PDF(Pubmed)
Abstract：
Drawing on data from ethnographic fieldwork and interprofessional focus group discussions, this study enquires into staff\'s everyday life on a geriatric ward to explore and understand conditions for engaging in narrative relations in in-patient geriatric care. Avoiding individualistic understandings of narrative practices, we applied a narrative-in-action methodology built on a relational understanding of narrativity, where individual narratives are not separated from social and cultural features. This helped us explore how individual interpretations of the conditions for everyday practices come together with broader social or cultural understandings to gain situated insights about how these are continuously related and reformed by one another in everyday situations of geriatric care. The findings offer insights into the opportunities to engage in narrative relations based on how healthcare staff on a geriatric ward interpret conditions for their practices, and how they act based on such interpretations. While some interpretations were associated with attitudes and activities encouraging narrative relations, others simultaneously thwarted narrative relations by enacting task-orientation, division, or a focus on measurable biomedical or function-related outcomes. Moreover, the findings suggest and discuss consequences of the tensions created as interpretations are enacted in everyday healthcare situations, thus questioning assumptions about conditions as something static and linear.
摘要：
借鉴人种学实地调查和跨专业焦点小组讨论的数据，这项研究调查了老年病房工作人员的日常生活，以探索和了解在住院老年护理中从事叙事关系的条件。避免对叙事实践的个人主义理解，我们应用了一种基于对叙事的关系理解的行动叙事方法，个人叙事没有与社会和文化特征分开。这帮助我们探索了对日常实践条件的个人解释如何与更广泛的社会或文化理解结合在一起，以获得有关这些在老年护理的日常情况下如何相互联系和改革的见解。这些发现提供了基于老年病房医护人员如何解释其实践条件的叙事关系的机会的见解。以及他们如何根据这样的解释行事。虽然一些解释与鼓励叙事关系的态度和活动有关，其他人同时通过制定任务导向来挫败叙事关系，司,或专注于可测量的生物医学或功能相关的结果。此外，研究结果表明，并讨论了在日常医疗保健情况下制定解释时产生的紧张关系的后果，因此质疑关于条件的假设是静态的和线性的。
