Artioli Giovanna, Foà Chiara, Cosentino Chiara, Sulla Francesco, Sollami Alfonso, Taffurelli Chiara
IRCCS (Scientific Institute for Research, Hospitalization and Health Care) Santa Maria Nuova Hospital, Reggio Emilia.
Department of Medicine and Surgery, University of Parma, Italy.
Acta Biomed. 2018 Mar 28;89(4-S):5-17. doi: 10.23750/abm.v89i4-S.7202.
The Integrated Narrative Nursing Model (INNM) is an approach that integrates the qualitative methodology typical of the human sciences, with the quantitative methodology more often associated with the natural sciences. This complex model, which combines a focus on narrative with quantitative measures, has recently been effectively applied to the assessment of chronic patients. In this study, the model is applied to the planning phase of education (Integrated Narrative Nursing Education, INNE), and proves to be a valid instrument for the promotion of the current educational paradigm that is centered on the engagement of both the patient and the caregiver in their own path of care. The aim of this study is therefore to describe the nurse's strategy in the planning of an educational intervention by using the INNE model.
The case of a 70-year-old woman with pulmonary neoplasm is described at her first admission to Hospice. Each step conducted by the reference nurse, who uses INNE to record the nurse-patient narrative and collect subsequent questionnaires in order to create a shared educational plan, is also described.
The information collected was submitted, starting from a grounded methodology to the following four levels of analysis: I. Needs Assessment, II. Narrative Diagnosis, III. Quantitative Outcome, IV. Integrated Outcome. Step IV, which is derived from the integration of all levels of analysis, allows a nurse to define, even graphically, the conceptual map of a patient's needs, resources and perspectives, in a completely tailored manner.
The INNE model offers a valid methodological support for the professional who intends to educate the patient through an inter-subjective and engaged pathway, between the professional, their patient and the socio-relational context. It is a matter of adopting a complex vision that combines processes and methods that require a steady scientific basis and advanced methodological expertise with active listening and empathy - skills which require emotional intelligence.
整合叙事护理模式（INNM）是一种将人文科学中典型的定性方法与自然科学中更常使用的定量方法相结合的方法。这种复杂的模式将对叙事的关注与定量测量相结合，最近已有效地应用于慢性病患者的评估。在本研究中，该模式应用于教育的规划阶段（整合叙事护理教育，INNE），并被证明是促进当前以患者和护理人员参与自身护理路径为中心的教育范式的有效工具。因此，本研究的目的是描述护士在使用INNE模式规划教育干预时的策略。
描述了一名70岁肺肿瘤女性患者首次入住临终关怀机构的案例。还描述了责任护士采取的每一个步骤，该护士使用INNE记录护患叙事并收集后续问卷，以制定共享的教育计划。
收集到的信息从扎根方法开始，提交到以下四个分析层面：I. 需求评估，II. 叙事诊断，III. 定量结果，IV. 综合结果。第四步源于所有分析层面的整合，使护士能够以完全量身定制的方式，甚至以图表形式定义患者需求、资源和观点的概念图。
INNE模式为有意通过专业人员、患者及其社会关系背景之间的主体间性和参与性途径对患者进行教育的专业人员提供了有效的方法支持。这涉及采用一种复杂的视角，将需要坚实科学基础和先进方法专业知识的过程和方法与积极倾听和同理心（需要情商的技能）相结合。
