Evidence, alternative facts and narrative: A personal reflection on person-centred care and the role of stories in healthcare

Tyreman, Stephen

doi:10.1016/j.ijosm.2018.04.005

Cited by 26 publications

(18 citation statements)

References 6 publications

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“…However, less attention is given by regulators to how standards are interpreted by a practitioner working in a particular context, to what health means to a patient, and how patients interact within their environment. And yet, it is in precisely this dialogue between patient and practitioner that regulatory standards are manifested …”

Section: Discussionmentioning

confidence: 99%

“…And yet, it is in precisely this dialogue between patient and practitioner that regulatory standards are manifested. 11 In 2018 and 2019, regulators are increasingly working towards "upstream" activity, embedding standards in a variety of ways to reduce instances of harm. This approach tends to focus on the provision of resources, guidance, advice, and dialogue, mostly for practitioners, to support the implementation of standards in collaboration with others in the sector, where relevant.…”

Section: Discussionmentioning

confidence: 99%

“…Tyreman said “The practitioner's task is not merely to explain and treat, but to provide support and insight into the meaning of illness experiences in order to enable a patient to develop a better, life‐enhancing narrative and become a more whole person.” The argument is that health care is not about “fixing the patient” or “making them better,” but actually, it is about helping patients to live well in their environment, undertaking the daily activities that are important to them without being impeded by particular symptoms or a particular health condition.…”

Section: Discussionmentioning

confidence: 99%

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Connecting patients, practitioners, and regulators in supporting positive experiences and processes of shared decision making: A progress report

Browne¹,

Bettles²,

Clift³

et al. 2019

Evaluation Clinical Practice

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This paper describes a novel approach to explore how regulators, working with patients and practitioners, may contribute to supporting person‐centred care and processes of shared decision making in implementing professional standards and reducing harms. Osteopathic patients report high levels of patient care. However, areas of consultations less likely to be rated as high included “fully understanding your concerns,” “helping you to take control,” and “making a plan of action with you,” suggestive of a paternalistic approach to care and a barrier to the effective implementation of standards. This programme explored how to support patients and practitioners to make more explicit what is important to support consultations with better communication in accordance with standards. A series of workshops took place involving approximately 80 participants, which explored and identified practitioner and patient values; these were themed to develop a common framework and tested using case studies. Aspects of what enables or presents a barrier to a positive consultation were further explored with real patient narratives, and a range of resources were subsequently developed, which may support patients and practitioners to make explicit what is important to them in a consultation. A series of approaches and tools were then developed for piloting including patient curriculum vitae; patient goal planner; patient animation to support preparation for an appointment; infographic: a patient poster or leaflet; practitioner reflective tool; and an audio recording to increase awareness and understanding of values‐based practice. In conclusion, a range of approaches may help to support patients and practitioners to make explicit what is important to them in a consultation. The next phase of our programme will use a range of methods including cluster sampling, pre‐testing and post‐testing with the Consultation and Relational Empathy (CARE) measure tool, and interviews and focus groups with users and practitioners to demonstrate impact.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Connecting patients, practitioners, and regulators in supporting positive experiences and processes of shared decision making: A progress report

Browne¹,

Bettles²,

Clift³

et al. 2019

Evaluation Clinical Practice

View full text Add to dashboard Cite

show abstract

“…It is a complex, multi-faceted process that involves good science, yes, but in the context of prevailing socio-cultural ideas and, most importantly, of an individual's world-view. (Tyreman 2018) This book offers a guide for rethinking some of these more foundational assumptions, or world-views, within medicine and healthcare. Such a foundational rethink seems timely and warranted.…”

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confidence: 99%

Introduction: Why Is Philosophy Relevant for Clinical Practice?

Anjum

Copeland

Rocca

2020

Rethinking Causality, Complexity and Evidence for the Unique Patient

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This book is intended as an intellectual resource for clinicians and healthcare professionals who are interested in digging deeper into the philosophical foundations of their daily practice. It is a tool for understanding some of the philosophical motivations and rationality behind the way medicine and healthcare are studied, evaluated and practiced. In particular, this book illustrates the impact that our thinking about causality, both philosophically and conceptually, has on the clinical encounter. The aim is to engage and empower healthcare professionals to take part in changing and defining the premises for their own practice. After all, if clinical decisions should be based on evidence, this ought to be evidence that is relevant and well-suited for the clinic. The book has two parts, Philosophical Framework and Application to the Clinic. The first part is written from the philosophical perspective and presents a singular overall framework. The second part is written primarily by clinicians who address some implications of the philosophical framework for different aspects of their own practice.

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“…His most recent publication [9] was a moving and insightful editorial in the International Journal of Osteopathic medicine entitled "Evidence, alternative facts and narrative: A personal reflection on person-centred care and the role of stories in healthcare". Stephen grappled with his own experience of illness and healthcare to enable others to reflect on their own practice.…”

mentioning

confidence: 99%

Professor Stephen Tyreman 1952 – 2018

Vogel

2018

International Journal of Osteopathic Medicine

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Evidence, alternative facts and narrative: A personal reflection on person-centred care and the role of stories in healthcare

Cited by 26 publications

References 6 publications

Connecting patients, practitioners, and regulators in supporting positive experiences and processes of shared decision making: A progress report

Connecting patients, practitioners, and regulators in supporting positive experiences and processes of shared decision making: A progress report

Introduction: Why Is Philosophy Relevant for Clinical Practice?

Professor Stephen Tyreman 1952 – 2018

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