{"title":"Allyship with Psychiatric Patients for Health Care Practice Reform: A Case Study of a Narrative Approach Using Patient-Authored Medical Records.","authors":"Chizuru Tsubonouchi, Midori Asano","doi":"10.1177/10784535241270170","DOIUrl":null,"url":null,"abstract":"<p><p><b>Introduction:</b> 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. <b>Purpose:</b> A case study shows how the Patient-Authored Medical Record (PAMR) can contribute to health practice reform. <b>Methods:</b> 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. <b>Results:</b> 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. <b>Conclusions:</b> 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.</p>","PeriodicalId":54104,"journal":{"name":"Creative Nursing","volume":null,"pages":null},"PeriodicalIF":0.6000,"publicationDate":"2024-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Creative Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/10784535241270170","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
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.
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.