Two Patients: Professional Formation before “Narrative Medicine”

Fins, Joseph J.

doi:10.1017/s0963180120000389

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…• Improved framing of therapeutic plans [ 12 , 25 , 27 – 29 , 33 , 117 , 150 , 154 , 173 , 189 , 192 – 194 , 211 , 227 , 247 , 252 , 260 , 268 , 271 , 272 , 274 , 276 , 279 , 284 , 288 , 293 ]…”

Section: Resultsunclassified

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The role of patients’ stories in medicine: a systematic scoping review

Quah,

Chua,

Lin

et al. 2023

BMC Palliat Care

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Background Patients’ stories provide Palliative Care physicians with a glimpse into the former’s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients’ stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this ‘care influencing’ practice in medicine. Methods This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach’s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion. Results Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns. Conclusion Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this ‘care influencing’ practice.

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Section: Resultsunclassified

“…• Enhanced meaning making [11, 19, 22, 24-29, 173, 180, 182, 265-268] • Enhanced self-reflection [116,135,139,158,[269][270][271][272] • Enhanced professional identity formation [139,152,157,202,241,247,[273][274][275] Enhanced development of professional common culture [139,276] through:…”

Section: Patient Benefits Clinician Benefitsmentioning

confidence: 99%

The role of patients’ stories in medicine: a systematic scoping review

Quah,

Chua,

Lin

et al. 2023

BMC Palliat Care

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“…It was with this ProQuest search that the value of the keyword "mental health" in the searched keywords became evident. The two articles that did not include mental health were by the same author [21,22] and were ones that used "hippocampus" in a metaphorical way, vaguely meaning the part of the brain related to narrative development. However, in using the word in this way, no information concerning mental health was provided regarding the role of the hippocampus in developing personal narrative.…”

Section: Searched Records Returnedmentioning

confidence: 99%

The Role of the Hippocampus Concerning Personal Narrative Construction and Mental Health Signifying Positive Health Outcomes Through a Narrative Development Process

Nash

2023

Preprint

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Concerning the hippocampal mechanisms that simultaneously function to map environmental position and to generate episodic memories, a developing consensus emerged by the early 21st century. The hippocampus was recognized as embodying the primary location of personal narrative development, with the ability to create stable and coherent narrative largely representing the mental health of individuals. Determining recent advances regarding the relationship among the hippocampus, narrative, and mental health, a limited, six-database review was conducted for peer reviewed articles published since 2019. Of the 127 records located, 14 reports were included for study. The results support the necessity of creating and maintaining a stable and coherent narrative as fundamental to human mental health such that facts will be distorted in personal accounts, sleep will be disrupted, and DNA altered to retain one’s personal narratives. With narrative development fundamental to human mental health, a goal of interventions concerning hippocampal function and positive health outcomes is enhancing personal narratives in providing individuals with the ability to construct and recall those that are robust and effective. One such intervention that has proven successful in this regard, the Health Narratives Research Process, is outlined with its most recent results presented, offering opportunity for further such research.

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Two Patients: Professional Formation before “Narrative Medicine”

Cited by 2 publications

References 3 publications

The role of patients’ stories in medicine: a systematic scoping review

The role of patients’ stories in medicine: a systematic scoping review

The Role of the Hippocampus Concerning Personal Narrative Construction and Mental Health Signifying Positive Health Outcomes Through a Narrative Development Process

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