Allyship with Psychiatric Patients for Health Care Practice Reform: A Case Study of a Narrative Approach Using Patient-Authored Medical Records.

IF 0.6 Q4 NURSING Creative Nursing Pub Date : 2024-09-09 DOI:10.1177/10784535241270170
Chizuru Tsubonouchi, Midori Asano
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Abstract

Introduction: To facilitate partnerships between nurses and their patients with psychiatric illness, it is important to provide a safe narrative space for both parties where patients can voice their opinions. Purpose: A case study shows how the Patient-Authored Medical Record (PAMR) can contribute to health practice reform. Methods: A patient who visited an outpatient psychiatric clinic was asked to describe his life events. The researchers created the patient's PAMR, a first-person account of how he thought his illness could be cured, which was used when conducting follow-up meetings. The contents of the PAMR and that of subsequent meetings were used to evaluate the tool's usefulness. Results: The narrative content of the PAMR and the follow-up meetings reflected a reduction in the patient's symptoms and a change in his perception of his illness. Conclusions: Patient-authored medical records could be a step toward health-care reform. Allyships created with patients can form new cooperative two-way relationships that are more equal than authoritative one-way relationships.

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与精神病患者结盟,促进医疗实践改革:使用患者撰写的医疗记录的叙事方法案例研究》。
导言:为了促进护士与精神疾病患者之间的合作,必须为双方提供一个安全的叙事空间,让患者能够发表自己的意见。目的:一项案例研究显示了患者撰写的医疗记录(PAMR)如何促进医疗实践改革。方法:一名到精神科门诊就诊的患者被要求描述他的生活事件。研究人员制作了该患者的 PAMR,以第一人称叙述了他认为自己的疾病可以治愈的过程,并在进行后续会谈时使用。PAMR 的内容和后续会谈的内容被用来评估该工具的实用性。结果PAMR 和后续会谈的叙述内容反映出患者的症状有所减轻,对疾病的认识也有所改变。结论:由患者撰写的病历可以成为医疗改革的一个步骤。与患者建立的同盟关系可以形成新的双向合作关系,这种关系比单向的权威关系更加平等。
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来源期刊
Creative Nursing
Creative Nursing NURSING-
CiteScore
1.50
自引率
14.30%
发文量
76
期刊介绍: Creative Nursing is an issue focused journal, unique in its recognition of the values inherent in the nursing profession. Excellence and professionalism are not exclusive to any one discipline or specialty, and the editors of Creative Nursing are dedicated to developing nursing leaders at all levels and in all settings. Today"s health care institutions need creative and innovative solutions. Nurses need to think creatively, to experiment, to take risks, and to innovate. Creative Nursing promotes best practices in all aspects of caring--caring for self, patients, families, colleagues, and communities.
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