Carter Bernie
Department of Nursing, University of Central Lancashire, Preston, UK.
J Nurs Manag. 2004 May;12(3):210-6. doi: 10.1046/j.1365-2834.2003.00440.x.
Children's narratives about their pain are often drowned out by the more pervasive, scientific, dominant, academic and professional discourses. The ideas I propose in this paper are drawn from narrative inquiry and from the narrative medicine movement to illustrate how a narrative approach can positively influence nursing (and other) practice. Sharing children's narratives of pain allows to be 'in-relation' with children and their experiences of pain, requiring practitioners to be less distanced and passive. In order to start and to understand their pain we need to be prepared to be hurt by it. Attending to children's stories helps them to articulate their experiences and gives them voice and agency. A narrative approach to practice can help us to be more the sort of professionals we wanted to be, i.e. more generous, more affective, more remembered and more effective. By helping to 'fix' children's broken stories we can help them move towards stories of healing.
儿童关于自身疼痛的叙述常常被更普遍、科学、主导、学术和专业的话语所淹没。我在本文中提出的观点源自叙事探究和叙事医学运动,以说明叙事方法如何能对护理(及其他)实践产生积极影响。分享儿童的疼痛叙事能让我们与儿童及其疼痛经历“建立联系”,这要求从业者减少距离感和被动性。为了开始并理解他们的疼痛,我们需要做好被其伤害的准备。关注儿童的故事有助于他们表达自身经历,赋予他们声音和能动性。一种叙事性的实践方法能帮助我们成为更理想的专业人员,即更具慷慨之心、更有情感、更被铭记且更有成效。通过帮助“修复”儿童破碎的故事,我们可以帮助他们走向治愈的故事。