Sakalys Jurate A
University of Colorado Health Sciences Center, School of Nursing, USA.
J Holist Nurs. 2003 Sep;21(3):228-41. doi: 10.1177/0898010103256204.
Reflective and insightful autobiographical accounts of illness not only illuminate fundamental disruptions in selfhood and continuity of life that accompany illness, but authors of such accounts also maintain that narration is an important way to make sense of an illness episode, to restore personhood and connectedness, and to reclaim the illness experience from the medical meta-narrative. That witnessing and helping to order illness narratives can be a caring/healing nursing practice modality with significant healing potential is supported both by narrative theory and by nursing's theoretical and philosophical legacy. The challenge for the nurse guided by narrative ideas is to give primacy to the patient's voice, to listen for meaning rather than for facts, and to provide a relationship enabling the evolution of the patient's story.
对疾病的反思性和深刻的自传式叙述不仅揭示了疾病所伴随的自我认知和生活连续性的根本破坏，而且这些叙述的作者还认为，叙述是理解疾病发作、恢复人格和联系以及从医学元叙事中夺回疾病体验的重要方式。叙事理论以及护理的理论和哲学遗产都支持这样一种观点，即见证并帮助整理疾病叙事可以成为一种具有巨大治愈潜力的关怀/治愈护理实践方式。以叙事理念为指导的护士面临的挑战是将患者的声音置于首位，倾听其中的意义而非事实，并提供一种能让患者的故事得以展开的关系。
