Artioli Giovanna, Foà Chiara, Cosentino Chiara, Sollami Alfonso, Taffurelli Chiara
IRCCS (Scientific Institute for Research, Hospitalization and Health Care), Santa Maria Nuova Hospital, Reggio Emilia, Italy.
Acta Biomed. 2017 Jul 18;88(3S):13-21. doi: 10.23750/abm.v88i3-S.6609.
In the Integrated Narrative Nursing Assessment (INNA), the Evidence-Based Nursing Model is integrated with the Narrative-Based Nursing Model. The INNA makes use of quantitative instruments, arising from the natural sciences as well as of qualitative ones, arising from the human achieving results of standardization and reproducibility, as well as of customization and uniqueness. Accordingly, the purpose of this work is to exemplify the thinking process of and the method adopted by a nurse adopting an integrated narrative assessment in the evaluation of a patient.
The patient suffered from acute myeloid leukaemia, treated with chemotherapy. Her nurse worked in a haematology ward in a North Italy Hospital. The nurse had previous experience in conducting the assessment according to INNA. Based on patient's characteristics, the nurse chose to use the narration (to explore needs from their subjective perception) and the scales (to measure them objectively) among the various assessment instruments provided by the INNA.
The resultant integrated outcomes helped the nurse to have a comprehensive overview of the person's health-care needs and their connections. These outcomes derive from the integration of narrative information with those obtained from the scales, which in this paper have shown consistent results.
It is very difficult to reach this complexity by considering qualitative and quantitative assessment strategies as mutually foreclosing, given that both emerged as being very useful in identifying, understanding and measuring the needs of the assisted person. Then they both could be used to design a customized intervention, encouraging new connections between disease, illness, sickness and everyday life.
在综合叙事护理评估（INNA）中，循证护理模式与叙事护理模式相结合。INNA既运用了源自自然科学的定量工具，也运用了源自人文科学的定性工具，从而实现标准化、可重复性以及个性化和独特性的成果。因此，本研究旨在举例说明护士在评估患者时采用综合叙事评估的思维过程和方法。
该患者患有急性髓系白血病，接受化疗。她的护士在意大利北部一家医院的血液科病房工作。这位护士此前有根据INNA进行评估的经验。根据患者的特点，护士在INNA提供的各种评估工具中选择使用叙事法（从患者主观感受中探索需求）和量表（客观测量需求）。
综合评估结果有助于护士全面了解患者的医疗保健需求及其相互关系。这些结果源于叙事信息与量表所得信息的整合，本文显示二者结果一致。
将定性和定量评估策略视为相互排斥是很难达到这种复杂性的，因为二者在识别、理解和衡量受助者需求方面都非常有用。它们都可用于设计个性化干预措施，促进疾病、病症、病痛与日常生活之间建立新的联系。
