Skip to main content

Table 2 Concept Connotations of Narrative Competence

From: A qualitative study of clinical narrative competence of medical personnel

Theme

Subtheme

Concept

Narrative horizon

• Narrative horizon

Patient centered; peace; authentic effect; healing

Narrative construction

• Narrative listening

Attention & interesting; key words; nonverbal messages; observations; humanistic sensitivity

 • Narrative understanding

Patient perspectives; life history & critical events; psycho-social-cultural context; sufferings; strengths

• Narrative thinking

Illness temporality; authenticity; meaning making; narrative inquiry

 • Narrative representation

Phenomenological articulation; decoding & interpretation; metaphor & creativity; life related to illness

Medical relationship

• Empathy

Listening; perspective taking; being moved; emotional sensitivity; connecting to patient

• Communication

Facilitating; empowering; responsive; intra & inter-professional communication; sharing life experiences

• Affiliation

Mutual empowerment; rapport; sharing burdens; acceptance & appreciation

• Inter-subjectivity

Constructions from medical personnel & patient interactions; ethical thinking; inter-professional collaboration

Medical care

• Responsive care

Patient-centered care; responsive to patient’s needs

• Balanced acts

Sharing decision making; bio-psycho-social-cultural considerations

• Medical reflection

Self-awareness; tolerance for uncertainty; self-reflection/in action/for action/of action