narratives

叙事
  • 文章类型: Journal Article
    叙事是唤起情绪的有效工具,和生理测量提供了一种客观评估情绪反应的手段-使它们成为研究情绪过程的潜在强大工具。然而,结合情感叙事和生理测量的程度研究在设计和应用上差异很大,使识别以前的工作变得具有挑战性,巩固调查结果,并设计有效的实验。我们的范围审查探讨了听觉情绪叙事和生理措施在研究中的使用,检查范式,研究人群,并代表情感。按照PRISMA-ScR清单,我们在5个数据库中搜索了同行评审的实验研究,这些研究使用口头叙述来诱导情绪,并报告了自主生理指标.在筛选的3466本书和审查的653篇文章中,共纳入110项研究。我们的探索揭示了各种应用和实验范式;情感叙事与生理措施配对已用于研究不同的主题和人群,包括神经典型和临床组。尽管无与伦比的设计和有时相互矛盾的结果排除了关于设计新研究时使用哪些生理措施的一般性建议,作为一个整体,研究表明,这些工具对于研究情绪是有价值的。我们的评论概述了采用叙述和生理措施进行情绪研究的研究,并强调了报告实践中的弱点和我们关于生理指标作为情绪指标的鲁棒性和特异性的知识差距。我们讨论研究设计考虑因素和透明报告,促进未来在研究情绪时使用情绪叙事和生理措施。
    Narratives are effective tools for evoking emotions, and physiological measurements provide a means of objectively assessing emotional reactions - making them a potentially powerful pair of tools for studying emotional processes. However, extent research combining emotional narratives and physiological measurement varies widely in design and application, making it challenging to identify previous work, consolidate findings, and design effective experiments. Our scoping review explores the use of auditory emotional narratives and physiological measures in research, examining paradigms, study populations, and represented emotions. Following the PRISMA-ScR Checklist, we searched five databases for peer-reviewed experimental studies that used spoken narratives to induce emotion and reported autonomic physiological measures. Among 3466 titles screened and 653 articles reviewed, 110 studies were included. Our exploration revealed a variety of applications and experimental paradigms; emotional narratives paired with physiological measures have been used to study diverse topics and populations, including neurotypical and clinical groups. Although incomparable designs and sometimes contradictory results precluded general recommendations as regards which physiological measures to use when designing new studies, as a whole, the body of work suggests that these tools can be valuable to study emotions. Our review offers an overview of research employing narratives and physiological measures for emotion study, and highlights weaknesses in reporting practices and gaps in our knowledge concerning the robustness and specificity of physiological measures as indices of emotion. We discuss study design considerations and transparent reporting, to facilitate future using emotional narratives and physiological measures in studying emotions.
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  • 文章类型: Systematic Review
    背景:患者的故事为姑息治疗医生提供了对前者生活及其心理情感的一瞥,社会文化,和上下文考虑。然而,很少有医生接受过在他们的实践中解释和应用患者故事的培训。故事如何传播和解释的内在差异引发了人们对其对护理的潜在影响的质疑。在姑息治疗缺乏账户的情况下,我们绘制当前使用的患者故事来指导培训,评估,以及对这种影响医学实践的护理的监督。
    方法:本系统范围审查以系统循证方法(SEBA)为指导,以确保可重复和结构化的方法。通过拆分方法的并行和独立的主题和定向内容分析确定的主题和类别提供了所包含文章的全面草图。拼图透视结合了确定的主题和类别。SEBA的最后阶段将这些结果与最近的两次讲故事评论进行了比较,以确保指导讨论的领域的一致性。
    结果:回顾了万两百七篇文章,963篇全文进行了评估,共199篇。确定的四个领域是研究特征,好处,方法,积极的影响和关注。
    结论:故事支持以患者为中心,个性化,和整体临床护理。然而,故事中的可变性,他们在护理决策中的解释和使用强调了对结构进行进一步研究的必要性,教学,评估,和交付这种“影响护理”的做法。
    BACKGROUND: Patients\' stories provide Palliative Care physicians with a glimpse into the former\'s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients\' stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this \'care influencing\' practice in medicine.
    METHODS: This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach\'s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion.
    RESULTS: Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns.
    CONCLUSIONS: Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this \'care influencing\' practice.
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  • 文章类型: Systematic Review
    背景:在全球范围内,残疾人面临失业和收入机会减少。对于在劳动力市场上处于边缘地位的残疾妇女来说,就业障碍往往很严重。\“生计职业\”是概念化的这个审查,以表示日常活动所做的生活和生存,并扩大通常称为“工作”的活动的介绍,\'employment\',\'工作\'或\'生产力\',人们所做的赚钱和非金钱收益。
    目的:本范围审查,作为对残疾妇女生计职业进行更广泛的解释性现象学分析的一部分,残疾妇女生计职业的地图研究。
    方法:利用Arksey和O\'Malley框架和PRISMA扩展范围审查来指导用于筛选和选择来源的五阶段范围确定策略。使用演绎定性内容分析将来自选定来源的数据合成,以将经验成分拟合到从公平总奖励模型先验确定的权益类别中,以确定这些经历是否意味着公平或缺乏公平。
    结果:19个来源,主要来自高收入国家,被识别。福利和职业不平等的方面在所有来源的妇女的经历中都很明显。
    结论:在低收入和中等收入国家背景下,相当缺乏关于生计职业经验的研究,以证明进一步的研究是合理的。残疾妇女报告说,她们无法实现职业目标和职业选择。
    UNASSIGNED: Globally, persons with disabilities are faced with unemployment and reduced income opportunities. Barriers to employment tend to be severe for women with disabilities who occupy marginalized positions in labor markets. \'Livelihood occupations\' are conceptualized for this review to denote everyday activities that are done for subsistence and survival, and to broaden presentations of activities normally termed \'work\', \'employment\', \'job\' or \'productivity\' that people do to earn money and non-monetary gain.
    UNASSIGNED: This scoping review, undertaken as part of a broader interpretive phenomenological analysis of livelihood occupations of women with disabilities, maps research on the subject of livelihood occupations for women with disabilities.
    UNASSIGNED: The Arksey and O\'Malley framework and PRISMA extension for scoping reviews were utilized to guide the five stage scoping strategy used to screen and select sources. Data from selected sources were synthesized using deductive qualitative content analysis to fit experiential components into equity categories determined a-priori from the Equitable Total Rewards model, to determine if these experiences connote equity or lack thereof.
    UNASSIGNED: Nineteen sources, mainly from high income countries, are identified. Aspects of benefit and career inequity were largely evident in the experiences of the women across all sources.
    UNASSIGNED: There is considerable lack of research on experiences of livelihood occupations in low and middle income countries contexts justifying further research. Women with disabilities report experiencing inability to realize career goals and occupational choice.
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  • 文章类型: Journal Article
    偏头痛-用于描述单侧搏动性头痛的术语已显示出越来越多的证据表明与不同类型的中风有关-特别是缺血性和出血性。本研究旨在确定和总结偏头痛与育龄妇女中风事件之间的关系。本系统评价基于系统评价和荟萃分析(PRISMA)指南的首选报告项目。使用PubMed进行了搜索,英国医学杂志(BMJ),科克伦图书馆,谷歌学者,和ScienceDirect数据库,直到2022年3月15日。根据列出的资格标准选择研究:英语,观察性研究,系统评价,文章,和荟萃分析,其中包括中风患者和偏头痛患者,以及这两个条件之间可能的联系。此外,质量评估是使用评估工具完成的,如叙事评论文章评估量表(SANRA),评估多重系统评价(AMSTAR),和纽卡斯尔-渥太华量表(NOS)标准。最初的搜索产生了245项研究。最终选择包括14项研究-1例病例对照,四项队列研究,七个具有荟萃分析的系统评价,和两个叙述性评论。中风-特别是缺血性-被发现与女性偏头痛的事件有关。如果女性是吸烟者,中风的风险会增加,45岁以下,并定期使用口服避孕药。此外,使用非甾体抗炎药(NSAIDs),遗传易感性,代谢功能障碍与出血性中风事件的增加有关-由于其严重的潜在病理生理,出血性中风被证明是罕见的,但更致命。
    Migraine-a term used to describe a unilateral throbbing headache has shown growing evidence of being linked to different types of strokes-particularly ischemic and hemorrhagic. This study aims to identify and summarize the relationship between migraine and the incidents of stroke in women of child-bearing age. This systematic review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A search was done using PubMed, the British Medical Journal (BMJ), Cochrane library, Google Scholar, and ScienceDirect databases up until March 15, 2022. Studies were chosen based on the listed eligibility criteria: English-language, observational studies, systematic reviews, articles, and meta-analyses, which included stroke patients and migraine patients, and the possible link between these two conditions. In addition, quality assessment was done using assessment tools like Scale for the Assessment of Narrative Review Articles (SANRA), Assessment of multiple systematic reviews (AMSTAR), and Newcastle-Ottawa Scale (NOS) criteria. The initial search generated 245 studies. Fourteen studies were included in the final selection - one case-control, four cohort studies, seven systematic reviews with meta-analyses, and two narrative reviews. Strokes-particularly ischemic-were found to be linked to the incidents of migraine in women. The risks of a stroke increased if a woman was a smoker, under 45, and uses oral contraceptives regularly. In addition, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), genetic predisposition, and metabolic dysfunction was linked to increased incidents of hemorrhagic strokes-which proved to be rarer but more fatal due to their serious underlying pathophysiologies.
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  • 文章类型: Journal Article
    Although narratives have been found to affect decisions about preventive behaviours, including participation in cancer screening, the underlying mechanisms of narratives remain unclear.
    The purpose of this study was to summarize and synthesize existing literature on narrative interventions in the context of colorectal cancer screening. Our main research question was as follows: How, when and for whom do narratives work context of decision making about colorectal cancer screening participation?
    We undertook a realist review to collect evidence on narratives in the context of colorectal cancer screening. A search of the literature was performed in Embase, MEDLINE/PubMed, Cinahl and PsycINFO. We included empirical evaluations (qualitative or quantitative) of narrative interventions. In total, 15 studies met the inclusion criteria. A content-based taxonomy of patient narrative types in decision aids formed the basis for our initial programme theory.
    We identified four mechanisms: (a) process narratives that address perceived barriers towards screening lead to improved affective forecasting, (b) experience narratives that demonstrate the screening procedure lead to increased self-efficacy, (c) experience narratives that depict experiences from similar others lead to more engagement and (d) outcome narratives that focus on outcomes of colorectal cancer (CRC) screening decision decrease or increase fear of colorectal cancer. The evidence was limited on which narrative type may facilitate or bias informed decision making in colorectal cancer screening.
    The findings indicate the importance of more detailed descriptions of narrative interventions in order to understand how mechanisms may facilitate or bias informed decision making in colorectal cancer screening.
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  • 文章类型: Journal Article
    OBJECTIVE: To explore the literature regarding how nursing narratives have been used to enhance reflective practice.
    METHODS: Theoretical review.
    METHODS: A literature search from 1990 - 2017 was conducted in PubMed, CINHAL and PsycINFO databases.
    METHODS: After applying the selection criteria, 13 studies were identified. The quality of articles was evaluated.
    RESULTS: Three themes were identified as the main components of an ongoing narrative process based on looking back to past clinical experiences, creating spaces for dialogue and bringing the worlds of theory and practice closer together.
    CONCLUSIONS: This review provides a forum for exploring the use of narratives to enhance reflective practice, which may lead to the acquisition of professional competences.
    目的: 探讨关于如何采用护理叙事来加强反思实践的文献。 设计: 理论回顾。 资料来源: 在PubMed、CINHAL和PsycINFO数据库中进行了1990至2017年的文献检索。 综述方法: 应用选拔准则后,确定了13项研究。评估了文章质量。 结果: 在回顾过去的临床经验、创造对话空间和拉近理论与实践世界的基础上,将三个主题确定为当前叙事过程的主要组成部分。 结论: 这一综述提供了一个论坛,用于探讨如何使用叙述来加强反思实践,这可能会有助于获得专业能力。.
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  • 文章类型: Journal Article
    本评论辩论阐述了新兴的全球人权临盆感化。鉴于蒙哥马利诉拉纳克郡[2015]的法律裁决,它也适合英国的观点,并对实践产生了影响。我们永远不能低估人道关怀对健康的力量。医疗保健中的同情心和循证医学议程与医疗保健中的人权相互关联,纳入决策和以患者为中心的护理原则。当这种情况没有发生并且存在医疗保健冲突时,讲故事的力量有助于将不同的政党与他们共同的人性联系起来。叙述是恢复性司法程序的一个重要方面,我们建议这在分娩人权领域可能是有益的。
    This review describes the emerging global debate on the role of human rights childbirth. It is also tailored to a UK perspective in view of the Montgomery v. Lanarkshire [2015] legal ruling and it implications to practice. We can never underestimate the power of humane care on health. The compassion and evidence based medicine agenda in healthcare is interconnected with human rights in healthcare, feeding into the principles of decision making and patient centred care. When this has not happened and there is been healthcare conflict, the power of storytelling serves to connect disparate parties to their common humanity. Narratives are an important aspect of restorative justice processes and we suggest that this could be beneficial in the field of human rights in childbirth.
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  • 文章类型: Journal Article
    健康信息可以以不同的格式呈现,例如基于统计或基于故事(例如叙事)的格式;但是,对于提供筛查信息的理想方法尚无共识。本系统综述总结了有关叙事干预在改变筛查行为及其决定因素方面的功效的文献。搜索了五个心理学和公共卫生数据库;19项研究,18个专注于癌症,1个专注于性健康,符合资格标准。有一致的证据支持叙事的有效性,但是混合的证据支持在筛查行为及其决定因素方面,叙事优于统计干预措施。需要进一步调查。
    Health information can be presented in different formats, such as a statistically-based or a story-based (e.g. narrative) format; however, there is no consensus on the ideal way to present screening information. This systematic review summarizes the literature pertaining to narrative interventions\' efficacy at changing screening behaviour and its determinants. Five psychology and public health databases were searched; 19 studies, 18 focused on cancer and 1 on sexual health, met eligibility criteria. There is consistent evidence supporting the efficacy of narratives, but mixed evidence supporting an advantage for narratives over statistical interventions for screening behaviour and its determinants. Further investigation is warranted.
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