Research studies on patients' illness experience using the Narrative Medicine approach: a systematic review

Fioretti, Chiara; Mazzocco, Ketti; Riva, Silvia; Oliveri, Serena; Masiero, Marianna; Pravettoni, Gabriella

doi:10.1136/bmjopen-2016-011220

Cited by 125 publications

(103 citation statements)

References 37 publications

(38 reference statements)

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“…These factors are important: symptoms with no identified physiological cause are the fifth most common reason US patients visit doctors 15. Questions like “Why me?” and “Why now?” matter to patients: contributions from narrative ethics show that patients benefit when physicians can interpret the meaning they ascribe to different aspects of their lives 16. It can be crucial for patients to feel that they have been heard by someone who understands the seriousness of the problem and whom they can trust 17…”

Section: No–vanessa Rampton Giatgen a Spinasmentioning

confidence: 99%

Could artificial intelligence make doctors obsolete?

Goldhahn¹,

Rampton²,

Spinas³

2018

BMJ

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Section: No–vanessa Rampton Giatgen a Spinasmentioning

confidence: 99%

Could artificial intelligence make doctors obsolete?

Goldhahn¹,

Rampton²,

Spinas³

2018

BMJ

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“…On the provider end of the equation, research shows that narrative medicine is well received by healthcare providers and students (improving communication skills, personal growth, inter-professional bonds, and occupational satisfaction) [35][36][37], reduces emotional exhaustion [38], and increases enduring empathy [39,40]. On the patient outcomes side, the research remains thin and lacks specificity [41,42]; however, there is some evidence that narrative approaches lower polypharmacy, over-diagnosis, and the ordering of unnecessary tests [43] and improve objective markers of health [44].…”

Section: Narrative Medicinementioning

confidence: 99%

Narrative Medicine Meets Planetary Health: Mindsets Matter in the Anthropocene

Prescott

Logan²

2019

Challenges

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The emerging concept of planetary health—defined as the interdependent vitality of all natural and anthropogenic ecosystems (social, political, and otherwise)—emphasizes that the health of human civilization is intricately connected to the health of natural systems within the Earth’s biosphere. In the clinical setting, narrative medicine underscores the importance of absorbing, reflecting upon, and responding to the narratives—the stories—conveyed by patients. Education and interventions using the tenets of narrative medicine have demonstrated value to both patient and provider. Given the grand interconnected challenges of our time—compounded by misinformation and quasi-scientific narratives propagated by the ideology of neoliberalism—we argue that the principles and practice of narrative medicine can be applied on a larger scale, one with planetary health in mind. The role of beliefs, expectations, and agency—mindsets—in the link between narrative and planetary health are emphasized. We use a story of our own to demonstrate that the biological buffering capacity in response to a fast-food meal does not sit on a level socioeconomic playing field. Patient, community, and global health narratives are melding with powerful narratives set by commercial entities. The success of planetary health as a new concept will be strengthened by attention to the ways in which storytelling can influence positive change. No less important is an understanding of the ways in which stories contribute to what ails person, place, and planet.

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“…[10][11][12][13][14] The number of graduate programs, seminars, and conferences in narrative medicine continues to rise. 15 Several dozen medical journals publish narrative, literary, and creative works. 16 Additionally, many online journals are dedicated to promoting the theory and practice of narrative medicine through original publications, essay contests, and literary readings.…”

Section: Narrative Medicinementioning

confidence: 99%