探究老年病房中叙事关系的条件--日常实践中的解释是如何发挥作用的。

IF 2.1 4区 医学 Q2 NURSING International Journal of Qualitative Studies on Health and Well-Being Pub Date : 2024-12-01 Epub Date: 2024-06-13 DOI:10.1080/17482631.2024.2367851
Lisa Herulf Scholander, Sofia Vikström, Anne-Marie Boström, Staffan Josephsson
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引用次数: 0

摘要

本研究利用人种学实地调查和跨专业焦点小组讨论的数据,对老年病房工作人员的日常生活进行调查,以探索和了解在老年住院护理中参与叙事关系的条件。我们避免了对叙事实践的个人主义理解,而是采用了一种 "行动中叙事 "的方法,这种方法建立在对叙事关系的理解之上,即个人叙事与社会和文化特征并不分离。这有助于我们探索个人对日常实践条件的解释是如何与更广泛的社会或文化理解相结合的,从而获得关于在老年护理的日常情况下,这些条件是如何不断相互关联和改革的情景洞察力。根据老年病房医护人员对其实践条件的解释,以及他们如何根据这些解释采取行动,研究结果提供了参与叙事关系的机会。一些解释与鼓励叙事关系的态度和活动相关,而另一些解释则同时通过任务导向、分工或关注可衡量的生物医学或功能相关结果来阻碍叙事关系。此外,研究结果还提出并讨论了在日常医疗保健情况下进行解释时所产生的紧张关系的后果,从而对将条件视为静态和线性的假设提出了质疑。
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Inquiring into conditions for engaging in narrative relations on a geriatric ward - how interpretation matters in everyday practices.

Drawing on data from ethnographic fieldwork and interprofessional focus group discussions, this study enquires into staff's everyday life on a geriatric ward to explore and understand conditions for engaging in narrative relations in in-patient geriatric care. Avoiding individualistic understandings of narrative practices, we applied a narrative-in-action methodology built on a relational understanding of narrativity, where individual narratives are not separated from social and cultural features. This helped us explore how individual interpretations of the conditions for everyday practices come together with broader social or cultural understandings to gain situated insights about how these are continuously related and reformed by one another in everyday situations of geriatric care. The findings offer insights into the opportunities to engage in narrative relations based on how healthcare staff on a geriatric ward interpret conditions for their practices, and how they act based on such interpretations. While some interpretations were associated with attitudes and activities encouraging narrative relations, others simultaneously thwarted narrative relations by enacting task-orientation, division, or a focus on measurable biomedical or function-related outcomes. Moreover, the findings suggest and discuss consequences of the tensions created as interpretations are enacted in everyday healthcare situations, thus questioning assumptions about conditions as something static and linear.

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来源期刊
CiteScore
3.20
自引率
5.60%
发文量
99
审稿时长
14 weeks
期刊介绍: International Journal of Qualitative Studies on Health and Well-being acknowledges the international and interdisciplinary nature of health-related issues. It intends to provide a meeting-point for studies using rigorous qualitative methodology of significance for issues related to human health and well-being. The aim of the International Journal of Qualitative Studies on Health and Well-being is to support and to shape the emerging field of qualitative studies and to encourage a better understanding of all aspects of human health and well-being.
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