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.
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。