Keep thinking about unanswered questions in primary care: Cultivating negative capability

Son, Daisuke; Inoue, Kazuoki; Kamimoto, Minako; Taniguchi, Shin‐ichi

doi:10.1002/jgf2.615

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…In this context, developing 'negative capability ' -the ability to endure stress without rushing to immediate solutions or succumbing to despair -is crucial. Mindfulness practitioners recommend cultivating this capability to manage habitual stress responses, which can be pivotal in reducing the burden of complex challenges (Son et al, 2023).…”

Section: Developing Negative Capability and Mindfulnessmentioning

confidence: 99%

Primary care and medical education for Japan’s ageing population

Haruta

2024

Open Access Government

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Primary care and medical education for Japan’s ageing population Prof Junji Haruta from Keio University highlights Japan’s ageing population, focusing on challenges and innovations in primary care, plus medical education. Japan has announced in its latest population estimates that the ageing rate for those aged 65 and above has reached 29.0% (Cabinet Office, 2023). This marks a 12-year consecutive decline in Japan’s total population, positioning it as the country with the highest proportion of elderly worldwide. A significant study predicts that by 2040, over 27% of Japan’s elderly population will face limitations in Instrumental Activities of Daily Living (IADL) and social functions (Chen et al., 2016).

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Section: Developing Negative Capability and Mindfulnessmentioning

confidence: 99%

Primary care and medical education for Japan’s ageing population

Haruta

2024

Open Access Government

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Positive perspectives of primary care professionals towards patients in complex and challenging social situations in Japan: An educational opportunity

Mizumoto,

Fujikawa,

Mitsuyama

et al. 2024

Medical Education

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IntroductionAlthough primary care professionals often encounter difficulties when attending to patients in complex and challenging social situations (CCSS), little is known about how professionals cultivate an optimistic approach to caring for patients in CCSS. This study aims to recruit professionals who exhibit a passion for seeing patients in CCSS, to gain insights into their positive attitude.MethodsWe conducted a qualitative study in Japan of 30 primary care professionals: 15 physicians and 15 non‐physician professionals (nurses, medical social workers and medical clerks). We performed online in‐depth interviews and employed a thematic analysis utilising the framework approach to identify how the participants felt a passion for seeing patients in CCSS.ResultsTwo themes emerged about the passion: (i) the joy derived from interacting with patients and (ii) the joy derived from professional growth or development. Participants expressed curiosity about their patients, found happiness in the journey with them and established irreplaceable relationships. Concurrently, participants noted professional growth as expert generalists, and their team developed collaboration and competency through accumulating experience and learning. These two domains of joy were intricately interconnected. In addition, several factors related to developing, maintaining and spreading the positive attitude were identified.DiscussionThis study described the positive attitude of primary care professionals towards engaging with patients in CCSS. Despite the inherent challenges, these professionals demonstrated vibrancy and pleasure in their interactions with patients and their professional development. Workplace culture including team‐based support and continuous learning is important in fostering and maintaining such an attitude.

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General Medicine and Negative Capability: Insights from the Negative Capability Conference

Wakabayashi,

Ishibashi,

Furukawa

et al. 2024

An Official Journal of the Japan Primary Care Association

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Keep thinking about unanswered questions in primary care: Cultivating negative capability

Abstract: Negative capability or tolerance for uncertainty is important for primary care physicians. The 2022 edition of the Model Core Curriculum for Medical Education also states that the content of professionalism is to “keep thinking about unanswerable questions.”

Cited by 3 publications

References 5 publications

Primary care and medical education for Japan’s ageing population

Primary care and medical education for Japan’s ageing population

Positive perspectives of primary care professionals towards patients in complex and challenging social situations in Japan: An educational opportunity

General Medicine and Negative Capability: Insights from the Negative Capability Conference

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