Reading Between the Lines: A Five-Point Narrative Approach to Online Accounts of Illness.

J Med Humanit

Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Level 6 | 75 Talavera Road, Sydney, NSW, 2109, Australia.

Published: December 2019

AI Article Synopsis

  • Patient-centered care relies on understanding patients' personal experiences and needs.
  • Narrative competence expands clinical thinking beyond just scientific logic, allowing for better patient connections.
  • The study utilizes a five-point framework from narrative medicine to analyze 214 online accounts from melanoma patients to enhance clinicians' narrative skills.

Article Abstract

The successful delivery of patient-centered care hinges on clinical affiliation for patients' personal needs and experiences. Narrative competence is a mode of thinking and set of actions that widens the clinical gaze beyond logico-scientific cognition. In this article, we investigate a tool that enables clinicians to rehearse their skills in narrative competence. We apply the narrative competence framework developed by the founding practitioners of narrative medicine to personal accounts of illness and patienthood published on the Internet. We describe our use of the five-point framework in the close reading of 214 accounts by people with the life-threatening skin cancer melanoma.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6851276PMC
http://dx.doi.org/10.1007/s10912-019-09553-1DOI Listing

Publication Analysis

Top Keywords

narrative competence
12
accounts illness
8
narrative
5
reading lines
4
lines five-point
4
five-point narrative
4
narrative approach
4
approach online
4
online accounts
4
illness successful
4

Similar Publications

Background: The evidence indicates that functional training is beneficial for athletes' physical and technical performance. However, a systematic review of the effects of functional training on athletes' physical and technical performance is lacking. Therefore, this study uses a literature synthesis approach to evaluate the impact of functional training on the physical and technical performance of the athletic population and to extend and deepen the existing body of knowledge.

View Article and Find Full Text PDF

Background: Stigma significantly impacts individuals with Parkinson's disease (PD) and their caregivers, exacerbating social isolation, psychological distress, and reducing quality of life (QoL). Although considerable research has been conducted on PD's clinical aspects, the social and emotional challenges, like stigma, remain underexplored. Addressing stigma is crucial for enhancing well-being, fostering inclusivity and improving access to care and support.

View Article and Find Full Text PDF

Factors influencing trust among colleagues in hospital settings: a systematic review.

BMC Health Serv Res

January 2025

Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.

Background: Many studies show positive results of collegial trust in the workplace, e.g. performance, innovation and collaboration.

View Article and Find Full Text PDF

Purpose Of Review: The advent of checkpoint immunotherapy has dramatically changed the outcomes for patients with cancer. However, a considerable number of patients have little or no response to therapy. We review recent findings on the connection between the gut microbiota and the immune system, exploring whether this link could enhance the effectiveness of immunotherapy.

View Article and Find Full Text PDF

Purpose Of The Review: This narrative review aims to provide an overview of recently completed randomized trials and expert consensus recommendations, and their implications for clinical practice and future trial design in patients with de-novo esophagogastric oligometastatic disease (OMD).

Recent Findings: The IKF-575/RENAISSANCE phase III trial showed no significant overall survival difference between systemic therapy alone and systemic therapy combined with local therapy for patients with gastric or gastroesophageal junction cancer and de-novo OMD, except for patients with retroperitoneal lymph node metastases only. The ESO-Shanghai 13 phase II trial demonstrated superiority of adding local therapy to systemic therapy for progression-free and overall survival in oligometastatic esophageal squamous cell carcinoma.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!