. Evolving information about SARS‐CoV‐2 meant that health care facilities had to be reorganised continually, causing stress and anxiety for nurses. Methods Qualitative study based on Rapid Research Evaluation and Appraisal (RREAL). The research took place in hospital and community health settings of the Spanish national health system with a purposive sampling of 23 front‐line nurses. Semi‐structured interviews were conducted between May and June 2020. The duration was 30–45 min per interview. We used the Dedoose® data analysis software to perform a thematic analysis. Results Nurses responded to organisational changes using the following strategies: improvisation, adaptation and learning. Conclusion Our rapid approach allowed us to record how nurses responded to changing organisation, information that is easily lost in a disaster such as the COVID‐19. Implications for nursing management: Knowing about their strategies can help planning for future health disasters, including subsequent waves of the COVID‐19.
AIMS AND OBJETIVES Explore nurses' experiences and perception of risk regarding the use of pe... more AIMS AND OBJETIVES Explore nurses' experiences and perception of risk regarding the use of personal protective equipment during the first wave of the pandemic in Spain. BACKGROUND The contribution of our study is to use qualitative methods to understand nurses' experiences and perceptions of the risk of the contagion linked to the shortage of PPE during the first wave of the pandemic, whose explosive start strained health systems around the globe. DESIGN Qualitative descriptive design according to the Rapid Research Evaluation and Appraisal model. METHODS Semi-structured videoconference interviews were conducted to explore the experiences of 29 nurses including staff nurses, nursing supervisors and nursing directors from hospital and community services of the Spanish health system. Interviews lasted 30-45 min and were conducted in May 2020. We carried out a thematic analysis using Dedoose. The COREQ checklist was used to report findings. RESULTS We identified the following themes and subthemes: 1. Experiences with personal protective equipment: scarcity, inequality, reutilization, self-protection, delegation of responsibility, and gap between protocols and reality; 2. Perception of the risk of contagion: lack of credibility, lack of trust, lack of support, and meeting subjective needs. CONCLUSIONS The scarcity of personal protective equipment and inequality in its distribution led nurses to take initiatives to feel more protected. Mid-ranking supervisors were caught between the responsibility of monitoring and rationing personal protective equipment and providing the necessary protection to nurses. The disjuncture between protocols and the available supply of personal protective equipment caused confusion. Lack of credibility, lack of trust and lack of support from management influenced participants' perception of the risk of contagion. Mid-ranking supervisors were often responsible for trying to alleviate fear among nursing staff. RELEVANCE TO CLINICAL PRACTICE Understanding the factors involved in risk perception can be helpful to decision-makers who help protect nurses in clinical practice. These results can help administrators and policymakers because they point to the need for nurses to feel that their departments and centers look after their safety at work. Transparent communication and emotional support may contribute to their well-being in the face of risk.
This article seeks to expand researchers’ understanding of choice in the
reproductive decision-ma... more This article seeks to expand researchers’ understanding of choice in the reproductive decision-making narratives of heterosexual couples to help explain fertility rates in Spain. The data comprise 32 interviews and two focus groups with heterosexual mothers and fathers. Two broad categories have been identified: couples who chose “when” to have children and couples who chose “whether” to have children. The results show that couples choosing “when” considered having children to be a normal step in the life course and had a shared plan to become parents. Couples who chose “whether” considered having children to be a voluntary lifestyle choice and decisions were more individualized. Both groups reported having decided to have children. Parents’ sense of responsibility for this decision could help explain the postponement of motherhood and low fertility rates in Spain.
Revista de Antropología Social, 27(2): 391-396, 2018
Reseña: Pavone, Vicenzo y Goven, Joanna. 2017. Bioeconomies: Life, Technology and Capital in the ... more Reseña: Pavone, Vicenzo y Goven, Joanna. 2017. Bioeconomies: Life, Technology and Capital in the 21st Century. Cham: Palgrave Mcmillan.
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reproductive decision-making narratives of heterosexual couples to help
explain fertility rates in Spain. The data comprise 32 interviews and two
focus groups with heterosexual mothers and fathers. Two broad categories
have been identified: couples who chose “when” to have children and
couples who chose “whether” to have children. The results show that
couples choosing “when” considered having children to be a normal step in
the life course and had a shared plan to become parents. Couples who chose “whether” considered having children to be a voluntary lifestyle choice and decisions were more individualized. Both groups reported having decided to have children. Parents’ sense of responsibility for this decision could help explain the postponement of motherhood and low fertility rates in Spain.
reproductive decision-making narratives of heterosexual couples to help
explain fertility rates in Spain. The data comprise 32 interviews and two
focus groups with heterosexual mothers and fathers. Two broad categories
have been identified: couples who chose “when” to have children and
couples who chose “whether” to have children. The results show that
couples choosing “when” considered having children to be a normal step in
the life course and had a shared plan to become parents. Couples who chose “whether” considered having children to be a voluntary lifestyle choice and decisions were more individualized. Both groups reported having decided to have children. Parents’ sense of responsibility for this decision could help explain the postponement of motherhood and low fertility rates in Spain.