Narration

Narration
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    背景:很少有人知道犯有性侵犯的年轻男子可能会承认不法行为,并最终改变和弥补。寻求肇事者的真实救赎故事存在实际障碍。目的:探索年轻男性在性侵犯后接受问责和修正(即救赎)的假设途径。方法:在预注册的,定性故事完成研究,我们提出了异性恋,cisgender大学生(N=54),由虚构的男性犯罪者撰写基于日期的性侵犯故事。参与者被提示完成故事,以便主角,最初否认有不法行为,最终改变并成为预防暴力的倡导者。结果:对救赎故事的主题分析表明,这项研究的投机任务是一项具有挑战性的任务。一半的故事没有解释肇事者如何能够承认不法行为。总的来说,个人主义主题(例如他反省)比关系主题更常见,社区,或救赎的社会促进者。结论:没有问责和修复的基础设施,或公共生活中的叙事典范,很难想象从暴力中得到救赎。罕见的基于性别的,故事中对性暴力的结构协调分析为实现更具变革性的救赎愿景指明了道路。
    在这个定性的故事完成研究中,大学生写了一个虚构的性侵犯罪犯的救赎故事。男人很难解释肇事者如何承认不法行为。救赎主题往往是个人主义的,而不是植根于社区。
    Background: Little is known about how young men who have committed sexual assault might acknowledge wrongdoing and eventually change and make amends. There are practical barriers to seeking the real redemption stories of perpetrators.Objective: To explore hypothetical pathways to young men\'s accountability-taking and amends (i.e. redemption) after perpetration of sexual assault.Method: In a pre-registered, qualitative story completion study, we presented heterosexual, cisgender college men (N = 54) with a date-based sexual assault story written by a fictional male perpetrator. Participants were prompted to complete the story so that the protagonist, who initially denies wrongdoing, eventually changes and becomes a violence prevention advocate.Results: A thematic analysis of the redemption stories revealed that this study\'s speculative task was a challenging one. Half of the stories did not provide an explanation for how the perpetrator was able to acknowledge wrongdoing. Overall, individualistic themes (e.g. he introspected) were more common than relational, community, or societal facilitators of redemption.Conclusions: Without infrastructure for accountability-taking and repair, or narrative exemplars to draw from in public life, it is difficult to envision redemption from violence. Rare gender-based, structurally attuned analyses of sexual violence in the stories point the way towards a more transformative vision of redemption.
    In this qualitative story completion study, college men wrote the redemption story of a fictional sexual assault perpetrator.Men had difficulty explaining how the perpetrator would acknowledge wrongdoing.Redemption themes tended to be individualistic versus rooted in community.
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  • 文章类型: Journal Article
    背景:这项研究的目的是通过叙事方法了解诊断为睾丸癌(TC)的年轻男性的经历,旨在为临床服务中的护理和支持模式提供信息。
    方法:TC患者被招募参加四个重点小组之一,检查他们从诊断中的生活经历。使用叙事方法对焦点组进行记录和转录和分析。
    结果:从2019年3月至5月共举行了4个焦点小组,涉及21名参与者。参与者目前正在接受治疗(n=2),治疗完成后<2年(n=7),或治疗完成后>2年(n=12)。确定了两个总体元主题:协商身份(包括“恢复,修复和控制“;”“突发新闻”;“对生育能力和生育能力的威胁”;“多重男性化”)和需要调整(包括“创伤和创伤后成长”;“面临脆弱性”;“设法应对”;“保密与隐私\“)。与支持环境相关的共享主题,关于癌症的谈话,和时间压力也被确定。
    结论:尽管睾丸癌的治愈率显著,被诊断为TC的患者的心理社会需求是最重要的,并且可能是持久的.改善这些患者的临床护理包括探索多个时间点的身体和心理社会问题。同伴支持和指导的机会可能对于支持这些脆弱的患者至关重要。
    BACKGROUND: The aim of this study was to understand the experiences of young men with a diagnosis of testicular cancer (TC) using a narrative approach, with the intention of informing models of care and support in clinical services.
    METHODS: TC patients were recruited to participate in one of four focus groups examining their lived experiences from diagnosis. Focus groups were recorded and transcribed and analyzed using a narrative approach.
    RESULTS: A total of 4 focus groups were held from March to May 2019, involving 21 participants. Participants were currently on treatment (n = 2), < 2 years from treatment completion (n = 7), or > 2 years from treatment completion (n = 12). Two overarching meta-themes were identified: Negotiating Identity (comprising \"recovery, repair and control\"; \"breaking the news\"; \"threats to fertility and virility\"; \"multiple masculinities\") and Needing to Adjust (comprising \"trauma and post-traumatic growth\"; \"facing vulnerability\"; \"managing to cope\"; \"secrecy vs. privacy\"). Shared themes relating to environments for support, conversations about cancer, and time stress were also identified.
    CONCLUSIONS: Despite the significant cure rates for testicular cancer, the psychosocial needs of patients diagnosed with TC are paramount and potentially long-lasting. Improved clinical care for these patients includes exploration of both physical and psychosocial concerns over multiple timepoints. Opportunities for peer support and mentorship may be essential to support these vulnerable patients.
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  • 文章类型: Journal Article
    背景:医院护理质量,尤其是手术,传统上使用来自医疗保健数据库或安全指标的指标进行评估。鉴于将患者置于护理评估的核心越来越重要,近年来,诸如患者报告的经验措施和患者报告的结果措施之类的问卷的使用已变得普遍。然而,这些工具-解决因素,如满意度,疼痛管理或等待时间-仅不完美地反映患者的体验,所有这些以患者为中心的护理质量评估的尝试都依赖于医疗保健提供者和卫生当局事先定义的问题或指标。生物心理社会模型可以允许更好地理解患者体验并改善护理途径。这项研究旨在通过叙事探究的工具来构建减肥手术护理旅程的叙事,提出一个元叙事,可以作为更复杂和可靠的以患者为中心的护理质量模型的基础,并定义与患者的感受和故事相关的指标。
    方法:为了实现这些目标,Créteil医院的16名减肥手术患者,法国(社区间医院中心),将包括在手术前和手术后两次采访,在3个月和6个月。收集的叙事将用于构建旨在涵盖所有可能的叙事的元叙事。这种叙事最终可能会为新的患者护理质量指标提供信息,进一步关注患者,并根据他们的需求和倾向进行调整。
    背景:该研究由法兰西岛临床研究与创新小组资助,并获得CPPSUD-ESTVI克莱蒙费朗(法国)研究伦理委员会的批准。结果将提交在同行评审的期刊上发表。将联系患者协会以传播研究结果。
    背景:NCT05092659。
    BACKGROUND: The quality of hospital care, especially surgery, is traditionally assessed using indicators derived from healthcare databases or safety indicators. Given the growing importance of placing the patient at the heart of care evaluation, the use of questionnaires such as the Patient-Reported Experience Measures and Patient-Reported Outcome Measures has become widespread in recent years. However, these tools-addressing factors such as satisfaction, pain management or wait times-only imperfectly reflect the patient\'s experience, and all such attempts at patient-centred care quality assessment rely on questions or indicators defined in advance by healthcare providers and health authorities. A biopsychosocial model may allow to better understand the patient experience and to improve care pathways. This study seeks to construct a narrative of the bariatric surgical care journey with instruments from narrative inquiry, propose a metanarrative that can serve as a basis for more sophisticated and reliable patient-focused care quality models and define indicators linked to patients\' feelings and stories.
    METHODS: To achieve these aims, 16 bariatric surgical patients at the hospital of Créteil, France (Centre Hospitalier Intercommunal de Créteil), will be included and interviewed once before and twice after surgery, at months 3 and 6. Narratives collected will be used to construct a metanarrative intended to encompass all possible narratives. This metanarrative may ultimately inform new patient care quality indicators, furthering care focused on patients and tailored to their needs and predispositions.
    BACKGROUND: The study is funded by the Group of Clinical Research and Innovation in Île-de-France and was approved by CPP SUD-EST VI Clermont-Ferrand (France) Research Ethics Committee. The results will be submitted for publication in peer-reviewed journals. The patient associations will be approached for the dissemination of the study results.
    BACKGROUND: NCT05092659.
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  • 文章类型: Journal Article
    国家故事如何塑造选民行为?他们平等地影响所有选民,还是某些群体更受这些叙述的影响?本文考察了“边界国家故事”的影响,“突出了国家认同中“我们”和“他们”之间的明显区别,关于民粹主义激进右翼政党(PRRP)的投票模式。使用在四个西方民主国家进行的原始代表选举调查,我们发现,接受边界国家故事的选民比不接受此类故事的选民更有可能投票给民粹主义激进主义右翼政党(PRRP),这些故事的选举效果对社会中的边缘化群体更为突出。我们的研究结果表明,虽然国家故事可以培养凝聚力,他们还可以使我们分裂并使我们的政治两极分化。最后,我们讨论了这些发现对政治学中民粹主义研究的更广泛意义。
    How do national stories shape voter behavior? Do they affect all voters equally, or are some groups more influenced by these narratives? This article examines the impact of \"boundary national stories,\" which highlight clear distinctions between \"us\" and \"them\" in national identity, on voting patterns for populist radical right parties (PRRPs). Using original representative election surveys conducted in four Western democracies, we find that voters who embrace a Boundary national story are more likely to vote for Populist Radical Right Parties (PRRPs) than those who do not hold such stories, and that the electoral effect of such stories is more salient for marginalized groups in society. Our findings demonstrate that, while national stories can foster cohesion, they can also drive us apart and polarize our politics. We conclude by discussing the broader implications of these findings for the study of populism in political science.
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  • 文章类型: Journal Article
    这个研讨会收集了来自经历过临床伦理咨询的个人的十二个叙述,提供了一个在生物伦理学文献中没有得到充分探索的群体的观点。作者代表了接受道德咨询的各种利益相关者:医疗保健提供者和家庭成员。本评论将集中讨论不同叙述中涉及的三个主题:要求进行道德咨询的原因;叙述者对咨询的期望;以及作者从道德咨询的经验中得出的结论。
    This symposium collection of twelve narratives from individuals who experienced clinical ethics consultations provides perspectives from a group that has not been adequately explored in the bioethics literature. The authors represent a variety of stakeholders who received ethics consultations: healthcare providers and family members. This commentary will focus on three themes addressed in the different narrative accounts: the reasons for requesting an ethics consultation; the expectations of the narrators from the consultation; and the conclusions the authors drew from their experience of the ethics consultation.
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  • 文章类型: Journal Article
    本评论讨论了有关在医院接受道德咨询的12个故事。五个故事是医生写的,三个是护士,和四个家庭成员;三位作家接受了生物伦理学方面的培训。一些作家要求咨询,其他人将协商视为强加于人,在两种情况下,这个故事是关于没有任何咨询服务。发现三种类型的叙事结构的故事:真正的困境叙事,制度不妥协的叙述,和关系关怀叙事。在整个过程中,问题是什么可以进行有价值的咨询,一般的答案是协商是否可以发展相互支持的关系。
    This commentary discusses 12 stories about receiving ethics consultation in hospitals. Five stories are by physicians, three by nurses, and four by family members; three of the writers have training in bioethics. Some writers requested the consultation, others experienced the consultation as an imposition forced upon them, and in two cases, the story is about the absence of any consultation service. Three types of narrative are found to structure the stories: the genuine dilemma narrative, the institutional intransigence narrative, and the relational care narrative. Throughout, the question is what makes for a valuable consultation, and the general answer is whether consultation enables the development of mutually supportive relationships.
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  • 文章类型: Journal Article
    这篇评论从家庭成员的角度反映了临床伦理咨询参与者的十二个故事,其中一些是道德顾问,和医疗保健专业人员。他们共同揭示了对道德咨询的期望,并提出了对服务的描述。出现了一些共同的主题,包括临床伦理顾问在驾驭复杂情况中的作用,确保所有利益相关者的声音都被听到,参加道德困境,解决似乎超出医疗实践的问题,并且可以访问。他们对这次经历几乎一致肯定,批评主要是关于缺乏对服务的访问。
    This commentary reflects on twelve stories of participants in clinical ethics consultations from the perspective of family members, some of whom are ethics consultants, and healthcare professionals. Together they reveal expectations of ethics consultations and suggest descriptions of the service. Some common themes emerge, including the role of the clinical ethics consultant in navigating complex situations, assuring all stake-holder voices are heard, attending to moral distress, addressing issues that seem beyond medical practice, and being accessible. They are almost uniformly positive about the experience, with criticism primarily about lack of access to the service.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    本次研讨会包括12个人的叙述,从那些谁已经接受临床伦理咨询(CEC)服务作为医疗保健提供者,病人,家庭成员,或病人的倡导者。还包括对这些叙述的三个评论,由生物伦理学的专家和学者撰写,医疗伦理咨询和认证,叙事医学,和政策。本次研讨会的目标是提请注意作为医疗保健提供者接受临床伦理咨询(CEC)服务的人的经验,病人,家庭成员,或病人的倡导者。
    This symposium includes twelve personal narratives from those who have received clinical ethics consultation (CEC) services as a healthcare provider, patient, family member, or patient advocate. Three commentaries on these narratives are also included, authored by experts and scholars in bioethics, healthcare ethics consultation and certification, narrative medicine, and policy. The goal of this symposium is to call attention to the experiences of people who have received clinical ethics consultation (CEC) services as a healthcare provider, patient, family member, or patient advocate.
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