Division of Occupational Therapy, Institution of Neurobiology, Caring Science and Society, Karolinska Institutet, Stockholm, Sweden.
Institute of Health and Care Sciences and Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden.
Nurs Philos. 2022 Jul;23(3):e12398. doi: 10.1111/nup.12398. Epub 2022 Jun 15.
This article suggests a shift in focus from stories as verbal accounts to narrative interpretation of the every day as a resource for achieving person-centred health and social care. The aim is to explore Ricoeur's notion of narrative and action, as expressed in his arguments on a threefold mimesis process, using this as a grounding for the use of narration to achieve person-centredness in health and social care practice. This focus emerged from discussions on this matter at the IPONS conference in Gothenburg, 2021. Based on philosophical resources from Ricoeur's notions of narrative and action developed in his arguments on a threefold mimesis process, we propose a wider use of stories in health and social care practices. We suggest expanding from only focusing on verbal accounts to focusing on narrative as a human way to interpret and make sense of everyday life and circumstances and to communicate possible meanings. We discuss how such complementary focus can be a resource in getting patients involved and collaborating in their health and social care and thereby help develop person-centred practices.
本文建议将关注点从口头叙述的故事转移到对日常生活的叙事解释,将其作为实现以患者为中心的健康和社会关怀的资源。目的是探讨里科尔的叙事和行动概念,如其在关于三重模仿过程的论点中所表达的那样,将其作为在健康和社会关怀实践中使用叙述来实现以患者为中心的基础。这一重点是在 2021 年哥德堡 IPONS 会议上就此问题进行讨论后出现的。基于里科尔在关于三重模仿过程的论点中提出的关于叙事和行动的哲学资源,我们建议在健康和社会关怀实践中更广泛地使用故事。我们建议不仅要关注口头叙述,还要关注叙事,将其作为一种人类解释和理解日常生活和环境并传达可能意义的方式。我们讨论了这种互补的关注如何成为让患者参与并协作其健康和社会关怀的资源,从而有助于发展以患者为中心的实践。