Medical narrative competence and its influencing factors among nurses in Luzhou / 中国实用护理杂志

Objective:To explore the current status and influencing factors of medical narrative competence among nurses in Luzhou, offering theoretical insights for improving nurses′ narrative competence.Methods:This study was a cross-sectional survey. From July 2021 to January 2022, using convenience sampling method, 267 nurses from Zhongshan Area of Affiliated Hospital of Southwest Medical University, Kangjian Area of Affiliated Hospital of Southwest Medical University and the Traditional Chinese Medicine Hospital Affiliated to Southwest Medical University were investigated by the general information questionnaire, Narrative Competence Scale, Nurses′ Perceived Professional Benefits Questionnaire And Perceived Social Support Scale.Results:The total scores of narrative competence of the 267 nurses was (142.25 ± 19.03), nurses′ perceived professional benefits was (137.16 ± 15.89) and perceived social support was (65.86 ± 10.38). The results of multiple linear regression showed that nurses′ perceived professional benefits and perceived social support were the important factors affecting their narrative ability ( t = 5.09 and 5.95, both P<0.05), which could account for 35.7% of the total variation of narrative competence. Conclusions:Nurses have narrative competence at low level in Luzhou. Managers should pay more attention to nurses who have poor level of perceived professional benefits and perceived social support, so as to keep the nurses′ mental health and improve nurses′ narrative competence by taking corresponding measures.

Case and Analysis of Narrative Palliative Care Consultation: the Third Written Talks Outcome of the "10 Years of Palliative Care" / 中国医学伦理学

The research team focused on the deep integration of palliative care and narrative medicine. This paper defined the concept of "pain point", that is medical personnel encounter psychological confusion, vague goals and helpless in the biomedical practice. Based on the definition concept, the paper discussed the clinical practice of narrative medicine by relieving the "pain point" as the "code" of clinical operation, and combining with the case of palliative care consultation. The case in the paper were presented in the form of doctor’s oral text together with explanation and analysis, and then put forward the clinical practice steps of narrative medicine, such as identifying the suffering, establishing relationship and relieving "pain point" with narrative competence, so as to take palliative care field as an example to provide reference for the practice of narrative medicine in other medical fields.

The narrative turn in doctor-patient communication research and cultivation of medical students' medical narrative competence / 中华医学教育探索杂志

Effective medical practice in the bio-psycho-social medical model calls for the doctor's narrative and communicative skills.The gradual application of narratives in medical practice and research facilitates the combination of narrative methods with medical science.The narrative medicine movement greatly promotes the narrative turn in the research of doctor-patient communication and provides a new perspective in medical humanities education.In the process of doctor-patient communication,the appropriate use of doctors' high narrative competence contributes to effective doctorpatient communication and helps to build a harmonious doctor-patient relationship.In medical education,the teaching strategy of combining classroom teaching with clinical probation teaching should be adopted to cultivate and enhance medical students' medical narrative competence.

Curriculum development of narrative-based medicine in undergraduate medical education: The narrative-based medicine course at Sapporo Medical University / 医学教育

1)In the 2008 academic year, we developed a new narrative-based medicine (NBM) curriculum at Sapporo Medical University. <br>2) The program includes lectures on the concept of NBM, the clinical practice of NBM, and the illness narratives of patients' families, and exercises in narrative competence (significant event analysis, parallel chart, and life story).<br>3) Although some students had negative attitudes about the program, most students evaluated the course positively. We need to continuously improve the curriculum to develop narrative competence in medical students.

Las destrezas narrativas en niños de 5 años: propuesta de un instrumento de evaluación clínica del lenguaje / Narrative skills in five-year-old children: design of an instrument for clinical assessment of language

Las habilidades implicadas en la competencia narrativa permiten predecir el futuro desempeño lingüístico-cognitivo del niño, por lo cual resulta fundamental contar con recursos evaluativos específicos en la clínica fonoaudiológica. Proponemos un instrumento de evaluación de tales destrezas infantiles que abarca tanto las habilidades correspondientes al desarrollo de la estructutura narrativa canónica como las que corresponden a la expresión del contenido, cuyas características se analizan mediante la actividad de narración de un cuento con imágenes, creado ad hoc. Los datos se registran en un formulario diseñado para el análisis sitemático cuanti-cualitativo. Se presentan los materiales empleados y el análisis psicométrico preliminar, realizado en un estudio piloto con 22 niños preescolares sin problemas de lenguaje, de clase media, de la ciudad de Buenos Aires. Los resultados reflejan la fortaleza del instrumento para establecer, con precisión, cuáles son las destrezas en la edad preescolar y el modo de evaluarlas.

The skills involved in narrative competence allow as to predict the child's further cognitive-linguistic performance. Thus, from a speech and language perspective, it is extremely important to have clinical tools to evaluate such aspect. The present manuscript addresses the design of a clinical instrument to assess the abilities involved in narrative competence. Such abilities comprise those related to the development of canonical narrative structure as well as those related to the expression of content. These abilities are analysed throught an activity of re-telling a story induced from an ad-hoc oral text accompanied with pictures. A form specifically created for systematic qualitative and quantitative analysis was used to collect the data. The materials used in and a preliminary psychometric analysis of a pilot study conducted in 22 normal-language development pre-school children coming from middle-class families in the city of Buenos Aires are discussed. The results show that the instrument is capable of determining which narrative skills are involved in pre-school children and the manner they should be assessed.