Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Lanocha, Natalie

doi:10.3390/children8050321

Cited by 13 publications

(9 citation statements)

References 38 publications

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“…On the one hand, narrative theory educational learning can promote student empathy [4]. This may promote positive empathy among clinical staff by exploring literature [47]. Previous studies have shown [9,48] that medical professionals' participation in narrative medicine programs leads to increased self-reported empathy scores.…”

Section: Discussionmentioning

confidence: 99%

Narrative medicine as a teaching strategy for nursing students to developing professionalism, empathy and humanistic caring ability: a randomized controlled trial

Xue

Zhou

et al. 2023

BMC Med Educ

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Background Narrative medicine has become a solution to cultivate medical students’ ability of empathy and humanistic care. However, the role of narrative medicine is lacking in the study of professionalism. The aim of this study was to analyze the effects of narrative medical theory learning and narrative writing on professionalism, empathy and humanistic care ability of nursing students. Methods This cluster randomized controlled trial was conducted between June 2021 and June 2022 in two universities in Jiangsu, China. The participants of this study were 85 nursing students who were randomly divided into the intervention group (n = 43) or the control group (n = 42). Participants in the intervention group were trained in narrative medical theory learning and narrative writing based on a Web-based platform, while those in the control group were not. Self-report questionnaires of professionalism, empathy and humanistic care ability were used before and after intervention. Results The results showed that the professionalism score of the intervention group was (68.7 ± 6.8 vs. 64.5 ± 7.5; P = 0.005), empathy (99.4 ± 15.7 vs. 92.2 ± 14.6; P = 0.014) and humanistic care ability (127.6 ± 20.0 vs. 113.3 ± 18.8; P = 0.004) were better than the control group. Conclusion The results of this quantitative study suggest that narrative medical theory education and narrative writing based on the network platform can promote the development of professionalism, empathy and humanistic care ability of nursing undergraduates.

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Section: Discussionmentioning

confidence: 99%

Narrative medicine as a teaching strategy for nursing students to developing professionalism, empathy and humanistic caring ability: a randomized controlled trial

Xue

Zhou

et al. 2023

BMC Med Educ

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“…Narrative medicine-based education can significantly improve the humanistic qualities and empathy of doctors undergoing regular training, thereby improving their academic performance. Furthermore, narrative medicine-based education is often patient-centred and emphasizes humane patient conditions, which requires relieving and even eliminating the patients’ symptoms and pain and pursuing harmony and health [ 23 ]. Thus, narrative medicine-based education can improve individual residents’ medical and humanistic literacy and enhance doctor‒patient harmony [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Role of narrative medicine-based education in cultivating empathy in residents

Zhao

ouyang

et al. 2023

BMC Med Educ

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Objective To explore the role of narrative medicine-based education in standardized empathy training for residents. Methods Among the 2018–2020 residents at the First Affiliated Hospital of Xinxiang Medical University, 230 receiving neurology training were enrolled in this study and randomly divided into study and control groups. The study group received narrative medicine-based education and standardized routine resident training. The Jefferson Scale of Empathy–Medical Student version (JSE–MS) was used to evaluate empathy in the study group, and the neurological professional knowledge test scores of the two groups were also compared. Results In the study group, the empathy score was higher than the preteaching score (P < 0.01). The neurological professional knowledge examination score was higher in the study group than in the control group, albeit not significantly. Conclusion The addition of narrative medicine-based education in standardized training improved empathy and may have improved the professional knowledge of neurology residents.

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“…NM has been used mainly among adult clinicians and students within healthcare and medical education. There are examples of its application with children and adolescents (Lanocha, 2021;Ragusa et al, 2020), but we are not aware of instances specific to minors in a psychiatric context.…”

Section: Narrative Medicine (Nm)mentioning

confidence: 99%

A Hero's Journey: Supporting children throughout inpatient psychiatric hospitalization using a therapeutic comic book

Hasselmo

Thomas

Páez

et al. 2023

Child Adoles Psych Nursing

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Problem Art‐ and narrative‐based interventions are an integral component of pediatric inpatient psychiatric care. We describe a novel therapeutic comic book we developed for hospitalized children and young adolescents. Methods A Hero's Journey is a 38‐page zine that can be freely downloaded and photocopied for distribution. The short booklet is intended to demystify and offer guidance throughout the experience of hospitalization, promote interaction and socialization, provide scaffolding for skill‐building, and prepare patients for moving forward after discharge. Findings The underlying foundations of the booklet include: 1) Theoretical sources (Joseph Campbell's hero's journey; Donald Schön's reflective practice; and the principles of narrative medicine); and 2) Clinical sources (collaborative problem solving; cognitive‐behavioral therapy, and trauma‐informed care). We articulate how each page relates to the different components, and how individual pages can be used as worksheets for practice of specific skills. We next provide suggestions on how best to use the booklet: from arrival at the emergency room, through inpatient hospitalization, and toward discharge. We also propose ways for staff, caregivers, and any child‐facing adult to make use of this clinical resource in support of a patient's recovery and reintegration into their community. Conclusions Even though not yet empirically tested, this therapeutic comic book is available for dissemination free of cost. We encourage leaders in nursing and therapeutic recreation to try using this resource in their emergency room and milieu settings.

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Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Cited by 13 publications

References 38 publications

Narrative medicine as a teaching strategy for nursing students to developing professionalism, empathy and humanistic caring ability: a randomized controlled trial

Narrative medicine as a teaching strategy for nursing students to developing professionalism, empathy and humanistic caring ability: a randomized controlled trial

Role of narrative medicine-based education in cultivating empathy in residents

A Hero's Journey: Supporting children throughout inpatient psychiatric hospitalization using a therapeutic comic book

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