Abstract：
OBJECTIVE: To explore healthcare professionals\' experiences and reflections about narration in their everyday work.
BACKGROUND: The need for integrated and people-centred healthcare for older adults has highlighted the relevance of narration in healthcare practice. Although theoretical foundations vary, different frameworks building on narration have been proposed for translating person-centredness philosophies into practice. However, to understand how theoretical knowledge on narration can be adopted into clinical work, we need to learn how healthcare staff understand narration from their experiential knowledge and practice.
METHODS: The research process followed guidelines from Constructivist Grounded Theory as described by Charmaz. The study adheres to the COREQ guidelines.
METHODS: Data collection entailed interprofessional focus groups discussions with healthcare staff (n = 31). Vignettes depicting realistic scenarios were used to encourage participants to reflect on clinical practice. Data were analysed via a constant comparative method.
RESULTS: One core theme arose from the analysis. The core theme showed how narration was a relational process that people engaged in to pursue and uphold several foundational qualities in healthcare practice presented in the following subthemes: preventing simplistic understandings of people and situations; supporting trustful relations; supporting continuity and coherence; and learning from coworkers. However, a minor theme raised awareness of narrative relations as a double-edged sword.
CONCLUSIONS: By acknowledging the mutual and multifacetted nature of narration in everyday practice, this study shows how healthcare professionals\' engagement in narrative relations may contribute to upholding several foundational qualities which resonate with philosophies of person-centredness in everyday healthcare practice.
CONCLUSIONS: Recognition of both the advantages and possible risks embedded in narrative relations in healthcare practice emphasises the obligation to collectively reflect on the repercussions of narrative relations in any local context.
UNASSIGNED: Healthcare professionals contributed by sharing their experiential knowledge and reflections on narration in practice.
BACKGROUND: The need for integrated and people-centred healthcare for older adults has highlighted the relevance of narration in healthcare practice. Although theoretical foundations vary, different frameworks building on narration have been proposed for translating person-centredness philosophies into practice. However, to understand how theoretical knowledge on narration can be adopted into clinical work, we need to learn how healthcare staff understand narration from their experiential knowledge and practice.
METHODS: The research process followed guidelines from Constructivist Grounded Theory as described by Charmaz. The study adheres to the COREQ guidelines.
METHODS: Data collection entailed interprofessional focus groups discussions with healthcare staff (n = 31). Vignettes depicting realistic scenarios were used to encourage participants to reflect on clinical practice. Data were analysed via a constant comparative method.
RESULTS: One core theme arose from the analysis. The core theme showed how narration was a relational process that people engaged in to pursue and uphold several foundational qualities in healthcare practice presented in the following subthemes: preventing simplistic understandings of people and situations; supporting trustful relations; supporting continuity and coherence; and learning from coworkers. However, a minor theme raised awareness of narrative relations as a double-edged sword.
CONCLUSIONS: By acknowledging the mutual and multifacetted nature of narration in everyday practice, this study shows how healthcare professionals\' engagement in narrative relations may contribute to upholding several foundational qualities which resonate with philosophies of person-centredness in everyday healthcare practice.
CONCLUSIONS: Recognition of both the advantages and possible risks embedded in narrative relations in healthcare practice emphasises the obligation to collectively reflect on the repercussions of narrative relations in any local context.
UNASSIGNED: Healthcare professionals contributed by sharing their experiential knowledge and reflections on narration in practice.
摘要：
目的：探索医疗保健专业人员在日常工作中对叙述的经验和思考。
背景：老年人对综合和以人为本的医疗保健的需求突出了叙述在医疗保健实践中的相关性。尽管理论基础各不相同，为了将以人为本的哲学付诸实践，已经提出了基于叙述的不同框架。然而,了解叙事理论知识如何运用到临床工作中，我们需要学习医护人员如何从他们的经验知识和实践中理解叙述。
方法：研究过程遵循Charmaz描述的建构主义扎根理论的指导原则。该研究符合COREQ准则。
方法：数据收集需要与医护人员进行跨专业焦点小组讨论（n=31）。描述现实情景的小插图被用来鼓励参与者反思临床实践。通过恒定的比较方法分析数据。
结果：分析产生了一个核心主题。核心主题表明，叙述是一种关系过程，人们在以下子主题中追求和维护医疗实践中的几种基本素质：防止对人和情况的简单理解；支持信任关系；支持连续性和连贯性；并向同事学习。然而,一个次要主题提高了人们对叙事关系的认识，这是一把双刃剑。
结论：通过承认日常实践中叙述的相互性和多面性，这项研究表明，医疗保健专业人员参与叙事关系可能有助于维护几种基本品质，这些品质与日常医疗保健实践中以人为本的哲学产生共鸣。
结论：认识到医疗实践中叙事关系的优势和可能的风险，强调有义务集体反思叙事关系在任何地方背景下的影响。
UNASSIGNED：医疗保健专业人员通过分享他们的经验知识和在实践中叙述的思考做出了贡献。
背景：老年人对综合和以人为本的医疗保健的需求突出了叙述在医疗保健实践中的相关性。
方法：研究过程遵循Charmaz描述的建构主义扎根理论的指导原则。
方法：数据收集需要与医护人员进行跨专业焦点小组讨论（n=31）。
结果：分析产生了一个核心主题。
结论：通过承认日常实践中叙述的相互性和多面性，
结论：认识到医疗实践中叙事关系的优势和可能的风险，强调有义务集体反思叙事关系在任何地方背景下的影响。
UNASSIGNED：医疗保健专业人员通过分享他们的经验知识和在实践中叙述的思考做出了贡献。
