113 A NM intervention on the OB-GYN work floor using site-specific poetry and 3 professionals (a nurse, secretary, and obstetrician). In one-on-one sessions they were invited to read and discuss the poem; the patients were asked to write a personal reflection as comment on the poem and suggest modifications to the draft from their personal view. The professionals were also asked to write a reflection including anecdotes from their professional encounters about stigmatization or shame and corrected terminology. RN used the feedback to further finetune the poem. The final version, entitled ‘Male-unless otherwise indicated’ includes five cantos related to the following themes: 1. gender, 2. language, 3. voiding, 4. shame, and 5. creation The poem contains many intertextual and intercultural references. Evocations of scientific publications and population statistics are also woven throughout the blind verse cantos; for example, reference is made to Caroline Criado Perez’s (2019) book ‘Invisible Woman: Data Bias in a World Designed for Men’. The cantos are narrated by a range of tellers, including the Sumerian goddess Inanna, a gynecologist, and a male first-person narrator. (See S1 file for the poem ‘Male-unless otherwise indicated’) Data collection Three NM sessions and fourteen semi-structured interviews with professionals and patients were conducted. Formal ethics approval was we obtained by the Institutional Medical Ethics Review Committee (Reference number: 2022/70). All participants provided written informed consent for the use of their formative data. Participating in the study was entirely voluntarily. Participants In total, 38 participants working in or with the OB-GYN department, over 18 years of age, and who were able to read and write in Dutch who participated in a NM session. Their mean age was 35 years (range 20-70 years). Table 1 gives an overview of all participants. Table 1: Overview of participants’ characteristics. Function NM session (n=38) Interviews (n=14) Physician (n) 8 3 Nurse (n) 7 4 Management (n) 5 1 Medical student (n) 6 0 Secretary (n) 5 2 Social worker/coach (n) 4 2 Patient (n) 3 2 Abbreviation: NM Narrative medicine. 7
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