This article explores various ways health personnel enact death in connection with mechanical ventilation treatment withdrawal in the intensive care unit (ICU) at Trondheim University Hospital. The main focus is on sedated terminal patients who undergo mechanical ventilator treatment withdrawal and relatives' presence at this time. Mol's (2002) praxiographic orientation of the actor-network approach is followed while exploring this medical practice. Utilizing this interdisciplinary science and technology studies approach this article describes what Timmermans and Berg (2003) have called ' technology-in-practice'. Thus the main focus of the analysis is on medical interventions, and enactments of death within medical practice. The article argues against a 'social essentialist' approach to medical technology, which views technology as a passive force empowered by social relations. It explores how various enactments of death are intrinsically linked with and shaped by the use of medical technology within clinical practice. A praxiographic inquiry into how death is enacted carefully takes notice of how medical practice and techniques make death audible, tangible, visible, knowable and real. Mol's praxiographic approach also enables a description of how the multiple enactments of death connect within end-of-life care through various forms of coordination. This article is based on interviews with 28 nurses and two physicians in a Norwegian intensive care unit.
AimThe purpose of this study was to gain understanding of Norwegian students' experience of learning in clinical placement in Bangladesh without formal one‐to‐one supervision, by a personal mentor in the ward.DesignUsing focus group interviews with bachelor nursing students we explored the significance of ‘communities of practice’ in nursing practicum abroad, socialization and knowledge transfer.MethodSeven third year bachelor nursing students enrolled in a clinical placement programme in Bangladesh participated in focus group interviews prior to their departure to Bangladesh, during their stay in Bangladesh and after their return to Norway.ResultsThe Students’ marginality and ‘peripheral participation’ triggered insight and reflection. The challenging but advantageous position of the peripheral students was heightened further due to the lack of one‐to‐one supervision in the clinic. Their previous experience with problem based learning and group learning was an asset that made them more resilient and helped them to cope.
Important premises for successful standardisation are fostering Palliative Medical Unit nurses' knowledge about various aspects of pre and post-mortem care through regular evaluation and an educational programme providing staff with necessary time, awareness and skills. In addition nurses also require sufficient amount of time in the clinic.
In this article, I explore the development of modern cremation and cremation events in Norway. I focus on the multiple ontologies of cremation events and the relationships between the living mourners and the dead during the gradual transformation of the social person within Christian, secular as well as Hindu traditions in Norway. Within Christian tradition, this is a linear process that I intentionally contrast with the predominantly cyclical process within the Hindu tradition. I illustrate how various cosmological, eschatological, soteriological, economical, environmental, as well as socio-political factors regulate and shape the form and content of cremation events and disposal in Norway.
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