Narrative medicine to evaluate the relationship between clinicians and patients living with severe asthma

Cappuccio, Antonietta; Latella, Maura; Pelaia, Girolamo; Menzella, Francesco; Pellegrini, Giudo; Marini, Maria Giulia

doi:10.1183/1393003.congress-2017.pa2779

Cited by 4 publications

(6 citation statements)

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“…The aim of this Consensus conference was to identify first and then share a series of attitudes and behaviours to be adopted in daily clinical practice, to obtain effective interactions with paediatric patients with severe asthma and their families. Overall, in agreement with previous studies, the communication between clinicians and paediatric patients with severe asthma and their parents was lacking [13, 20] with detrimental effect on the management of the illness [21]. At the same time effective communication, which is a mix of empathy and structured method [32, 33], improve the doctor-patient/parent relationship and diminish non-adherence and access to ED [13–16].…”

Section: Resultssupporting

confidence: 80%

“…From reading the results of the SOUND project, the consensus participants agreed that the relationships and the ability to communicate empathically with patients and their families are the aspects that cross all the collected narratives. In particular, the ability to establish positive relationships affects not only people’s experiences but also the outcomes of the therapeutic plan [21].…”

Section: Resultsmentioning

confidence: 99%

“…In 2016, ISTUD Foundation led a project named SOUND (the Italian abbreviation of “Writing narrative about patients with severe asthma to achieve a new effective diversification and improvement in healthcare”) to investigate doctor-patient relationship in severe asthma through the narrative medicine methodology [21]. Narrative medicine research seeks to gain insight into how a person lives with his/her illness, in an attempt to consider the many facets of the pathway of care [22–24].…”

Section: Introductionmentioning

confidence: 99%

“…The results of the SOUND project highlighted the need to improve the communication to children and adolescents with severe asthma and their parents since paediatricians recurred more frequently to judgemental words compared to providers caring adult patients and this endanger the building of mutual trust [21].…”

Section: Introductionmentioning

confidence: 99%

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Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Cappuccio¹,

Bugliaro²,

Caimmi

et al. 2019

Ital J Pediatr

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Background Asthma is a chronic inflammatory disease that is very common among youth worldwide. The burden of this illness is very high not only considering financial costs but also on emotional and social functioning. Guidelines and many researches recommend to develop a good communication between physicians and children/caregiver and their parents. Nevertheless, a previous Italian project showed some criticalities in paediatric severe asthma management. The consensus gathered together experts in paediatric asthma management, experts in narrative medicine and patient associations with the aim of identify simple recommendation to improve communication strategies. Methods Participants to the consensus received the results of the project and a selection of narratives two weeks before the meeting. The meeting was structured in plenary session and in three working groups discussing respectively about communication strategies with children, adolescents and parents. The task of each working group was to identify the most effective (DO) and least effective practices (DON’ T) for 5 phases of the visit: welcome, comprehension of the context, emotions management, duration and end of the visit and endurance of the relationship. Results Participants agreed that good relationships translate into positive outcomes and reached consensus on communication strategies to implement in the different phase of relationships. Conclusions The future challenges identified by the participants are the dissemination of this Consensus document and the implementation of effective communication strategies to improve the management of pediatric asthma.

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Section: Resultssupporting

confidence: 80%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Cappuccio¹,

Bugliaro²,

Caimmi

et al. 2019

Ital J Pediatr

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“…In response to the doubts and curiosities expressed by Saberi-Movahed et al, we have already published other studies on the use of the parallel charts 3 , 4 in patients suffering from fibromyalgia and from asthma and we encourage Master in Applied Narrative Medicine students to implement this practice in clinical the context, including oncology, palliative care, intensive care unit, and family practice.…”

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confidence: 99%

Perspectives on narrative medicine

Saberi-Movahed

Waqar

Salha

2018

COPD

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Clinicians’ narratives in the era of evidence-based practice

Lazzaro-Salazar

2020

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In evidence-based practices, narratives are the vehicle through which medical knowledge is shared and clinical judgment is grounded. This paper explores narratives as a sanctioned social practice that help a group of clinicians in a healthcare institution in New Zealand build and negotiate expertise and accountability, as they discuss clinical cases. To this end, the paper investigates narratives in six staff meetings, which were video and audio recorded. The paper presents a discursive analysis of the functions of narratives in this context to show how narratives are interactional achievements that are pivotal to clinical decision-making and to building and contesting professional stances. Finally, the paper reflects on the value of narratives as shared resources that are sometimes revisited and reframed over time and that help construct a common thread of history that becomes part of the cultural capital of the organization and positions clinicians as core members of their community.

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Narrative medicine to evaluate the relationship between clinicians and patients living with severe asthma

Cited by 4 publications

References 0 publications

Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Consensus communication strategies to improve doctor-patient relationship in paediatric severe asthma

Perspectives on narrative medicine

Clinicians’ narratives in the era of evidence-based practice

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