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叙事医学:通过故事重新投入并重新焕发活力。

Narrative medicine: Re-engaging and re-energizing ourselves through story.

机构信息

Family Medicine Residency Program, WellSpan York Hospital, York, PA, USA.

出版信息

Int J Psychiatry Med. 2020 Sep;55(5):321-330. doi: 10.1177/0091217420951039.

Abstract

Physicians and other allied health professionals have many distractions from their work and from original motivations to become health caring professionals. Activities that detract from making meaningful connection with patients result in high levels of work dissatisfaction and burnout even at early stages of career or training. Narrative Medicine provides an antidote to these influences. It is an experiential discipline that draws on the Arts and Humanities, connects health professionals to their original motivation to care, cultivates the ability to engage patients and stimulates professional growth. When practiced with interdisciplinary teams, commonalities and mutual purpose are highlighted, promoting group cohesion and appreciation. The practice of this discipline and development of narrative competence relates closely to the advancement along numerous milestones, particularly Patient Care, Interpersonal and Communication Skills, and Professionalism. This article describes an experiential and didactic workshop presented at the 2019 Forum for Behavioral Science in Family Medicine which outlined a Narrative Medicine curriculum as taught at a community hospital Family Medicine residency. The curriculum is aimed at promoting residents' professional development, personal wellbeing, and capacity to engage patients.

摘要

医生和其他相关健康专业人士在工作和成为医疗保健专业人员的初衷上有很多分心的事情。那些与患者建立有意义联系无关的活动会导致工作满意度和倦怠感的提升,即使是在职业生涯或培训的早期阶段也是如此。叙事医学提供了一种对此类影响的解毒剂。它是一门体验式学科,借鉴了艺术和人文学科,将健康专业人员与他们最初的关怀动机联系起来,培养与患者接触的能力,并激发专业成长。当与跨学科团队一起实践时,共同性和共同目标会被凸显出来,促进团队凝聚力和欣赏力。这种学科的实践和叙事能力的发展与许多里程碑的进展密切相关,特别是患者护理、人际和沟通技巧以及专业精神。本文描述了在 2019 年家庭医学行为科学论坛上展示的一个体验式和说教式的研讨会,概述了在社区医院家庭医学住院医师培训中教授的叙事医学课程。该课程旨在促进住院医师的专业发展、个人幸福感和与患者接触的能力。

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