Narrative nursing for negative emotions in patients with acute pancreatitis:Based on model construction and application

BACKGROUND Acute pancreatitis(AP),as a common acute abdomen disease,has a high incidence rate worldwide and is often accompanied by severe complications.Negative emotions lead to increased secretion of stress hormones,elevated blood sugar levels,and enhanced insulin resistance,which in turn increases the risk of AP and significantly affects the patient's quality of life.Therefore,exploring the intervention effects of narrative nursing programs on the negative emotions of patients with AP is not only helpful in alleviating psychological stress and improving quality of life but also has significant implications for improving disease outcomes and prognosis.AIM To construct a narrative nursing model for negative emotions in patients with AP and verify its efficacy in application.METHODS Through Delphi expert consultation,a narrative nursing model for negative emotions in patients with AP was constructed.A non-randomized quasi-experimental study design was used in this study.A total of 92 patients with AP with negative emotions admitted to a tertiary hospital in Nantong City of Jiangsu Province,China from September 2022 to August 2023 were recruited by convenience sampling,among whom 46 patients admitted from September 2022 to February 2023 were included in the observation group,and 46 patients from March to August 2023 were selected as control group.The observation group received narrative nursing plan,while the control group was given with routine nursing.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),positive and negative affect scale(PANAS),caring behavior scale,patient satisfaction scale and 36-item short form health survey questionnaire(SF-36)were used to evaluate their emotions,satisfaction and caring behaviors in the two groups on the day of discharge,1-and 3-month following discharge.RESULTS According to the inclusion and exclusion criteria,a total of 45 cases in the intervention group and 44 cases in the control group eventually recruited and completed in the study.On the day of discharge,the intervention group showed significantly lower scores of SAS,SDS and negative emotion(28.57±4.52 vs 17.4±4.44,P<0.001),whereas evidently higher outcomes in the positive emotion score,Caring behavior scale score and satisfaction score compared to the control group(P<0.05).Repeated measurement analysis of variance showed that significant between-group differences were found in time effect,inter-group effect and interaction effect of SAS and PANAS scores as well as in time effect and inter-group effect of SF-36 scores(P<0.05);the SF-36 scores of two groups at 3 months after discharge were higher than those at 1 month after discharge(P<0.05).CONCLUSION The application of narrative nursing protocols has demonstrated significant effectiveness in alleviating anxiety,ameliorating negative emotions,and enhancing satisfaction among patients with AP.

Exploring the Impact of Narrative Nursing on Anxiety, Depression, and Quality of Life in Middle-aged and Young Dialysis Patients

Objective:To explore the impact of narrative nursing on anxiety,depression,and quality of life in middle-aged and young dialysis patients.Method:Eighty-six middle-aged and young dialysis patients admitted from January 2023 to December 2023 were selected and divided into a control group and a study group,with 43 patients in each group.The control group received general nursing interventions,while the study group received narrative nursing in addition to the general interventions.The levels of anxiety and depression before and after the intervention were compared,and the quality-of-life scores of the two groups were analyzed.Results:After comprehensive intervention,the scores of both groups significantly decreased(P<0.05).After intervention,the scores of the study group were more significant compared to the control group(P<0.05).Compared with the control group,the quality-of-life score of the study group showed a significant upward trend,and this difference was statistically significant(P<0.05).Conclusion:Comprehensive narrative nursing can effectively reduce anxiety in middle-aged and young dialysis patients,further enhance their quality of life,and is worth promoting in clinical practice.

The power of story:Narrative inquiry as a methodology in nursing research

The aim of this paper is to explore the essential elements and value of narrative inquiry in nursing research.We propose that understanding a previous experience allows the nurse researcher an“insider view”and hence a deeper understanding of the issues that arise in the relationship between participant and researcher.We suggest that narrative inquiry in nursing research offers a particular way of caring about how knowledge is produced.Nursing science would benefit from the understanding that health and nursing practices are dynamic processes characterized by the continuous interaction of human thought and behaviour that continuously‘pumps’into personal,social and material environments.Narrative inquiry as a methodology in nursing research is exceptionally useful to uncover nuance and detail of previous experiences.

Application of narrative nursing in the families of children with biliary atresia:A retrospective study

BACKGROUND Narrative nursing is an important clinical nursing intervention model.It is the practice of patient storytelling to share the essence of nursing.The current clinical intervention for biliary atresia(BA)mainly focuses on disease treatment and does not pay enough attention to the psychological state of family members.AIM To explore the application value of narrative nursing in the families of children with BA.METHODS Sixty-four family members of children with BA in our hospital from December 2017 to October 2020 were retrospectively included and were divided into a study group(n=32)and a control group(n=32).The control group was provided with routine nursing,while the study group was given narrative nursing on the basis of the control group.The scores of mood state(depression and anxiety),family members’nursing ability,perceived stress,and nursing job satisfaction of the children’s families were calculated before and after the intervention.RESULTS Before intervention,there was no significant difference in the self-rating anxiety scale and self-rating depression scale scores between groups(P>0.05).After intervention,the self-rating anxiety scale and self-rating depression scale scores in the study group were lower than those in the control group(both P=0.000).Before intervention,the study group adjusted life to meet care needs,evaluated family members and social resources,dealt with personal emotions,responded to needs,and provided assistance,and the adaptive care role scores were not significantly different from those in the control group(P=0.802,0.819,0.694,0.796,and 0.686,respectively).After intervention,all scores were significantly lower in the study group than in the control group(all P<0.0001).Before intervention,there was no significant difference in the child post-traumatic stress disorder symptom score(CPSS)score between groups(P=0.615).After intervention,the CPSS scores were significantly lower than those before intervention in both groups and lower in the study group than in the control group(P<0.0001).Nursing job satisfaction of the family members of the study group(93.75%)was higher than that of the control group(75.00%)(P=0.039).CONCLUSION Narrative nursing with family members of children with BA can effectively alleviate negative emotions,reduce perceptual pressure,and improve nursing ability.Additionally,family members are more satisfied with nursing work.

Narrative nursing for cancer patients:a meta-analysis

Objective:To systematically review the effect of narrative nursing for cancer patients.Methods:Systematic searches in PubMed,EMBASE,The Cochrane Library,Web of Science,Chinese biomedical literature database,China National Knowledge Infrastructure,Wanfang medical and VIP database were performed for randomized controlled trials(RCTs)or quasi-RCTs which explored the effects of narrative nursing mode for cancer patients.Then,meta-analysis was performed by RevMan 5.3 after two independent investigators screened the literature,extracted the data and evaluated the risk of bias of all included studies.Results:A total of 15 studies were included,including 1778 cancer patients.The meta-analysis showed that narrative nursing could effectively relieve patients'anxiety and depression compared with the conventional nursing model(WMD=-9.04,95%CI=-11.82,-6.27;P<0.001),reduce the the inner shame(WMD=-2.28,95%CI=-3.76,-0.88;P=0.001),improved the mental resilience(WMD=18.20,95%CI=3.30,33.11;P<0.001)and the quality of life.Conclusion:This study has been systematically evaluated to show that narrative care can effectively improve the negative mood of patients with cancer and improve their quality of life.However,subject to the quality limitations of the included studies,the appeal conclusions are yet to be tested in more high-quality studies.

Research progress on narrative education in clinical nursing education

This article introduces the concept and mode of narrative education in addition to the application of narrative education in clinical nursing education. A summary is presented of the application of narrative education in this clinical nursing context from several aspects, including providing a display platform and various other teaching forms for the teachers＇ use, promoting the professional quality of teachers and students, and facilitating the teaching of abstract concepts.

Application effect of narrative nursing teaching method in nursing teaching:A systematic evaluation

Objective:To analyze and summarize the application effect of narrative teaching method in nursing teaching,so as to provide empirical support for the application of narrative teaching method in nursing education.Methods:In this study,Meta analysis was used to search the databases of CNKI,Wanfang,VIP,Cochrane Library,PubMed,Web of Science and Science Direct.The retrieval time was from October 2019.Results:A total of 14 randomized controlled trial conclusions were included.The results showed that the application of narrative nursing teaching method could improve the theoretical knowledge[SMD=1.34,95%CI 0.70-1.97,P<0.01],the mastery of operational skills[SMD=1.30,95%CI 0.65-1.96,P<0.01],the humanistic care ability[SMD=0.98,95%CI 0.26-1.69,P<0.01],and the empathy level[SMD=6.13,95%CI 5.15-7.11,P<0.01].Conclusion:The application of narrative nursing teaching method can improve the required ability of nursing students and has a good application effect.More high-quality RCT studies are needed in the future for further research.

Acceptance Process Model of Patients’ Life with Terminally Ill in Home Hospice and Development of a Narrative Approach for Nurses

The prime aim of this study was to find a psychological process model of patients with terminally ill in home hospice investigating the contents of a narrative, and the secondary aim was to create a narrative approach program for nurses. Ten patients narrated their thinking or feelings along with some prepared questions in two sessions. Patients’ narrative data were categorized by a qualitative analysis and 34 categories were chosen. They perceived good points in home hospice like “Being able to spend time freely”, “Close relationships with care staffs and strong confidence”, though they perceived trouble points like “Suffering from putting burden on the people around me” or “Worries about economic problems”. They perceived psychological changes through illness like “Having peace of mind and becoming kind” “Desire for a natural death”. Moreover they perceived their life like “Acceptance of one’s life including illness” “My life lived with satisfaction”. They regarded as important things such as “Spending life time usefully” “Feelings of my family members and of those around me”, and as hopes “Hope to leave my living proof” “Living left time to the fullest”. From these categories, we propose an acceptance model of patients’ life and a narrative program for nurses.

An Overview of Narrative Medicine in China

This paper sketches the history and the author’s involvement in the development of narrative medicine in China.It also describes“narrative medicine with Chinese characteristics,”explaining why narrative medicine is regarded as a tool to materialize the medical humanities in clinical practice,and detailing the features of narrative medicine in China.The features include the wide acceptance of the“22334 model”of narrative medicine,and borrowing theories and practice from Traditional Chinese Medicine.Finally,the author argues that the medical humanities should be given a“Class-A discipline”status,and narrative medicine should be a class-B discipline under the medical humanities.

Qualitative Research and Narrative Sources in the Context of Critical and Renal Cares

The objective of this study is to clarify the relevance of qualitative research in the context of critical care and renal dialysis requires using narrative sources. Also specific objectives are to identify the phases or cultural moments that are distinguished in these processes. Research Question: How can the narrative materials contribute to the study of the processes of critical care and/or qualitative research in nephrology? Method and Sources: There have been studies focusing on the narrative of patients who have written their experiences building a literature experience ill (Siles et al., 1997, 1999, 2000). Sources have been used to extract testimony retrospective autobiographies written by people who have experienced the experiences of different diseases (Allué, 1996, 1997, Zorn, 1991, Gilbert, 1993;Comas, 2009;Gracia Armendáriz, 2010;Sampedro, 1996, Sacks, 2010). The analysis was developed by categorizing units of meaning, meaning families and networks. To identify the cultural moments we have followed the criteria established by Siles and Solano (2009): Multiculturalism, interculturalism and transculturalism. To identify rites of passage and liminality states have followed the principles outlined by Van Gennep (2013) and Turner (1990, 2008). Results: We identified cultural moments and characteristic states of liminality in critical care and kidney. Conclusions: narrative sources are effective for analyzing the meanings and experiences of patients in critical care and nephrology tool.

Talking about Giving Up a Child for Adoption with Nursing Professionals

The subject of adoption is well-studied worldwide. In contrast, when it comes to women who give up their children for adoption, studies are far fewer. The present research aims to investigate how the myth of motherly love affects the ideas and conceptions concerning giving up a child for adoption from the perspective of the nursing professionals directly involved with these women. Also, the aim here is to interfere preventively with these professionals, raising awareness of the conceptions and prejudices related to giving up a child for adoption. Methodologically speaking, the research is designed as a qualitative research, based on the clinical method. The procedure was undertaken using group dynamics carried out with 19 professionals （nurses and nursing technicians）. PaJcticipants performed a free association activity and continued with two fictional stories on giving up a child for adoption. The results indicate that the ideas derived from the myth of motherly love are indeed present in the professionals＇ subjectivity and influence their behavior and attitude towards these women. Additionally, financial difficulties and other factors external to these women are provided as the main reasons for giving a child for adoption. Additionally, the intention is also to minimize the negative effects on the psychic life of these women who give their children up for adoption as well as to provide these children with a more sustainable life project.

Using narratives to express bereavement: An interview study on professional female writers experiences that in their middle age have lost their mothers

Objectives of the study were to increase the knowledge about women who in their middle age have lost their mothers and to investigate the therapeutic value of expressive writing in the grief process according to the women. Method: An interview was carried out with 18 professional female authors about their writings about death of a close relative, their mothers. They were asked to tell about the grief and what the writing meant to them. Results: All authors described in narratives. Some results were evident such as;feelings of relief by writing and their reflections and memories became clear. As authors of imaginative literature they were use to the process of writing. Conclusions: The evidence from this study offers useful information for nurses to plan and design programmes based on narrative structures in nursing care.

叙事教学法联合项目驱动教学法在高职老年护理学课程中的应用

目的探讨叙事教学法联合项目驱动教学法在高职老年护理学教学中的应用效果。方法完善老年护理学课程的教学设计,具体步骤包括制订教学目标、确定项目及其任务、明确叙事教学素材与策略。选取来自安徽省某高职院校2021级护理专业2个平行班的112名学生为研究对象,对其实施叙事教学联合项目驱动教学。课程结束后,通过老年护理学教学评价表、期末理论和技能考核成绩、老化知识测评问卷、对老年人的态度量表进行教学效果评价。结果课程实施后,84.82%(95/112)的学生表示喜欢目前老年护理学的教学方式,89.29%(100/112)的学生表示教学方法恰当、体现了因材施教的原则、能激发学生学习兴趣,83.04%(93/112)的学生表示学习本课程后,能接受将来从事老年护理工作;学生期末理论、技能考核得分均数分别为81.25分、83.54分,及格率分别为95.54%(107/112)、99.11%(111/112);学生老化知识得分高于课程实施前(P<0.001);学生对老年人的积极态度、消极态度得分及态度总分均高于课程实施前(P<0.001)。结论叙事教学法联合项目驱动教学法在高职老年护理学教学中的应用有助于增强学生学习兴趣,提升其学习效果、老化知识水平,改善其对老年人的态度。

叙事护理不是叙事疗法:论叙事护理学的底层逻辑

目的探讨叙事护理产生价值的底层逻辑,以帮助护理人员正确认知叙事护理学。方法从叙事护理在中西方发展的现状出发,以中国叙事医学逻辑体系为参照,运用文献综述与理论构建方法,剖析叙事护理学的底层逻辑,解析叙事护理和叙事疗法的根本区别。结果叙事护理是一种与循证护理互补的护理研究、护理管理与临床护理实践思维;而叙事疗法则是心理学下面的一种实践路径,是解决心理问题的一种方法。结论叙事护理学是一门运用叙事思维回应和化解护理语境下不同主体遭遇的叙事危机,如民众因生命健康叙事素养缺失而导致的健康危机、护理人员因职业叙事自我不够强大而出现职业倦怠问题、患者因叙事闭锁而陷入的慢性疾病状态,实现高质量护理的一门新兴学科。

沉浸式护理教学的元宇宙:体验、叙事及共情

随着信息技术和智慧教育的不断发展,数字技术在教育领域的应用越来越广泛,人机协同教育将成为新常态,虚实相融的元宇宙所构建的虚拟世界给护理教学模式带来了新的发展机遇。文章通过梳理元宇宙的进化和内涵,了解元宇宙对医学教育方面的影响和应用特征,并从沉浸式体验、场景叙事及共情培养的角度展望元宇宙医学教育对护理教学的影响。

护理本科叙事护理学课程的教学实践与效果评价

目的探讨叙事护理学课程对本科生叙事能力和人文关怀能力的影响。方法 2019年9月-12月,以某高校大学三年级96名护理本科生为教学对象开展叙事护理学课程,共18学时。教学前后采用医学叙事能力量表、关怀能力评价量表进行评价,课程结束后采用半结构式访谈法深入了解学生的学习感受和对课程的意见与建议。结果学生叙事能力的关注倾听维度得分高于教学前,差异有统计学意义(P<0.001);叙事能力总分及理解回应、反思再现维度得分与教学前比较差异均无统计学意义(均P>0.05)。人文关怀能力总分及各维度得分均高于教学前,差异均具有统计学意义(P<0.001)。访谈结果包括学生学习感受和学生对课程的期望,其中感受包括叙事护理能力提高、人文关怀认识加深、重新感悟生命。结论叙事护理教学有助于提高学生的人文关怀能力和关注倾听能力,对叙事能力其他方面的影响还需进一步研究。

新入职护士叙事护理知识-态度-行为的调查研究

目的了解新入职护士的叙事护理知识—态度—行为现状。方法采用方便抽样的方法,选取2016年7月—2020年8月大连市某三级甲等医院347名新入职护士作为研究对象,采用临床护理人员叙事护理知识—态度—行为问卷进行调查。结果有169名(48.7%)护士没有听说过叙事护理或叙事医学,仅有6名(1.7%)护士系统学习过;347名新入职护士知识—态度—行为总分为53~96(69.09±8.39)分,行为维度得分最低,条目均分为(2.49±0.74)分,得分最低的3个条目都属于行为维度。结论新入职护士的叙事护理知识—态度—行为有待提高,尤其是叙事护理实践行为。

叙事教育在培养护理本科生职业态度中的应用

目的探讨以叙事教育培养护理本科生职业态度的有效性和可行性。方法选取32名大学三年级护理本科生,于2018年9月-2019年3月开展叙事教育课外学习项目。叙事教育包括吸收故事经验、构建现实意义和传播榜样精神3个阶段。将学生分为5个小组,每组配1名指导教师引导学生参与叙事教育,配1名榜样导师与学生分享她们的职业故事。叙事教育前后采用护士职业态度量表对32名学生进行测评;叙事教育后,对11名学生进行访谈,深入了解叙事教育如何对其护士职业态度产生影响。结果叙事教育后,学生职业态度量表得分(5.87±0.84)高于之前(5.11±1.01),差异有统计学意义(t=4.705,P<0.001)。访谈资料提炼了3个主题和6个次级主题,分别为转变专业学习态度(促进学生学习积极性、提升中医护理学习兴趣)、缩小院校教育与临床实践差异(加深对职业的理解、架设理论与实践的桥梁)、发展健康职业人际关系(树立职业榜样、培养团队合作意识)。结论叙事教育有助于培养护理专业学生积极的职业情感。

叙事教育提升护理本科生人文关怀品质的效果研究

目的探讨叙事教育对提升护理本科生人文关怀品质的效果。方法在2016级护理本科生的护士人文修养课程中,以我国南丁格尔奖章获得者的事迹为素材开展叙事教育,让学生进行资料整理并书写演讲稿以作业形式提交,安排班级演讲预赛和学院决赛来评奖。在干预前后采用人文关怀品质量表对学生进行调查,并与未开展叙事教育的2015级学生进行比较。结果 2016级护理本科生人文关怀品质总分(t=3.297,P=0.001)、关怀理念(t=2.784,P=0.006)、关怀感知(t=3.752,P<0.001)、关怀能力(t=2.160,P=0.032)维度得分均高于2015级学生(P<0.05)。结论以南丁格尔事迹为素材的叙事教育有效促进护理本科生人文关怀品质的提高。

叙事疗法对冠心病患者健康促进生活方式的影响

目的探讨叙事疗法对冠心病患者健康促进生活方式的影响。方法选取2018年1月—9月承德市某三级甲等医院心内科收治的164例冠心病患者,按病区分为对照组(n=82)和试验组(n=82)。在心理护理方面,试验组采用叙事疗法,2~3次/周,20~30 min/次,共6次;对照组采用传统方式。干预前后采用健康促进生活方式量表进行效果评价。结果干预后,试验组健康促进行为总分及各维度得分高于对照组(P<0.05),试验组健康促进行为总分及各维度得分高于干预前(P<0.05),对照组健康促进行为总分及健康责任、营养、体育运动维度得分高于干预前(P<0.05)。结论叙事疗法可有效改善冠心病患者健康促进生活方式,但是对干预时间和技术要求较高,限制其临床推广。