College of Nursing, Chung Shan Medical University and Department of Medicine and Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan.
J Clin Nurs. 2012 Mar;21(5-6):841-9. doi: 10.1111/j.1365-2702.2011.03851.x. Epub 2011 Sep 21.
The aim of the study was to examine the usefulness of narratives of older peoples' hospitalisation experiences as a focus for informing practice and service developments.
Narrative inquiry provides an option for exploring personal experiences and for providing insight into treatment decisions that can help guide how healthcare services are developed and provided.
Participants were aged 65 and upwards and had been patients in a rehabilitation unit. They were cognitively and physically able to communicate and give consent to take part in the study. Narrative interviewing methods were used for data collection. A problem-solution pattern framework enabled the reconfiguring of narratives in the context of the older persons' past, the here and now and the context of their usual level of well-being or ill-being. Seminars with multidisciplinary professionals were used to analyse the narratives in the context of how they informed the need for practice and service developments.
Twenty-eight narrative interviews were undertaken. Through reading and discussing the reconfigured narratives, the multidisciplinary team evaluated whether care procedures were appropriate and identified ways of improving care delivery. Challenges to the integration of narrative approaches were identified. Narrative interviewing was implemented in practice by some of the nurses who participated in the study.
Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.
Narrative inquiry is a valuable methodology for understanding older peoples' experiences of health care. Stories developed from older peoples' hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed.
本研究旨在考察老年人住院经历叙述作为告知实践和服务发展的焦点的有用性。
叙事探究为探索个人经历提供了一种选择，并深入了解治疗决策，有助于指导医疗保健服务的发展和提供。
参与者年龄在 65 岁及以上，曾在康复病房住院。他们在认知和身体上都能够进行沟通并同意参与研究。采用叙事访谈方法进行数据收集。问题-解决方案模式框架使叙事能够在老年人的过去、现在和他们通常的健康或不适水平的背景下进行重新配置。多学科专业人员研讨会用于根据叙事如何为实践和服务发展提供信息来分析叙事。
进行了 28 次叙事访谈。通过阅读和讨论重新配置的叙述，多学科团队评估了护理程序是否适当，并确定了改进护理提供的方法。还确定了整合叙事方法的挑战。参与研究的一些护士在实践中实施了叙事访谈。
叙事探究增强了对护理需求的评估以及医疗保健专业人员和患者之间的互动。将故事转化为实践和服务发展计划的框架需要在进一步的研究中，并与更广泛的医疗和社会保健专业人员一起使用，以确定其有用性。
叙事探究是理解老年人医疗保健体验的有价值的方法。从老年人住院经历中发展出来的故事是确定可以发展的实践方面的有用基础。
