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 |