Research Unit of Nursing and Healthcare, Department of Public Health, Aarhus University, Aarhus, Denmark.
Department of Physiotherapy and Occupational Therapy, Naestved, Slagelse and Ringsted Hospital, Slagelse, Denmark.
Nurs Philos. 2021 Jul;22(3):e12356. doi: 10.1111/nup.12356. Epub 2021 Jun 1.
Although there is a growing acknowledgement of the potential of a more nuanced healthcare paradigm and practice, the discourses of health promotion-and with that nursing and other healthcare professionals' practice-still tend to focus on the medical diagnosis, disease and the rationale of biomedicine. There is a need for shifting to a human practice that draws on a broader perspective related to illness. This requires a transformation of practices which can be constructed within a narrative understanding. A narrative approach appreciates the importance of emotion and intersubjective relation in the telling and listening that occur in the clinical encounter. The essence of nursing lies in the creative imagination, the sensitive spirit and the intelligent understanding of the individuals' possibilities of becoming empowered in his or her own life. This entails that the focus of the use of patients' narratives is, ultimately, not the story itself, but the nurses' and other healthcare professionals' ability to support the patients in finding useful meaning in their stories. Herein, it is of particular importance to let the patients narrate about what is sparkling moments or events in the lived life. Stories with such focus can open up for patients' hopes and dreams, which gives inspiration for finding meaningful ways to cope in life empowering personal recovery. It is, therefore, crucial to transform clinical settings into places that acknowledge the need for imagination and creativity, aiming at creating the opportunity for sensibility and vision essential to encouraging a narrative approach and thereby the ability to reflect upon and promote a healing process.
尽管人们越来越认识到更细致入微的医疗模式和实践的潜力，但健康促进的话语——以及护理和其他医疗保健专业人员的实践——仍然倾向于关注医学诊断、疾病和生物医学的基本原理。需要转向一种更广泛的与疾病相关的人文实践。这需要对实践进行转变，可以在叙事理解的基础上进行构建。叙事方法重视情感和主体间关系在临床相遇中的讲述和倾听中的重要性。护理的本质在于个体在自己的生活中获得赋权的创造性想象、敏感精神和智能理解的可能性。这意味着，使用患者叙述的重点最终不是故事本身，而是护士和其他医疗保健专业人员支持患者在他们的故事中找到有用意义的能力。在这里，让患者讲述生活中闪光时刻或事件的故事尤为重要。这样的故事可以为患者的希望和梦想打开大门，为寻找有意义的应对生活的方法提供灵感，从而增强个人的康复能力。因此，将临床环境转变为承认想象力和创造力的必要性的场所至关重要，旨在为鼓励叙事方法创造必要的敏感性和远见，并促进治疗过程的反思和促进。
