Carter Bernie
Department of Nursing, University of Central Lancashire, Preston, UK.
J Clin Nurs. 2008 Apr;17(8):1063-70. doi: 10.1111/j.1365-2702.2006.01942.x. Epub 2007 Nov 14.
Within this paper I explore some of the issues related to eliciting, interpreting, choosing and re-telling stories gathered within narrative inquiry.
Most of the literature focusing on narrative inquiry and narratives makes little mention of what makes a story intrinsically 'good' or 'bad' although it is generally acknowledged that stories have moral lessons embedded within them and have a teaching/learning function. However, many of the moral issues associated with gathering, interpreting and re-telling stories are not really addressed.
Adopting a reflexive stance, I draw on Cartier-Bresson's notion of decisive moments and link this to narratives as a way of exploring what makes a story 'good'/compelling as well as potentially 'bad'/morally problematic. I develop the idea that narrative researchers may act as 'horror magnets' attracting 'bad news' stories and may be overlooking some of the more 'neutral' and 'good'/'good news' stories.
Narrative researchers may be adopting a 'shock and awe' approach to their stories without fully considering the potential impact. I propose that narrative researchers should engage in a morally proficient manner with participants/stories and conclude that a relational ethical approach can help us to 'act well' with people's stories. Relevance to clinical practice. Narrative inquiry and a storied approach to practice has much to offer researchers, practitioners and patients/families. Stories can get to the heart of patients' experiences. Stories provide practitioners with one means of 'acting well' and in a relational way with their patients.
在本文中,我探讨了与叙事探究中收集、解读、选择和复述故事相关的一些问题。
大多数关注叙事探究和叙事的文献很少提及是什么使得一个故事本质上是“好”或“坏”,尽管人们普遍承认故事中蕴含着道德教训且具有教学/学习功能。然而,许多与收集、解读和复述故事相关的道德问题并未得到真正解决。
采取反思性立场,我借鉴了卡蒂埃 - 布列松的决定性瞬间概念,并将其与叙事联系起来,以此探究是什么使得一个故事“好”/引人入胜以及潜在地“坏”/在道德上有问题。我提出这样的观点,即叙事研究者可能像“恐怖磁铁”一样吸引“坏消息”故事,并且可能忽略了一些更“中性”以及“好”/“好消息”故事。
叙事研究者在处理他们的故事时可能采用了一种“震慑”方法,却没有充分考虑潜在影响。我提议叙事研究者应以符合道德规范的方式与参与者/故事互动,并得出结论认为关系伦理方法有助于我们妥善处理人们的故事。与临床实践的相关性。叙事探究以及基于故事的实践方法能为研究者、从业者以及患者/家属提供很多帮助。故事能够触及患者体验的核心。故事为从业者提供了一种与患者以建立关系的方式“妥善行事”的途径。