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Lecture 1

NSE 21A/B Lecture Notes - Lecture 1: Narrative Inquiry, Empirical Evidence, Microsoft Powerpoint

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Week 1: theory
1. Develop an understanding of and analyze illness narratives and narrative competence
-"Narrative competence" is the ability to acknowledge, interpret, and act upon the stories
presented by patients. This will help to keep the pt. in the center of everything that the
health care organization undertakes.
-Can use the pt. stories to improve staff satisfaction and the quality of pt. care.
-Focusing on narrative competence may be a way for clinicians to become centered once
again in the profession and to renew the goals and passion that brought many into the
profession initially
-Narrative competences provides an Important and compelling way to address issue of
quality in health care.
Articles notes : the power of narratives
Todays challenge: how to motivate organizational and team member.
One strategy used: narratives, or telling a story, as a means to comple individuals to
think and behave in ways that will contribute to the collective good
Use of narratives
o to motivate individuals in challenging situation, or to provide a better
understanding about complex situation.
oto improved quality of health care as well as to the development of new
oto illustrate a moral, to demonstrate how experiences have produced positive or
negative outcomes, and to entertain.
oto galvanize efforts in a way that data and a PowerPoint presentation cannot.
The use of narrative analysis or interpretive inquiry as a research method for the
development of new knowledge is one that is familiar to nurses.
Empirical knowledge or a positivist approach is seen as an attempt to illuminate the
universally true by transcending the particular. narrative inquiry is seen as an attempt
to develop knowledge by revealing the particular
In narrative analysis, the object is the story itself.
Narratives give a human component-to data in a way that helps us relate to situations
with empathy and motivation
When we here other story-> better understanding of that person as an individual, the
experience they have had, and the effect it has had on them, opportunity to know much
more about someone than what we see or what we may have read about them.
In a organizational setting : stories can provide a method to transmit values, to help
inform coworkers about lessons learned, and to motivate organizational members around
challenging issues that they face together.
in clinical setting: knowing the client story will: creates empathy in the clinicians,
also keeps the impact of an illness on the human as an ideal that will be central to all
that the clinicians will do.
At the will of the body chapter 1; summary
-has heart attack (39), cancer(40).
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